Difficulty: Medium
Average Score: 91%
Simulated
A 250-lb male client recovering from general anesthesia has the following assessment findings: pulse, 150 bpm; blood pressure, 90/50 mm Hg; respiratory rate, 28 breaths/minute; tympanic temperature, 99.8┬░F (37.7┬░C); and rigid muscles. The nurse determines that the client is:
Correct answer
C
Rationale
Tachycardia, hypotension, tachypnea, and muscle rigidity suggest malignant hyperthermia, a life-threatening reaction to anesthesia. Immediate action, including emergency medications like dantrolene, is required.