Disposal of medical records in government hospitals/institutions must be done in close coordination with what agency?

Correct Answer: C

Rationale: The correct answer is C: Records Management Archives Office (RMAO). This agency is responsible for overseeing the proper management and disposal of records in government institutions. They ensure compliance with regulations to protect sensitive information. DILG and MMDA do not have jurisdiction over record management. DOH may have a role in healthcare records but not specifically in the disposal process. RMAO's expertise in records management makes them the most suitable agency for coordinating the disposal of medical records in government hospitals.

Correct Answer: C

Rationale: The correct answer is C: respiratory alkalosis. In status asthmaticus, the patient experiences prolonged, severe asthma attacks leading to hyperventilation. Hyperventilation causes excessive removal of carbon dioxide, leading to a decrease in PaCO2 levels and respiratory alkalosis. The other choices are incorrect because metabolic alkalosis (choice A) is not typically associated with asthma attacks, respiratory acidosis (choice B) occurs with inadequate ventilation, and metabolic acidosis (choice D) is not a common initial manifestation of status asthmaticus.

Correct Answer: C

Rationale: The correct answer is C: Circulating Nurse. During surgery, the circulating nurse is responsible for coordinating activities outside the operating room, including communicating with the family. They ensure the smooth flow of the surgical procedure, handle documentation, equipment, and communication. The other choices are incorrect because: A: Orderly/clerk is not typically involved in coordinating activities outside the operating room. B: Nurse Supervisor focuses on managing the nursing staff and overseeing patient care within the unit, not specifically coordinating activities outside during surgery. D: Anesthesiologist is primarily responsible for administering anesthesia and monitoring the patient's vital signs during surgery, not coordinating activities with the family.

Correct Answer: B

Rationale: The correct answer is B: An equal chance of selection. Random sampling ensures that each subject in the population has an equal probability of being selected for the sample, which helps in reducing bias and obtaining a representative sample. This increases the generalizability of the findings to the entire population. A: Being selected systematically does not guarantee each subject an equal chance of selection. C: Being selected based on set criteria is not random and may introduce bias. D: Having characteristics that match other samples does not ensure equal chance of selection for each subject in the population.

Correct Answer: A

Rationale: The correct answer is A: Stop the I.V. infusion of heparin and notify the physician. Heparin is an anticoagulant that prolongs the PTT. A PTT of 68 seconds indicates that the client may be at risk for bleeding due to excessive anticoagulation. Stopping the heparin infusion is crucial to prevent further complications. Notifying the physician is essential for further management. B: Continuing treatment as ordered would pose a risk of potential bleeding complications due to excessive anticoagulation. C: Warfarin affects the INR, not the PTT. Expecting warfarin to increase the PTT is incorrect. D: Increasing the dosage of heparin is contraindicated as the PTT is already elevated, indicating a risk of bleeding.