A client receives succinylcholine for paralysis during an endoscopy. During the procedure, the client's muscles become rigid, and the skin feels hot to the touch. Which effect will the nurse document in the medical record once the client is stabilized?

Question

1. Septicemia
2. Esophageal perforation
3. Hyperthyroid storm
4. Malignant hyperthermia

Answer 1

Correct Answer: 4
Rationale 1: Septicemia is not associated with rigid muscle contraction.
Rationale 2: Esophageal perforation would present as bleeding and hypotension.
Rationale 3: It is unlikely for hyperthyroid storm to present during an endoscopy procedure.
Rationale 4: Rigid muscles and hot skin represent a common presentation of malignant hyperthermia, a life-threatening adverse effect of succinylcholine.
Global Rationale: Rigid muscles and hot skin represent a common presentation of malignant hyperthermia, a life-threatening adverse effect of succinylcholine. Septicemia is not associated with rigid muscle contraction. Esophageal perforation would present as bleeding and hypotension. It is unlikely for hyperthyroid storm to present during an endoscopy procedure.