A nurse is assisting with the care of a postoperative client who has developed malignant hyperthermia.Which of the following actions should the nurse take?
Instill a warm enema solution.
Apply a cooling blanket.
Administer meperidine IM.
Ventilate the client with 50% oxygen.
The Correct Answer is B
Choice A rationale
Instilling a warm enema solution is not appropriate for treating malignant hyperthermia. The focus should be on cooling measures and medications.
Choice B rationale
Applying a cooling blanket is an appropriate action to help reduce the client's body temperature during malignant hyperthermia.
Choice C rationale
Administering meperidine IM is not indicated for malignant hyperthermia. The appropriate medications include dantrolene, cooling measures, and supportive care.
Choice D rationale
Ventilating the client with 100% oxygen, not 50%, is the appropriate action to ensure adequate oxygenation during malignant hyperthermia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Peripheral edema is swelling in the tissues due to fluid accumulation, often related to heart or kidney issues, not typically a sign of anaphylaxis.
Choice B rationale
Pallor refers to paleness and is usually a sign of anemia or shock, not specifically linked to anaphylaxis.
Choice C rationale
Hypertension, or high blood pressure, is not a common manifestation of anaphylaxis. Anaphylaxis typically causes hypotension, or low blood pressure.
Choice D rationale
Pruritus, or severe itching, is a common clinical manifestation of anaphylaxis due to the release of histamines in the body.
Correct Answer is B
Explanation
Choice B rationale
Passing of flatus indicates that the gastrointestinal tract is functioning, which is an important sign after colostomy surgery.
Choice A rationale
A pinkish-red stoma indicates good blood supply, but does not confirm colostomy functionality alone.
Choice C rationale
Absent bowel sounds could indicate a potential postoperative ileus, which is a concern rather than a positive sign.
Choice D rationale
Tolerating a clear liquid diet indicates some gastrointestinal function but is not specific to colostomy functionality.
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