A client has a history of malignant hyperthermia. A bowel resection with colostomy placement surgery is scheduled. The nurse anticipates which type of anesthesia will be used with this client?

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Skin Integrity NCLEX Questions Questions

Question 1 of 5

A client has a history of malignant hyperthermia. A bowel resection with colostomy placement surgery is scheduled. The nurse anticipates which type of anesthesia will be used with this client?

Correct Answer: D

Rationale: The client is having major surgery requiring general anesthesia. Inhaled anesthesia can trigger malignant hyperthermia, so total intravenous anesthesia would be used instead.

Question 2 of 5

A woman is scheduled to undergo a laparoscopic procedure. Which of the following statements by the client indicates the need for further education?

Correct Answer: D

Rationale: Shoulder pain is expected after laparoscopy due to injected air and does not typically signal a complication, indicating a need for further education.

Question 3 of 5

A nurse assesses a client who has open lesions. Which action should the nurse take first?

Correct Answer: A

Rationale: Nurses should wear gloves as part of Standard Precautions when examining skin that is not intact. The other options should be completed after gloves are put on.

Question 4 of 5

A nurse cares for a client who is prescribed vancomycin (Vancocin) 500 mg IV every 6 hours for a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which action should the nurse take?

Correct Answer: C

Rationale: Vancomycin is very irritating to veins and can cause thrombophlebitis, requiring frequent IV site assessment.

Question 5 of 5

An emergency room nurse assesses a client who was rescued from a home fire. The client suddenly develops a loud, brassy cough. Which action should the nurse take first?

Correct Answer: A

Rationale: A brassy cough indicates possible inhalation injury, requiring immediate oxygen and monitoring.

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