NUR170t /t NURt 170t Examt 1:t Conceptst
oft Medical-Surgicalt Nursingt Reviewt
(Latestt 2025/t 2026t Update)t |t Qst &t As|t
Gradet A|t 100%t Correctt (Verifiedt
Answers)-t Galen
QUESTION
inheritedt musclet disorder,t inadequatet thermoregulation,t causedt byt increasedt Cat int
skeletalt musclet int responset tot anesthetics
Answer:
malignantt hyperthermia
QUESTION
Assesst anyonet whot hast ort ist att riskt fort hyperkalemiat tot recognize
Answer:
cardiact changes,t ift ptst HRt fallst belowt 60t ort ift Tt wavest becomet spiked,t respondt byt
notifyingt thet RRT
QUESTION
malignantt hyperthermiat mayt startt when?
Answer:
immediatelyt aftert anesthesiat induction,t severalt hourst intot procedure,t ort aftert anesthesiat
ist complete
,QUESTION
whatt ist thet musclet relaxantt thatt ist thet onlyt drugt specificallyt approvedt fort malignantt
hyperthermia?
Answer:
dantrolenet sodium
QUESTION
assesst thet CVt systemt firstt int at ptt whot ist att riskt fort acidosis,t why?
Answer:
acidosist cant leadt tot cardiact arrestt fromt accompanyingt hyperkalemia,t ift cardiact changest
occurt notifyt thet HCPt immediately
QUESTION
symptomst oft malignantt hyperthermia
Answer:
tachycardia,t dysrhythmias,t hypotn,t tachypnea
musclet rigidityt oft jaw/uppert chest,t skint mottling,t
cyanosis,t myoglobinuria,t musclet spasm,t hight temp
QUESTION
extremelyt elevatedt tempt ast hight ast degreet ist at latet signt oft malignantt hyperthermia?
Answer:
111.2t (44C)
,QUESTION
thet mostt sensitivet indicationt oft malignantt hypothermiat ist what?
yout shouldt respondt how?
Answer:
-unexpectedt riset int thet end-tidalt CO2t levelt witht decreaset int O2t &t tachycardia
-notifyt surgeont &t anesthesiat providert immediately
QUESTION
whatt ist thet RNst responsibilityt tot dot beforet at ptt leavest fort surgery?
Answer:
witnesst consent,t
administert scheduledt medst (ift allowedt beforet surgery),t monitort fort NPO,t
performt skint prep,t
removet jewelry,t dentures,t prosthetics,t maket up,t nailt polish,t &t glassest aret removedt andt
documentt wheret eacht itemt is
QUESTION
implementt interventionst neededt beforet surgeryt tot dot what?
Answer:
reducet anxietyt &t complications,t promotet ptt adherencet tot treatmentt plant postop
QUESTION
thet ptt readinesst fort surgeryt ist criticalt tot thet outcome.t pret opt caret focusest ont what?
Answer:
preparingt ptt fort surgeryt &t ensuringt safety,t
assessingt ptt knowledget &t educationalt needs.
, QUESTION
Periopt care:
whent at ptt ist goingt undert generalt anesthesia/epiduralst whatt dot wet monitor?
Answer:
BPt (hypotn,t tachycardia),t O2t sat,
QUESTION
whatt kindt oft ptst mayt requiret at littlet moret anesthesiat thant normal
Answer:
obese,t redt heads
QUESTION
localt conductiont blocks
Answer:
shouldt onlyt bet numbt int onet area,t shouldt nott movet fromt toet tot calf
QUESTION
differencet betweent spinalt andt epiduralt anesthesia?
Answer:
spinal:t at needle,t musculart andt sensoryt anesthesiat startst att thet toest andt movest upwards,t
intot subarachnoidt space
epidural:t muscular,t sensory,t andt autonomict anesthesiat requirest smallert dose.t lesst chancet
oft hypotnt &t HAt becauset itt doesn'tt puncturet subarachnoidt space,t dot nott wantt needlet tot
move
oft Medical-Surgicalt Nursingt Reviewt
(Latestt 2025/t 2026t Update)t |t Qst &t As|t
Gradet A|t 100%t Correctt (Verifiedt
Answers)-t Galen
QUESTION
inheritedt musclet disorder,t inadequatet thermoregulation,t causedt byt increasedt Cat int
skeletalt musclet int responset tot anesthetics
Answer:
malignantt hyperthermia
QUESTION
Assesst anyonet whot hast ort ist att riskt fort hyperkalemiat tot recognize
Answer:
cardiact changes,t ift ptst HRt fallst belowt 60t ort ift Tt wavest becomet spiked,t respondt byt
notifyingt thet RRT
QUESTION
malignantt hyperthermiat mayt startt when?
Answer:
immediatelyt aftert anesthesiat induction,t severalt hourst intot procedure,t ort aftert anesthesiat
ist complete
,QUESTION
whatt ist thet musclet relaxantt thatt ist thet onlyt drugt specificallyt approvedt fort malignantt
hyperthermia?
Answer:
dantrolenet sodium
QUESTION
assesst thet CVt systemt firstt int at ptt whot ist att riskt fort acidosis,t why?
Answer:
acidosist cant leadt tot cardiact arrestt fromt accompanyingt hyperkalemia,t ift cardiact changest
occurt notifyt thet HCPt immediately
QUESTION
symptomst oft malignantt hyperthermia
Answer:
tachycardia,t dysrhythmias,t hypotn,t tachypnea
musclet rigidityt oft jaw/uppert chest,t skint mottling,t
cyanosis,t myoglobinuria,t musclet spasm,t hight temp
QUESTION
extremelyt elevatedt tempt ast hight ast degreet ist at latet signt oft malignantt hyperthermia?
Answer:
111.2t (44C)
,QUESTION
thet mostt sensitivet indicationt oft malignantt hypothermiat ist what?
yout shouldt respondt how?
Answer:
-unexpectedt riset int thet end-tidalt CO2t levelt witht decreaset int O2t &t tachycardia
-notifyt surgeont &t anesthesiat providert immediately
QUESTION
whatt ist thet RNst responsibilityt tot dot beforet at ptt leavest fort surgery?
Answer:
witnesst consent,t
administert scheduledt medst (ift allowedt beforet surgery),t monitort fort NPO,t
performt skint prep,t
removet jewelry,t dentures,t prosthetics,t maket up,t nailt polish,t &t glassest aret removedt andt
documentt wheret eacht itemt is
QUESTION
implementt interventionst neededt beforet surgeryt tot dot what?
Answer:
reducet anxietyt &t complications,t promotet ptt adherencet tot treatmentt plant postop
QUESTION
thet ptt readinesst fort surgeryt ist criticalt tot thet outcome.t pret opt caret focusest ont what?
Answer:
preparingt ptt fort surgeryt &t ensuringt safety,t
assessingt ptt knowledget &t educationalt needs.
, QUESTION
Periopt care:
whent at ptt ist goingt undert generalt anesthesia/epiduralst whatt dot wet monitor?
Answer:
BPt (hypotn,t tachycardia),t O2t sat,
QUESTION
whatt kindt oft ptst mayt requiret at littlet moret anesthesiat thant normal
Answer:
obese,t redt heads
QUESTION
localt conductiont blocks
Answer:
shouldt onlyt bet numbt int onet area,t shouldt nott movet fromt toet tot calf
QUESTION
differencet betweent spinalt andt epiduralt anesthesia?
Answer:
spinal:t at needle,t musculart andt sensoryt anesthesiat startst att thet toest andt movest upwards,t
intot subarachnoidt space
epidural:t muscular,t sensory,t andt autonomict anesthesiat requirest smallert dose.t lesst chancet
oft hypotnt &t HAt becauset itt doesn'tt puncturet subarachnoidt space,t dot nott wantt needlet tot
move
