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 C

Explanation

A. Delaying the incident report until the end of the current shift can compromise the timely documentation of the error and any necessary interventions that may arise.

B. While it's important to notify risk management, the priority should be to document the incident immediately after assessing the client to ensure a complete record of the error.

C. Completing the incident report as soon as the assessment is complete is the most appropriate action, allowing for prompt documentation of the error and any potential effects on patient care.

D. Informing the previous nurse is necessary for communication, but it should not delay the completion of the incident report, which is crucial for tracking errors and improving safety protocols.

A. Hydrochlorothiazide prevents angiotensin II from binding with receptor sites. B. Hydrochlorothiazide decreases the reabsorption of sodium and water in the distal renal tubule. C. Hydrochlorothiazide blocks stimulation of beta receptors in the sympathetic nervous system. D. Hydrochlorothiazide promotes the movement of extravascular fluids into the vascular compartment.

Correct Answer is B

Explanation

A. Hydrochlorothiazide does not prevent angiotensin II from binding with receptor sites; this action is typically associated with ACE inhibitors or angiotensin receptor blockers.

B. Hydrochlorothiazide decreases the reabsorption of sodium and water in the distal renal tubule, which leads to increased urine output and decreased blood volume, effectively lowering blood pressure.

C. Hydrochlorothiazide does not block beta receptors; this is the mechanism of action for beta-blockers.

D. Hydrochlorothiazide does not promote the movement of extravascular fluids into the vascular compartment; instead, it reduces blood volume by promoting diuresis.

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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

While assessing a client at the beginning of the shift, a nurse notes that the client received a medication in error from the nurse on the previous shift. At which of the following times should the nurse plan to complete an incident report about the error?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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