79 y/o pt undergoing lap chole is being induced under general anesthesia. The anesthesiologist notices
an unexplained tachycardia, tachypnea, and jab tightness. The capnograph shows an elevated end tidal
CO2. What is the immediate action the perioperative nurse should take to treat this suspected
malignant hyperthermia incident?
A. Call for the MH cart and Dantrolene
B. Initiate cooling measures
C. Administer sodium bicarbonate
D. Change the soda lime cannister - ANSWER✅✅✅A. Call for the MH cart and Dantrolene
A 49y/o firefighter with 60% second- and third- degree burns on his torso and lower extremities is
undergoing tangential excision and split thickness skin graft repair. Which nursing diagnosis is most
important to this particular patient during the intraoperative period?
A. Potential for knowledge deficit
B. Potential for compromise in skin integrity
C. Potential for fluid and electrolyte imbalance
D. Potential for elevated body temperature - ANSWER✅✅✅C. Potential for fluid and electrolyte
imbalance
A patient undergoing a hernia repair using 1% Lido for local anesthesia is being monitored by the
perioperative nurse. The nurse should remember that the recommended total amount of lidocaine
should not exceed:
A. 100mg
B. 1g
C. 500mg
D. 350mg - ANSWER✅✅✅D. 350mg
70k x 5mg/k per day
An appendectomy performed for acute, unruptured appendicitis is classified as which type of wound?
A. Class 1 (clean)
B. Class 2 (clean contaminated)
CNOR practice quiz
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