Author Question: In the postoperative period, the nurse recognizes that which one of the following is an early sign ... (Read 19 times)

haleyc112 · **on:** Jul 22, 2018

In the postoperative period, the nurse recognizes that which one of the following is an early sign of malignant hyperthermia?

a. Fever
b. Tachycardia
c. Muscle relaxation
d. Skin pallor

Question 2

The nurse is discussing with an Aboriginal patient long-term goals for a diet and exercise regimen to manage his diabetes. The nurse notices that he does not appear concerned about discussing his future needs.

Which of the following is a possible reason for this behaviour? a. His cultural time orientation is to the past.
b. He believes in living day by day.
c. He believes that there is no point in worrying about what has not yet happened.
d. His belief is that time will heal his condition.

6ana001 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B

Feedback
A Temperature elevation is a late sign of malignant hyperthermia.
B Malignant hyperthermia should be suspected when unexpected tachypnea, tachycardia, premature ventricular contractions, unstable blood pressure, cyanosis, skin mottling, and muscular rigidity are evident.
C Muscle rigidity, not relaxation, is an early sign of malignant hyperthermia.
D Skin pallor is not an early sign of malignant hyperthermia. Skin pallor may be seen in the immediate postoperative period, as the body is cool.

Answer to Question 2

B

Feedback
A The statement His cultural time orientation is to the past is not a determining factor for future needs.
B Aboriginal life choices and the responsibility to choose, and a belief in living day by day may help to explain why the patient does not appear interested in discussing the future of his diabetes management.
C The statement He believes that there is no point in worrying about what has not yet happened does not reflect Aboriginal values or beliefs.
D The statement His belief is that time will heal his condition does not reflect Aboriginal values or beliefs.