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Author Question: Maria is a perioperative nurse who is admitting a patient for an elective surgery. She asks about a ... (Read 156 times)

abarnes

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on: Jul 22, 2018
Maria is a perioperative nurse who is admitting a patient for an elective surgery. She asks about a family history of malignant hyperthermia, which is a life-threatening complication. Which of the following is a late sign of malignant hyperthermia?
 
  A. High CO2 levels
  B. Tachycardia
  C. Elevated temperature
  D. Tachypnea

Question 2

Clara is a perioperative nurse. She is monitoring the blood glucose level of Harold, a 56-year-old patient without diabetes who is undergoing orthopedic surgery. What is the main rationale for monitoring his blood glucose level during surgery?
 
  A. She does not want Harold to develop type 2 diabetes.
  B. Research shows a strong relationship between wound infections and hyperglycemia.
  C. She knows that normal glucose levels promote good tissue oxygenation.
  D. She is monitoring to prevent hypoglycemia.


katheyjon

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Reply #1 on: Jul 22, 2018
Answer to Question 1

C
Malignant hyperthermia is a life-threatening complication resulting in high CO2, tachypnea, tachycardia, heart rhythm irregularities, and muscular rigidity with elevated temperature in the late stages.

Answer to Question 2

B
Evidence has shown that there is a relationship between wound and tissue infection and blood glucose levels. Poor control of blood glucose levels (specifically hyperglycemia) during and after surgery increases the risk for wound infection and patient mortality in certain types of surgery.


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