If a physician insists that you perform an intervention that you are not properly trained to perform, it would be MOST appropriate to:
A) perform the ordered intervention to the best of your ability.
B) ask the physician if he or she can suggest another alternative.
C) refuse to perform the intervention and follow your protocols.
D) ask the physician to talk you through the procedure over the phone.
Answer: B) ask the physician if he or she can suggest another alternative.
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A 52-year-old man with a history of lung disease is wheezing and using his accessory muscles to breathe. He is agitated and does not want you to place an oxygen mask on his face. The patient:
A) does not need oxygen yet, and you should respect his wishes. B) should not have called 911 if he did not want your assistance. C) will claim battery if you try to persuade him to accept the oxygen. D) is likely hypoxic and needs your help; consider that he may be anxious about the mask, not the oxygen.
Patients exposed to FIO2 greater than or equal to 50% are at risk for which of the following? 1. Chronic obstructive pulmonary disease 2. O2 toxicity 3. Permanent lung damage 4. Atelectasis
a. 1 and 2 c. 2, 3, and 4 b. 2 and 4 d. None of the choices
A 45-year-old man presented with a draining chronic abscess, the origin of which was within the mandible. A cutaneous sinus, located at the lower posterior border of the mandible, exuded pus with yellow granules. This is a typical clinical presentation of which of the following diseases?
a. Tertiary syphilis b. Actinomycosis c. Oral tuberculosis d. Mucormycosis e. None of the above
Atrial fibrillation can cause a drop in cardiac output because it causes
A) the ventricles to contract more forcefully. B) the sinus node to fire more often. C) a loss of the atrial kick. D) the AV valves to remain open too long.