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    RN Comprehensive Predictor 2023 Proctored Exam

    A nurse is caring for a client who is postoperative following a right hip arthroplasty. Exhibits For each assessment finding, click to specify if the finding is consistent with malignant hyperthermia, latex allergy, or hypovolemic shock. Each finding may support more than 1 disease process.

    Explanation & Rationale

    Hypercapnia: Malignant Hyperthermia Malignant hyperthermia (MH) is a life-threatening reaction to anesthesia, causing uncontrolled muscle metabolism and CO₂ buildup. Wheezes: Latex Allergy A latex allergy can trigger anaphylaxis, leading to airway swelling and bronchospasm, which cause wheezing. Tachycardia: Malignant Hyperthermia, Latex Allergy, Hypovolemic Shock Tachycardia is a common response to stress, hypoxia, allergic reactions, or shock. MH: Increased metabolism causes hyperthermia and tachycardia. Latex Allergy: Anaphylaxis can cause vasodilation and compensatory tachycardia. Hypovolemic Shock: The body compensates for low blood volume by increasing heart rate. Muscle Rigidity: Malignant Hyperthermia A hallmark sign of MH is generalized muscle rigidity, especially in the jaw and chest, due to sustained muscle contractions. Urticaria: Latex Allergy Latex allergy causes histamine release, leading to itching, rash, and hives (urticaria).

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