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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Propofol is a sedative and would worsen respiratory depression.
B. Naloxone is the antidote for opioid-induced respiratory depression and should be administered immediately.
C. Flumazenil reverses benzodiazepine effects and is not appropriate for opioid overdose.
D. Protamine sulfate is used to reverse the effects of heparin and is unrelated to fentanyl toxicity.
Correct Answer is C
Explanation
A. Administering analgesics is not a priority in managing low oxygen saturation.
B. Administering oxygen is important but should follow positioning to improve oxygenation.
C. Raising the head of the bed improves lung expansion and is the priority intervention.
D. Coughing and deep breathing can follow after oxygenation is stabilized.
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