A client is in a motor vehicle accident with severe thoracic trauma. Which acid-base imbalance is most likely to develop?

Respiratory Alkalosis

Metabolic Acidosis

Metabolic Alkalosis

Respiratory Acidosis

Answer and Explanation

The Correct Answer is D

A. Respiratory Alkalosis: Alkalosis results from hyperventilation, which is not expected with thoracic trauma.

B. Metabolic Acidosis: Metabolic acidosis occurs due to renal failure, lactic acidosis, or diarrhea, not thoracic trauma.

C. Metabolic Alkalosis: Alkalosis can result from vomiting or excessive bicarbonate intake, not respiratory failure.

D. Respiratory Acidosis: Severe thoracic trauma can impair lung expansion, leading to hypoventilation and CO₂ retention, causing respiratory acidosis.

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Correct Answer is A

Explanation

A. Oliguria: Reduced urine output (oliguria) can indicate acute rejection due to decreased renal function. Other signs include fever, hypertension, graft tenderness, and swelling.

B. Temperature 36.1° C (97.0° F): Rejection often causes fever, not a low temperature.

C. Weight loss: Weight gain (fluid retention) is more common with rejection.

D. Insomnia: Insomnia is not a direct sign of rejection.

A. Cardiac arrest B. Falling through the ice C. Head trauma D. Drug use

Correct Answer is A

Explanation

A. Cardiac arrest: Cardiac arrest is a complication of severe hypothermia, not a risk factor.

B. Falling through the ice: Major risk factor for accidental hypothermia due to immersion in cold water.

C. Head trauma: Impaired thermoregulation in the brainstem can cause hypothermia.

D. Drug use: Certain drugs (e.g., alcohol, sedatives) impair the body’s ability to regulate temperature, increasing hypothermia risk.

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A client is in a motor vehicle accident with severe thoracic trauma. Which acid-base imbalance is most likely to develop?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse identify as possible organ rejection?

Correct Answer is A

Explanation

Which of the following is not a risk factor for accidental hypothermia?

Correct Answer is A

Explanation

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