NUR 340 SI Week 3- Surgical Emergencies, Wounds, Fever

During surgery, the patient's vital signs are: BP: 122/84, HR: 140 bpm, RR: 12, Temp: 98.6 F. They have muscle rigidity. What does the nurse anticipate giving?

• Midazolam IV

• Prednisone

• Propranolol

• Dantrolene Sodium IV

The patient states to the prep nurse that they have a history of unexplained death of a family member during surgery accompanied by febrile response. The nurse should warn the surgeon to be avoid using:

• Propofol

• Isoflurane

• Midazolam

• Succinylcholine

What is a LATE sign of Malignant Hyperthermia?

• elevated temperature

• muscle rigidity

• tachycardia

• hypercapnia

What is the first step to treatment to MH?

• treat symptoms

• cooling measures

• stop triggering agent

• oxygenation

The nurse notices during surgery that the patient is flushed, their BP is 100/70, HR is 140 bpm, and the temperature is 98F. The nurse should be aware of:

• Anaphylactic Shock.

• Malignant Hyperthermia.

• Infection.

• Febrile Response.

Why might it be difficult to catch anaphylactic shock during surgery?

• The symptoms are not severe.

• Anesthetic agents might mask symptoms.

• They are asleep.

• The surgeon is too busy to notice.

What are common causes of anaphylactic shock?

• Rubber

• Latex

• Juices

• Medications

The patient wakes up from surgery and states they are feeling anxious and feel like they cannot breathe. The nurse anticipates:

• Removing causative agent

• Administering NSAIDs

• Identifying the cause

• Notifying the MD

Who changes the first dressing?

• Surgeon

• Family member

• Patient

• Nurse

Upon assessment of a dressing, the nurse notices Scant dressing. What would this look like

• Wound is dry

• Wound tissue moist

• 25% of dressing covered

• 50% dressing covered