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. Brown-colored urine is an expected harmless side effect of nitrofurantoin and does not need to be reported.
B. Nitrofurantoin is an antibiotic used for urinary tract infections; it does not relieve peripheral nerve pain.
C. Some formulations of nitrofurantoin, especially extended-release capsules, should not be crushed because this can affect absorption and efficacy.
D. Nitrofurantoin can cause pulmonary toxicity, including cough, dyspnea, or chest pain. Clients should notify the provider immediately if respiratory symptoms develop.

A. After the end of the current shift B. After contacting risk management C. As soon as the assessment is complete D. As soon as the nurse from the previous shift has been informed

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.

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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 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 D

Explanation

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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