You are by the side of a 77-year-old male patient with a complaint of shortness of breath. Auscultation of his lungs indicates crackles in the bases. In addition, both of his feet are swollen. His SpO2 on room air is 82%. The remainder of his vital signs are pulse, 144; respirations, 26 breaths/min; and blood pressure 168/90, mmHg. The patient reports lower back pain with a history of a "pinched nerve" in that area. He states that he always has this pain. He has difficulty finishing his sentences without gasping for air. What is the most appropriate care for this patient after initiating oxygen?
A) Apply the AED in case he arrests en route to the hospital
B) Initiate a bronchodilator through a small-volume nebulizer
C) Transport him in a sitting position
D) Provide spinal motion precautions and secure him to a long spine board for back pain
C) Transport him in a sitting position
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Which of the following statements about the assessment of an elderly patient is NOT true?
a. Poorly functioning heating devices may create problems. b. Curvature of the spine makes it easy to position the patient's head. c. Properly fitted false teeth can stay in place for artificial ventilation. d. A patient's lack of self-care should be noted.
Which of the following statements is CORRECT regarding the short immobilization device?
A) Immobilization of the spine is complete. B) It should be used on all suspected spine injuries. C) The device will keep the torso inline while rotating a victim to a backboard. D) Once secure, the patient can be hoisted by the straps from a confined space.
Patient engagement can be facilitated by the use of which healthcare data tool maintained by the patient?
A. Personal health record B. Electronic health record C. Patient portal D. None of these
The documentation of each patient encounter should include which of the following?
A. the date B. a plan of care C. appropriate history and physical exam in relationship to the chief complaint D. the reason for the encounter E. all of these