MDC 4 NUR2755 FINAL EXAM KEY CONCEPTS
AND CLINICAL APPLICATIONS 2026
◉ What medication is administered to treat malignant
hyperthermia? Answer: Dantrolene.
◉ How can nurses maintain the optimal temperature of a client
during surgery? Answer: By using warming blankets, warmed IV
fluids, and monitoring core temperature.
◉ What should nurses do if a client's temperature exceeds 104°F in
the PACU? Answer: Intervene immediately and assess for signs of
hypermetabolism.
◉ What preoperative care should be provided regarding malignant
hyperthermia? Answer: Screen for family history of MH, assess risk
factors, and educate on post-op temperature monitoring.
◉ What postoperative care should be provided in the PACU?
Answer: Continue to assess temperature every 15 minutes.
◉ What are the early signs of malignant hyperthermia that patients
should be educated about? Answer: Muscle cramps, dark urine, or
fever.
,◉ What should be monitored to prevent complications related to
hypothermia in the OR? Answer: Monitor temperature continuously
and use warming devices correctly.
◉ What is the risk associated with cold temperatures in the OR?
Answer: Hypothermia (temperature < 36°C) can lead to delayed
healing and cardiac events.
◉ How should a nurse manage a client with impaired
ventilation/oxygenation who is hypothermic? Answer: Warm them
up, provide oxygen, and closely monitor their breathing.
◉ What preoperative care should be provided to patients at risk for
hypothermia? Answer: Pre-warm patients, especially older adults or
those undergoing long surgeries.
◉ What should be done if a patient shows cold, clammy skin and
decreased temperature? Answer: Intervene early and consider lab
tests if hypothermia persists.
◉ What is the purpose of using a PCA pump postoperatively?
Answer: To manage pain effectively through patient-controlled
analgesia.
,◉ What should nurses assess to evaluate a client's pain response?
Answer: Use a validated pain scale and reassess after administering
pain medication.
◉ What are the potential complications of unmanaged acute post-op
pain? Answer: Decreased mobility, increased risk of DVT, and
pulmonary issues.
◉ What is the importance of educating patients about pain control
expectations? Answer: Patients should understand that pain control
does not mean experiencing zero pain.
◉ What is a key nursing action to prevent aspiration in post-op
patients? Answer: Position patients laterally and ensure proper NPO
adherence.
◉ What should be monitored to ensure the effectiveness of pain
management? Answer: Level of consciousness (LOC) and sedation
levels.
◉ What interventions can help manage acute post-op pain? Answer:
Use multimodal analgesia, assess pain levels, and support mobility.
, ◉ What should nurses do if they notice restlessness and shallow
breathing in a patient? Answer: Reassess pain management and
medicate as necessary.
◉ What is a common risk factor for peptic ulcer disease related to
surgery? Answer: Stress response and the risk of bleeding.
◉ How can nurses prevent complications related to low
temperatures during surgery? Answer: Apply the warming protocol
according to unit policy.
◉ What should be monitored if stress ulcer prophylaxis is ordered
post-operatively? Answer: Assess GI symptoms.
◉ Why is it important to maintain temperature in post-operative
care? Answer: To prevent shivering-induced stress that could trigger
ulcers or increase bleeding risk.
◉ What are the key aspects of managing a client with impaired
ventilation/oxygenation post-op? Answer: Monitor airway,
breathing, and circulation; act quickly with fluids, oxygen, and notify
the provider.
AND CLINICAL APPLICATIONS 2026
◉ What medication is administered to treat malignant
hyperthermia? Answer: Dantrolene.
◉ How can nurses maintain the optimal temperature of a client
during surgery? Answer: By using warming blankets, warmed IV
fluids, and monitoring core temperature.
◉ What should nurses do if a client's temperature exceeds 104°F in
the PACU? Answer: Intervene immediately and assess for signs of
hypermetabolism.
◉ What preoperative care should be provided regarding malignant
hyperthermia? Answer: Screen for family history of MH, assess risk
factors, and educate on post-op temperature monitoring.
◉ What postoperative care should be provided in the PACU?
Answer: Continue to assess temperature every 15 minutes.
◉ What are the early signs of malignant hyperthermia that patients
should be educated about? Answer: Muscle cramps, dark urine, or
fever.
,◉ What should be monitored to prevent complications related to
hypothermia in the OR? Answer: Monitor temperature continuously
and use warming devices correctly.
◉ What is the risk associated with cold temperatures in the OR?
Answer: Hypothermia (temperature < 36°C) can lead to delayed
healing and cardiac events.
◉ How should a nurse manage a client with impaired
ventilation/oxygenation who is hypothermic? Answer: Warm them
up, provide oxygen, and closely monitor their breathing.
◉ What preoperative care should be provided to patients at risk for
hypothermia? Answer: Pre-warm patients, especially older adults or
those undergoing long surgeries.
◉ What should be done if a patient shows cold, clammy skin and
decreased temperature? Answer: Intervene early and consider lab
tests if hypothermia persists.
◉ What is the purpose of using a PCA pump postoperatively?
Answer: To manage pain effectively through patient-controlled
analgesia.
,◉ What should nurses assess to evaluate a client's pain response?
Answer: Use a validated pain scale and reassess after administering
pain medication.
◉ What are the potential complications of unmanaged acute post-op
pain? Answer: Decreased mobility, increased risk of DVT, and
pulmonary issues.
◉ What is the importance of educating patients about pain control
expectations? Answer: Patients should understand that pain control
does not mean experiencing zero pain.
◉ What is a key nursing action to prevent aspiration in post-op
patients? Answer: Position patients laterally and ensure proper NPO
adherence.
◉ What should be monitored to ensure the effectiveness of pain
management? Answer: Level of consciousness (LOC) and sedation
levels.
◉ What interventions can help manage acute post-op pain? Answer:
Use multimodal analgesia, assess pain levels, and support mobility.
, ◉ What should nurses do if they notice restlessness and shallow
breathing in a patient? Answer: Reassess pain management and
medicate as necessary.
◉ What is a common risk factor for peptic ulcer disease related to
surgery? Answer: Stress response and the risk of bleeding.
◉ How can nurses prevent complications related to low
temperatures during surgery? Answer: Apply the warming protocol
according to unit policy.
◉ What should be monitored if stress ulcer prophylaxis is ordered
post-operatively? Answer: Assess GI symptoms.
◉ Why is it important to maintain temperature in post-operative
care? Answer: To prevent shivering-induced stress that could trigger
ulcers or increase bleeding risk.
◉ What are the key aspects of managing a client with impaired
ventilation/oxygenation post-op? Answer: Monitor airway,
breathing, and circulation; act quickly with fluids, oxygen, and notify
the provider.
