A newborn being treated for respiratory distress syndrome (RDS) begins to experience profuse bleeding throughout the body. Which disease is most likely to be the cause?
A) infection
B) disseminated intravascular coagulation
C) patent ductus arteriosus
D) intracranial hemorrhage
B
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The first step in performing manual capillary puncture is to ________
a. assemble the equipment b. explain the procedure to the patient c. wipe the site of the puncture with alcohol d. perform hand hygiene
When unresisted elbow extension against gravity is required, which of the elbow extensors is/are active?
What will be an ideal response?
A patient arrives in the emergency department following a motor vehicle accident in which the patient sustained a deceleration chest injury
The patient was intubated in the field for airway protection. Physical assessment reveals that the patient is spontaneously breathing at a rate of 16 breaths/min, and breath sounds reveal bibasilar fine crackles at end inspiration. A second arterial blood gas was drawn while the patient was re-ceiving 100% oxygen from an air entrainment large volume nebulizer. Parameter 9:35 PM 10:10 PM pH 7.53 7.50 PaCO2 (mm Hg) 27 30 PaO2 (mm Hg) 48 56 SaO2 (%) 90 91 HCO3 (mEq/L) 24 24 Supplemental oxygen Room air 100% Bland aerosol The most appropriate recommendation for this patient is which of the following? a. Continuous positive airway pressure (CPAP) with supplemental oxygen b. Pressure-controlled inverse ratio ventila-tion (PCIRV) with positive end-expiratory pressure (PEEP) and sedation c. Volume-controlled continuous mandatory ventilation (VC-CMV) d. Airway pressure release ventilation (APRV)
While preparing to take a patient's blood pressure, you notice that the patient has a difficult time rolling up his sleeve-the sleeve is constricting blood flow to the area. You should do which of the following before taking the patient's blood pressure?
A) ?Have the patient roll the sleeve back down and take the blood pressure through his clothing. B) ?Take the blood pressure with the sleeve rolled up. C) ?Have the patient remove his arm from his sleeve or his entire shirt. D) None of the above