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 C
Explanation
Choice A rationale
The supine position with the head of the bed flat does not facilitate the safe and effective draining of fluid from the pleural cavity. This position can compromise the respiratory status of the patient and is therefore not suitable for a thoracentesis.
Choice B rationale
The Trendelenburg position, where the head is lower than the feet, can increase intracranial pressure and is not suitable for thoracentesis. This position does not allow for the optimal access to the pleural space needed for the procedure.
Choice C rationale
Sitting upright while leaning forward over pillows is the ideal position for a thoracentesis. This position allows the fluid to accumulate at the base of the pleural cavity and provides easy access for the procedure. It also facilitates better breathing and reduces the risk of injury to the diaphragm and other internal structures.
Choice D rationale
Lying prone with arms extended away from the body does not provide adequate access to the pleural space for thoracentesis. This position also makes it difficult to manage and monitor the patient's respiratory status during the procedure. .
Correct Answer is D
Explanation
Choice A rationale
Disinfecting the wound bed with alcohol can cause tissue damage and delay healing. The appropriate action is to clean the wound with a saline solution.
Choice B rationale
Preparing sterile dressing supplies 30 minutes before the procedure can compromise sterility. Supplies should be prepared immediately before use.
Choice C rationale
Sterile gloves are worn during the dressing change procedure, not for removing the old dressing. Clean gloves are appropriate for removing the old dressing.
Choice D rationale
Offering the client pain medication before the procedure can help manage pain and discomfort during the dressing change.
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