Lisarhodes411

A nurse is caring for a postoperative trauma patient with signs of restlessness and confusion. The patient’s ABG shows pH 7.48, PaCO₂ 30 mmHg, and HCO₃⁻ 24 mEq/L. Which acid-base imbalance should the nurse suspect? A. Metabolic acidosis B. Respiratory acidosis C. Respiratory alkalosis D. Metabolic alkalosis Rationale: Respiratory alkalosis results from hyperventilation causing CO₂ loss. • (A) and (B) both show low pH. • (D) would show high pH with elevated HCO₃...

Which major blood vessel carries deoxygenated (oxygen-poor) blood to the heart? a) Pulmonary artery b) Pulmonary vein c) Aorta d) Vena cava Rationale: The vena cava carries deoxygenated blood from the body to the right atrium of the heart. The pulmonary artery carries blood from the heart to the lungs, the pulmonary vein returns oxygenated blood from the lungs, and the aorta distributes oxygenated blood to the body. Which of the following is not a sign of internal bleeding in...

Which of the following best defines a hematoma? A) A scrape on the skin surface B) A blood clot that travels to the lungs C) A collection of blood within damaged tissue or a body cavity D) A laceration caused by a blunt object Rationale: A hematoma refers to blood that has accumulated within damaged tissue or a body cavity due to vessel rupture. An abrasion (A) affects only the superficial skin layer. An embolus (B) is a traveling clot. A laceration (D) is a torn or jagged woun...

An oropharyngeal airway is indicated in which type of patient? A) Semi-conscious patient with intact gag reflex B) Unconscious patient without an intact gag reflex C) Conscious patient with snoring respirations D) Patient with suspected caustic ingestion Rationale: An oropharyngeal airway (OPA) is used only in unconscious patients without a gag reflex to prevent airway obstruction by the tongue. It is contraindicated in patients with gag reflexes or caustic ingestion because it can t...

A man at a sushi bar whispers that a piece of fish is stuck in his throat but is still able to speak. What should you do next? A. Perform abdominal thrusts immediately B. Encourage him to cough it up C. Perform back blows D. Attempt to pull out the obstruction with your fingers Correct answer: B. Encourage him to cough it up Rationale: The ability to speak indicates a partial airway obstruction. Encourage the patient to cough forcefully to clear it. Abdominal thrusts or back blow...

Which of the following is a component of patient advocacy? A. Administering medication without consent B. Documenting only critical findings C. Ignoring patient complaints D. Building rapport with the patient during transport to the hospital Rationale: Advocacy involves supporting and protecting patient interests — building rapport ensures trust and cooperation. The other actions ignore patient welfare or professionalism. What best describes a communication system capable of...

The main complication of suctioning the airway for more than 10 seconds is: A. Bradycardia B. Airway swelling C. Lung collapse D. Hypoxia Rationale: Suctioning removes oxygen along with secretions, which can quickly reduce oxygen levels, leading to hypoxia. • Bradycardia can occur secondary to hypoxia, not directly from suctioning. • Airway swelling and lung collapse are less common complications. What should you always do before suctioning a patient? A. Administer...

Which type of business insurance is meant to cover the costs of continuing to do business while the owner is disabled? A) Disability overhead policy B) Disability buy-sell policy C) Business continuation policy D) Business overhead expense policy Rationale: Group-to-individual conversion must be guaranteed without proof of insurability to protect employees who lose group coverage. Rationale: A Business Overhead Expense policy pays business operating costs when the owner becomes di...

All of the following statements regarding annuities are true EXCEPT A) an annuity is classified as immediate or deferred, depending on when benefit payments begin B) the annuitant is always the same person as the owner of the annuity C) straight life annuities provide income as long as the annuitant lives D) the surrender charge serves as a back-end load when the annuity is canceled in its early years Rationale: The annuitant and owner can be different individuals (for example, a paren...

Pure risk refers to situations that A) Always result in financial gain B) May result in gain or loss C) Only result in loss or no change D) Are never insurable Correct answer: C) Only result in loss or no change Rationale: Pure risks involve only the chance of loss or no change, such as fire or death. They are insurable. Speculative risks (A and B) involve the potential for gain and are not insurable. D is incorrect because pure risks are the foundation of insurance coverage. Specu...