You are assessing a patient who has fallen from a ladder and is in severe pain from an angulated, midshaft femur. Although angulated, there is good circulation and sensation distal to the injury site. The patient is in severe pain. The MOST correct treatment for this patient is:
A) treat for shock with oxygen, IV fluids, and secure patient to spine board.
B) oxygen, IV, traction splinting, and give analgesics for pain as indicated.
C) oxygen, IV, ladder splint as found, give analgesics for pain, and transport.
D) give morphine, splint the extremity as found, and transport.
Answer: B
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A 27-year-old pregnant woman was the restrained driver of a vehicle that hit the guardrail at a high rate of speed. She sustained a large laceration to the upper thigh and has lost a significant amount of blood. Vital signs are: heart rate 102, blood pressure 118/78 mmHg, respirations 18, and her skin is pale and clammy. Which of the following BEST explains this patient's presentation?
A) Maternal blood volume increases during pregnancy, allowing vital signs to remain normal despite significant blood loss. B) Fetal oxygen demand increases after trauma, causing maternal blood pressure and heart rate to increase immediately after injury. C) Maternal blood volume decreases during pregnancy, amplifying the effects of epinephrine and allowing for the maintenance of blood pressure. D) Maternal vital signs remain normal following trauma to ensure the survival of the developing fetus.
You have assessed a patient and found a patent airway, adequate breathing, and a strong radial pulse. The patient is having no difficulty speaking and no facial droop, but exhibits a slight left arm drift. You should interpret these findings as:
a. not suggestive of a stroke. b. suggestive of a stroke only if the patient's blood pressure is also elevated. c. suggestive of a stroke only if the patient's pupils are not equal. d. suggestive that a stroke may be occurring.
Very few drugs are considered safe for use during pregnancy.
Answer the following statement true (T) or false (F)
A ________ occurs when at least one bone in a joint is forced completely out of its normal and proper alignment and must be manually or surgically put back into place.
A. subluxation B. dislocation C. sprain D. contusion