Your is unable to take a deep breath due to rib fractures. He is having headaches, is nauseated and feels weak. You note that his skin is red and flushed leading you to suspect he has become acidotic. How does the body try to reestablish homeostasis?
A) The kidneys retain increased amounts of bicarbonate.
B) The bladder retains more lactic acid.
C) There is a decrease in the respiratory rate.
D) The kidneys allow more bicarbonate to be removed.
A
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Usually when massaging a pregnant woman in the side-lying position, your table height should be set:
A) Lower than usual B) Higher than usual C) Same as usual D) On lowest setting
The family of a patient in hospice care for the final stage of lung cancer has summoned 911 because their father is short of breath. The patient is responsive to verbal stimuli and has an open airway with adequate respiration of 18 to 20 per minute. His skin is cool and diaphoretic with diminished breath sounds bilaterally. Your partner reports a heart rate of 112, blood pressure 96/44 mmHg, and
an SpO2 of 82%. He has a valid DNR, but family is scared and wants him transported to the ED for evaluation. Your next action would be to: A) monitor during transport but avoid providing physical care. B) place an oral airway and start positive pressure ventilation. C) provide high-concentration oxygen, monitor vitals, and transport to the ED. D) administer oxygen at 2 lpm and provide emotional support during transport.