A client recovering from surgery begins to have an increase in body temperature and carbon dioxide level. Which of the following should the nurse do first?
1. Provide dantrolene.
2. Contact the anesthesiologist.
3. Assess for patent intravenous line.
4. Provide 100% oxygen with a nonrebreather mask.
4. Provide 100% oxygen with a nonrebreather mask.
Rationale:
An increase in body temperature and carbon dioxide level are indications that the client is developing malignant hyperthermia. The first thing the nurse should do is apply 100% oxygen with a nonrebreather mask. The nurse should then ensure good intravenous access and contact the anesthesiologist. The anesthesiologist will order dantrolene for administration.
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