A nurse in the PACU is caring for a client who has received general anesthesia and has manifestations of malignant hyperthermia. Which of the following medications should the nurse expect to administer?

Diazepam

Dantrolene

Cyclobenzaprine

Metaxalone

Answer and Explanation

The Correct Answer is B

A. Diazepam is a benzodiazepine used for anxiety and sedation but is not effective for treating malignant hyperthermia.

B. Dantrolene is the specific antidote for malignant hyperthermia, and the nurse should expect to administer it to help reduce the severe muscle contractions and hypermetabolism associated with this condition.

C. Cyclobenzaprine is a muscle relaxant used for muscle spasms but is not indicated for malignant hyperthermia.

D. Metaxalone is also a muscle relaxant, but like cyclobenzaprine, it is not effective for managing malignant hyperthermia and would not be used in this situation.

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Correct Answer is D

Explanation

A. Cataracts are not a contraindication for cholinesterase inhibitors like neostigmine.

B. Hypertension is not a direct contraindication for cholinesterase inhibitor therapy, although caution may be exercised depending on the overall health status of the client.

C. Hypothyroidism is not contraindicated for cholinesterase inhibitors; however, it should be managed appropriately.

D. Peptic ulcer disease is a significant contraindication for cholinesterase inhibitors like neostigmine because these medications can increase gastric secretions and motility, potentially exacerbating ulcer conditions and leading to complications.

A. "You should report the presence of brown-colored urine." B. "This medication can provide relief of peripheral nerve pain." C. “This medication can be crushed to facilitate swallowing” D. "Notify the provider if you develop a cough."

Correct Answer is A

Explanation

A. It is important to inform the client that nitrofurantoin can cause brown-colored urine as a harmless side effect and they should report this to their provider.

B. Nitrofurantoin is an antibiotic used to treat urinary tract infections and does not provide relief for peripheral nerve pain.

C. Nitrofurantoin should not be crushed because it can affect the medication's absorption and effectiveness.

D. While coughing is not a common side effect of nitrofurantoin, if the client develops a cough, it could indicate a serious reaction, so it is important to notify the provider. However, the primary teaching point for nitrofurantoin is regarding the urine discoloration.

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A nurse in the PACU is caring for a client who has received general anesthesia and has manifestations of malignant hyperthermia. Which of the following medications should the nurse expect to administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical history of a client who has myasthenia gravis and is asking about starting neostigmine. The nurse should identify which of the following client conditions as a potential contraindication for cholinesterase inhibitor therapy?

Correct Answer is D

Explanation

A nurse is teaching a client who has a new prescription for nitrofurantoin. Which of the following Information should the nurse include in the teaching?

Correct Answer is A

Explanation

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