A pregnant patient receives general anesthesia for a cesarean birth. The nurse is concerned that the patient is developing malignant hyperthermia. What did the nurse assess in this patient? (Select all that apply.)
A) Cyanosis
B) Diaphoresis
C) Tachycardia
D) Cool mottled skin
E) Irregular heart rhythm
Question 2
A pregnant patient is 5 cm dilated, 80 effaced, and 0 station.
Contractions are increasing to every two to three minutes, lasting 50 seconds. The patient is increasingly uncomfortable, apprehensive but appropriate and focused on breathing and relaxation. Which nursing diagnosis should the nurse use to guide the patient's care at this time?
A) Risk for altered tissue perfusion related to breathing techniques
B) Impaired gas exchange related to prolonged contractions
C) Acute pain related to advanced progress of labor
D) Ineffective individual coping related to fear and anxiety