In some genetically susceptible children, anesthetic agents can ...

[LaDunn]

In some genetically susceptible children, anesthetic agents can trigger malignant hyperthermia. The nurse should be alert in observing that, in addition to an increased temperature, an early sign of this disorder is:
 
  a. apnea.
  b. bradycardia.
  c. muscle rigidity.
  d. decreased blood pressure.

Question 2

The emergency department nurse is cleaning multiple facial abrasions on a 9-year-old child whose mother is present. The child is crying and screaming loudly. The nurse's action should be to:
 
  a. ask the child to be quieter.
  b. have the child's mother give instructions about relaxation.
  c. tell the child it is okay to cry and scream.
  d. remove the mother from the room.

[14vl19]

Answer to Question 1

ANS: C
Early signs of malignant hyperthermia include tachycardia, increasing blood pressure, tachypnea, mottled skin, and muscle rigidity. Apnea is not a sign of malignant hyperthermia. Tachycardia, not bradycardia, is an early sign of malignant hyperthermia. Increased blood pressure, not decreased blood pressure, is characteristic of malignant hyperthermia.

Answer to Question 2

ANS: C
The child should be allowed to express feelings of anger, anxiety, fear, frustration, or any other emotion. The child needs to know it is all right to cry. There is no reason for the child to be quieter and feelings need to be able to be expressed. The mother should stay in the room to provide comfort to the child.

[LaDunn]

TYSM

[T4T]

Gracias!