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A nurse is caring for a client experiencing malignant hyperthermia. Which intervention(s) is/are appropriate for this client? [Select All That Apply]

Administer insulin

Place the client on oxygen

Administer intravenous dantrolene

Cover the client with a warm blanket

Administer intravenous flumazenil

Administer cold intravenous saline

Answer and Explanation

Correct Answer : B,C,F

A: Insulin is not indicated unless hyperkalemia develops as a complication of malignant hyperthermia.

B: Administering oxygen helps address hypoxemia caused by increased metabolic activity and muscle rigidity.

C: Dantrolene is the treatment of choice for malignant hyperthermia. It reduces muscle rigidity and hypermetabolism.

D: Warm blankets are contraindicated as they exacerbate hyperthermia.

E: Flumazenil is used to reverse benzodiazepines and is unrelated to malignant hyperthermia management.

F: Cooling measures, including cold IV saline, help reduce hyperthermia.

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Correct Answer is A

Explanation

A. Reviewing all current medications and supplements allows the healthcare team to identify potential drug interactions and adjust treatment.

B. While a medication schedule is helpful, it does not address the risk of interactions during pre-surgical planning.

C. Instructing the client to avoid OTC medications is overly broad and may lead to unnecessary medication omission.

D. Filling prescriptions locally does not address the risk of interactions directly.

A. The client does not need to remove their nail polish. B. Instructions for preoperative fasting. C. How to operate the vital signs machine. D. Jewelry does not need to be removed before the procedure. E. Information about postoperative care F. information about the surgical procedure

Correct Answer is ["B","E","F"]

Explanation

A: Nail polish should be removed as it can interfere with oxygen saturation monitoring during surgery.

B: Preoperative fasting reduces the risk of aspiration during anesthesia. Specific guidelines regarding fasting duration for solids and liquids should be provided.

C: Teaching the client how to operate a vital signs machine is not relevant.

D: Jewelry must be removed to reduce the risk of burns (from cautery) and interference with equipment.

E: Postoperative care information helps the client prepare for recovery and any potential needs after surgery, such as pain management or wound care.

F: Explaining the surgical procedure ensures informed consent and reduces anxiety by providing clarity about the process.

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A nurse is caring for a client experiencing malignant hyperthermia. Which intervention(s) is/are appropriate for this client? [Select All That Apply]

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is scheduling an older client for a surgical clearance appointment. Which intervention is best to reduce the risk of drug interactions for the client?

Correct Answer is A

Explanation

What type of procedural information should be given to a client in preparation for ambulatory surgery? (Select All that Apply)

Correct Answer is ["B","E","F"]

Explanation

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