Page 1 of 40
Examination 2 Blueprint - NUR2755 / NUR 2755 (Latest
2025): Multidimensional Care IV / MDC 4 - Rasmussen
What is a sign of malignant hyperthermia that nurses must
identify intraoperatively? .....ANSWER.....Early signs include
increased CO₂, muscle rigidity, and increased temperature.
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
,Page 2 of 40
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?
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.....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.
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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.
Examination 2 Blueprint - NUR2755 / NUR 2755 (Latest
2025): Multidimensional Care IV / MDC 4 - Rasmussen
What is a sign of malignant hyperthermia that nurses must
identify intraoperatively? .....ANSWER.....Early signs include
increased CO₂, muscle rigidity, and increased temperature.
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
,Page 2 of 40
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?
,Page 3 of 40
.....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.
, Page 4 of 40
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.
