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 B
Explanation
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.
Correct Answer is D
Explanation
Choice A rationale
Obtaining blood pressure readings using the client's right arm can increase the risk of lymphedema in the affected arm.
Choice B rationale
Keeping both arms below the level of the client's heart can hinder proper lymphatic drainage and contribute to lymphedema.
Choice C rationale
Limiting range-of-motion exercises with the affected arm can cause stiffness and impede lymphatic flow, increasing the risk of lymphedema.
Choice D rationale
Using the client's left arm to obtain blood samples helps prevent unnecessary trauma to the right arm, reducing the risk of lymphedema.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
