A 12-Year-Old Boy Is Scheduled for a Laparoscopic Hernia Repair

question 12

Multiple Choice

A 12-year-old boy is scheduled for a laparoscopic hernia repair.During the preoperative assessment and interview,the perioperative nurse notes that he has mild myotonia congenita.The patient's mother states that she is worried about the anesthesia because her husband's brother died many years ago when he became very feverish during surgery and they could not cool him.The perioperative nurse's appropriate risk reduction strategy in this situation would be to:

• A) perform a careful assessment of family history to identify risk for developing malignant hyperthermia (MH).
• B) advise the anesthesia provider to find an alternative to succinylcholine and sevoflurane.
• C) arrange for transfer to a tertiary care facility.
• D) pursue a physician order for a laboratory test to rule out MH.

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Definitions:

Diabetes

A chronic metabolic disorder characterized by high blood sugar levels due to the body's inability to produce enough insulin or effectively use insulin.

Obesity

Obesity is a medical condition characterized by an excess of body fat, which can significantly increase the risk of other health problems, such as heart disease, type 2 diabetes, and certain cancers.

James-Lange Theory

The James-Lange Theory proposes that emotion is the experience of physiological responses to external stimuli, suggesting that we feel sad because we cry, angry because we strike, and afraid because we tremble.

Two-Factor Theory

A psychological theory that proposes that human emotions are composed of two factors: physiological arousal and cognitive label.