The goal of a rapid response team is to:
Ensure that emergency equipment (code cart, defibrillator) are working property
Decrease critical care unit admissions
Increase hospital length of stay
Prevent cardiac and respiratory arrest
The Correct Answer is D
Rationale:
A. Ensure that emergency equipment (code cart, defibrillator) are working properly is incorrect because while equipment readiness is important for patient safety, this is not the primary goal of a rapid response team (RRT).
B. Decrease critical care unit admissions is partially correct in that early intervention by an RRT can sometimes prevent deterioration that would require ICU transfer, but this is a secondary benefit, not the primary goal.
C. Increase hospital length of stay is incorrect because longer hospitalization is not an objective of RRTs. The focus is on patient safety, not prolonging stay.
D. Prevent cardiac and respiratory arrest is correct because the primary purpose of a rapid response team is to identify and intervene early in patients showing signs of clinical deterioration on general wards. By providing timely assessment, monitoring, and intervention, RRTs aim to prevent progression to life-threatening events such as cardiac or respiratory arrest, improving patient outcomes and safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Uncompensated respiratory acidosis: hyperoxygenated is correct. Analysis of the ABG:
pH 7.31 → acidic (normal 7.35–7.45) → acidosis present
PaCO2 48 mm Hg → elevated (normal 35–45 mm Hg) → indicates respiratory acidosis
HCO3 24 mEq/L → normal (normal 22–28 mEq/L) → no metabolic compensation has occurred yet
PaO2 115 mm Hg and O2 saturation 99% → elevated oxygen, likely due to supplemental oxygen administration
Since pH is low, CO2 is high, and HCO3 is normal, this is uncompensated respiratory acidosis. The patient is also hyperoxygenated, indicated by the elevated PaO2.
B. Normal arterial blood gas levels with a high oxygen level is incorrect because the pH is acidic and CO2 is elevated, indicating acidosis. This ABG is not within normal limits.
C. Partly compensated respiratory acidosis, normal oxygen is incorrect because HCO3 is normal, meaning no renal compensation has begun. Partial compensation would show an elevated HCO3 in response to the high CO2.
D. Uncompensated metabolic acidosis with high oxygen levels is incorrect because HCO3 is normal, which rules out metabolic acidosis. Metabolic acidosis would also show a low bicarbonate and low pH.
Correct Answer is C
Explanation
Rationale:
A. It is caused by dilation of the biliary system is incorrect because, although gallstones and biliary obstruction can trigger acute pancreatitis, this option explains a possible cause of pancreatitis rather than why pain control is a nursing priority. It does not address the physiologic consequences of uncontrolled pain.
B. It decreases the patient’s metabolism is incorrect because pain typically increases metabolic demand and stress hormone release rather than decreasing metabolism. Uncontrolled pain leads to increased oxygen consumption and energy expenditure.
C. It increases pancreatic secretions is correct because pain and stress stimulate the sympathetic nervous system, which can increase pancreatic enzyme secretion. Increased enzyme release worsens pancreatic inflammation and autodigestion. Effective pain control helps reduce pancreatic stimulation, limits further tissue damage, and promotes healing.
D. It is caused by decreased distention of the pancreatic capsule is incorrect because pain in acute pancreatitis is associated with inflammation, edema, and increased distention of the pancreatic capsule, not decreased distention.
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