ANCC Medical-Surgical Nursing Exam Prep

Category - Medical-Surgical Nursing Practice Test

A patient is given anesthesia during the induction period and begins to develop muscle stiffness and cyanosis. His temperature is noted to be increasing at a rate of two degrees Celsius approximately every five minutes. What condition has this patient most likely developed?
  1. Latex allergy reaction
  2. Pulmonary embolism
  3. Malignant hyperthermia
  4. Stroke
Explanation

Answer: C - The patient described in this situation has most likely developed malignant hyperthermia. This is a condition characterized by rapidly increasing temperature, cardiac dysrhythmias, and respiratory failure. Malignant hyperthermia typically occurs as a result of anesthesia administration and is a life-threatening event.  The nurse should rapid escalate the level of medical attention at the first sign. The surgical staff must respond quickly by administering muscle-relaxing medications and cooling the body to stabilize the patient.

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