During general surgery, a nurse observes tachycardia, muscle rigidity, respiratory acidosis, and hyperthermia in a patient. Which complication of surgery does the nurse suspect?

Surgical site infection

Hypercapnia

Malignant hyperthermia

Hypertensive crisis

Answer and Explanation

The Correct Answer is C

Choice A reason: Surgical site infection is an infection that occurs after surgery in the part of the body where the surgery took place.

Choice B reason: Hypercapnia is the presence of higher-than-normal levels of carbon dioxide in the blood.

Choice C reason: Malignant hyperthermia is a life-threatening pharmacogenetic reaction to certain general anesthesia, characterized by hypermetabolism resulting in high body temperature, rigid muscles, and rapid heart rate.

Choice D reason: Hypertensive crisis is a severe elevation in blood pressure, often requiring immediate medical attention.

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Correct Answer is B

Explanation

Choice A reason: Unconsciousness is not typically a finding in the early compensatory stage of hypovolemic shock; it may occur in more advanced stages.

Choice B reason: Tachycardia, or rapid heartbeat, is a compensatory mechanism to maintain cardiac output during the early stages of hypovolemic shock.

Choice C reason: Cold clammy skin is a result of peripheral vasoconstriction, which is a compensatory response to maintain blood flow to vital organs.

Choice D reason: Diminished urine output occurs as the body conserves fluid in response to decreased blood volume.

A. Adjust the thermostat so that the environment is warm. B. Rest with the legs above heart level. C. Apply a heating pad on a low setting to help relieve leg pain. D. Wear antiembolic stockings during the day.

Correct Answer is A

Explanation

Choice A reason: Keeping the environment warm can help prevent the vasoconstriction that can exacerbate PAD symptoms.

Choice B reason: Resting with the legs above heart level is not typically recommended for PAD as it can reduce arterial blood flow to the legs.

Choice C reason: Applying a heating pad is not recommended for clients with PAD because they may have decreased sensation and could suffer burns.

Choice D reason: Wearing antiembolic stockings during the day can help improve circulation, which is beneficial for clients with PAD.

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During general surgery, a nurse observes tachycardia, muscle rigidity, respiratory acidosis, and hyperthermia in a patient. Which complication of surgery does the nurse suspect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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