A 71-year-old man presents with shortness of breath, facial cyanosis, and a cough that is producing blood. His blood pressure is 144/92 mm Hg, pulse is 130 beats/min and irregular, and respirations of 28 breaths/min and labored. He is confused and is slow follow your commands. You should:
A. use CPAP to attempt to improve his breathing, insert a saline lock, transport, and be prepared to assist his ventilations.
B. insert a multilumen airway device, ventilate him at a rate of 12 breaths/min, transport, and establish IV access en route to the hospital.
C. administer high-flow oxygen via nonrebreathing mask, place him in a position of comfort, insert a saline lock, and transport.
D. assist his ventilations with a bag-mask device, begin transport, and consider establishing IV access en route to the hospital.
Answer: D. assist his ventilations with a bag-mask device, begin transport, and consider establishing IV access en route to the hospital.
You might also like to view...
Treatment decisions may be sometimes based on the nursing assistant’s observations.
Answer the following statement true (T) or false (F)
The dual effect of dilation and hypertrophy upon the left ventricle slowly changes the shape of the interior chamber, called ____, into a less effective configuration.
A. remodeling B. restructuring C. differentiation D. permutation
LTC services are tailored to the needs of the individual patient
Indicate whether the statement is true or false.
A summary of the reason a patient entered the hospital, the care the patient received in the hospital, and the outcome of the hospitalization is found in the ________.
A. patient registration form B. laboratory results C. patient medical history D. hospital discharge summary E. physician examination form