The nurse is preparing to teach an older patient scheduled for ...

[Diane]

The nurse is preparing to teach an older patient scheduled for surgery on performing diaphragmatic breathing. Place the steps of this breathing technique in the order in which the nurse should teach the patient.
 
  Choice 1. Sit up straight in bed.
  Choice 2. Place your hands lightly on your abdomen.
  Choice 3. Breathe in deeply through your nose.
  Choice 4. Hold your breath for five seconds.
  Choice 5. Completely exhale through pursed lips.

Question 2

The nurse suspects that a patient recovering from surgery in the postanesthesia recovery unit (PACU) is developing malignant hyperthermia. Place these interventions in the order in which they should be performed.
 
  Choice 1. Administer oxygen with a nonrebreather mask.
  Choice 2. Check IV access.
  Choice 3. Notify the anesthesia provider.
  Choice 4. Administer Dantrolene.

[cclemon1]

Answer to Question 1

Correct Answer: 1,2,3,4,5

The patient should be placed in high or semi-Fowler's position, asked to place hands lightly on the abdomen, asked to take a deep breath in through the nose, asked to hold the breath to the count of five, asked to exhale completed through pursed lips, then encouraged to repeat the exercise five times consecutively.

Answer to Question 2

Correct Answer: 1,2,3,4

As soon as the nurse suspects malignant hyperthermia is occurring, oxygen should be administered by nonrebreather mask. Oxygen is necessary to support tissues that rapidly become hypermetabolic. The nurse should then be certain IV access is still patent and should notify the anesthesia provider. The IV access step is done first as it is quick and if not patent, can be restarted while the anesthesia provider responds. Dantrolene is given IV, so a patent IV is essential.

[Diane]

Excellent

[xiazhe]

TYSM