The anesthetized client with an open abdomen suddenly develops malignant hyperthermia. What intervention should the nurse be prepared to initiate or assist with?
A. Discontinue mechanical ventilation.
B. Administer intravenous potassium chloride.
C. Administer intravenous calcium chloride.
D. Administer intravenous dantrolene (Dantrium).
D
Dantrolene is a skeletal muscle relaxant and can help lower body temperature by reducing meta-bolic heat production by the muscles. Clients become hyperkalemic and hypercalcemic; therefore, neither of these electrolytes should be administered. The client's gas exchange is severely compromised. If the client is not already receiving mechanical ventilation, it is initiated.
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The nurse understands that drug therapy is postponed until after pregnancy and lactation when possible. Which of the following acute and chronic conditions may be managed with drugs during pregnancy?
A. Epilepsy B. Serious cystic acne C. Sexually transmitted infections D. Gestational diabetes E. Hypertension
A freezer full of food at the time of the power failure will keep food to eat for what period of time?
a. 8 hours b. 12 hours c. 24 hours d. 48 hours
After surgical removal of the gallbladder (cholecystectomy), the nurse should counsel patients to
a. follow a low-fat, low-cholesterol diet. b. ensure high intake of protein and fluid. c. eat a well-balanced diet as tolerated. d. avoid snacking between meals.
What additional priority information would you collect? (Select all that apply.)
The patient is a 45-year-old man who immigrated from Central America a year ago. He reports fatigue, cough, nausea, and weight loss. His vital signs reveal a low-grade temperature of 99.4° F; blood pressure: 128/82; heart rate 88 beats/min, and respiratory rate: 18 breaths/min.