Which of the following is a potential complication of submersion injury?
Hyperthermia.
Acute respiratory distress syndrome (ARDS).
Hypertension.
Increased intracranial pressure.
The Correct Answer is B
Choice A rationale
Hyperthermia is an abnormally high body temperature and is not a typical complication of submersion injury. Submersion injuries, particularly in cold water, more commonly lead to hypothermia, which is a dangerously low body temperature, due to rapid heat loss from the body.
Choice B rationale
Acute respiratory distress syndrome (ARDS) is a severe, life-threatening complication of submersion injury. Aspiration of water, even in small amounts, can damage the alveolar-capillary membrane, leading to pulmonary edema, impaired gas exchange, and a profound inflammatory response in the lungs, which is the hallmark of ARDS.
Choice C rationale
Hypertension, or high blood pressure, is not a typical complication of submersion injury. In fact, submersion can initially cause a vasovagal response leading to bradycardia and a drop in blood pressure, or subsequently lead to hypotension due to fluid shifts and systemic compromise.
Choice D rationale
While severe hypoxia from submersion can lead to cerebral edema and increased intracranial pressure, this is a consequence of the primary injury to the lungs, not a direct complication of the submersion itself. The most immediate and significant complication is the respiratory compromise that precedes other systemic effects
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
This choice describes a leader, not a follower. A follower's role is to support the leader and the group's goals, not to take control. Effective followership requires a collaborative spirit and the ability to work within the group's structure to achieve shared objectives under the guidance of a leader.
Choice B rationale
Working independently without collaborating is not followership; it is a lack of teamwork. Effective followership involves active collaboration and interdependence with other group members and the leader. The follower's contributions are crucial to the group's success, and these contributions are most valuable when integrated with others.
Choice C rationale
This describes passive followership. Effective followership in nursing is not about blindly following directions. It involves critical thinking, active participation, and the ability to question when patient safety or quality of care is at risk, while still supporting the group's overall mission and leader's directives.
Choice D rationale
Followership is an active and dynamic process where individuals contribute their knowledge, skills, and effort to support a group's collective goals. In nursing, this means working synergistically with colleagues and leaders to provide optimal patient care, demonstrating a commitment to shared clinical outcomes and professional collaboration. *.
Correct Answer is D
Explanation
Choice A rationale
Routine emergency department triage aims to provide the best possible care to all patients based on the severity of their condition. Mass-casualty triage, by contrast, prioritizes patients who have the highest chance of survival with limited resources, deviating from the 'equal care for all' principle.
Choice B rationale
Routine triage prioritizes patients based on the acuity of their medical condition, not on their arrival time. Mass-casualty triage also does not prioritize by arrival time, but rather by the likelihood of survival, with the goal of saving the most lives possible with the available resources.
Choice C rationale
Prioritizing comfort measures for all patients is not a goal of either routine or mass-casualty triage. Both triage systems are focused on providing timely medical intervention based on the patient's needs and the available resources, with the ultimate goal of improving health outcomes and saving lives.
Choice D rationale
The key distinction is the emphasis on resource allocation. In a mass-casualty event, resources are scarce. Triage is performed to allocate these limited resources to the greatest number of people who have a high probability of survival, a concept known as "the greatest good for the greatest number
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