Author Question: During surgery, the anesthesia personnel noticed the patient is having a steady rise in his ... (Read 78 times)

aabwk4 · **on:** Jun 25, 2018

During surgery, the anesthesia personnel noticed the patient is having a steady rise in his end-tidal carbon dioxide level. At this time, the nurse anesthetist begins to assess the patient for malignant hyperthermia.

The initial (priority) assessment for this disorder may include
A)
hypotension.
B)
acute renal failure.
C)
skeletal muscle rigidity.
D)
sudden cardiac arrest.

Question 2

A nurse is providing a client with preoperative education. The nurse knows which of the following teaching points should be included in the instruction regarding deep breathing and coughing exercises?

A)
When you are lying down, your body ends up needing more oxygen.
B)
One needs to breathe deeper while lying flat in bed since this increases the work load on the diaphragm.
C)
The resistance of your bed limits your lung expansion.
D)
We want you to be able to use your abdominal muscles more, rather than depending on movement of your chest cage for breathing.

britb2u · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
C

Feedback:

In addition to a steady rise in end-tidal carbon dioxide levels, an initial sign of the disorder, when the condition occurs during anesthesia, is skeletal muscle rigidity.

Answer to Question 2

Ans:
C

Feedback:

The resistance of the bed in a supine position limits lung expansion and, ultimately, oxygenation. Inactivity does not increase oxygen demand, and patients tend to breathe more shallowly. The goal is to use abdominal muscles less and the chest cage more.