The paramedic should administer promethazine (Phenergan) by:
A) diluting it in 20 mL of normal saline and giving it over 1 to 2 minutes.
B) rapid IV push undiluted, as this will minimize the risk of vascular injury.
C) mixing it with 25 mg of diphenhydramine in order to prevent dystonia.
D) diluting it in 50 to 100 mL of normal saline and giving it over 30 minutes.
Answer: A) diluting it in 20 mL of normal saline and giving it over 1 to 2 minutes.
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The nurse observes a patient's behavior to assess thought process disorders characterized by bizarre, nonreality thinking. This behavior is indicative of the most profound, disabling mental illness, which is:
a. manic depressive. b. schizophrenia. c. paranoia. d. bipolar.
Patients experiencing emotional or physical pain may exhibit similar signs, such as a pained facial expression. Which sign is most likely to indicate emotional pain rather than physical pain?
a. labored breathing and speech, wheezing, and shortness of breath b. facial grimacing, crying, and moaning c. diaphoresis, tachycardia, and physical protection of the painful area d. excessive nail-biting, tearfulness, and avoidance of eye contact
Your patient is a 20-year-old male who is conscious, alert, and in severe distress. He describes a three-day history of diffuse abdominal pain near his umbilicus that became sharp and migrated to his lower right quadrant this morning. He states that the pain became acutely worse half an hour ago and that he is now lightheaded and nauseated and has vomited numerous times. You believe he may be suffering from appendicitis. Based on his clinical presentation, the most proper treatment, in addition to giving oxygen, would be:
A. IV of normal saline wide open, Trendelenburg position, rapid transport B. Provide comfort, expedited transport C. IV of normal saline wide open, left lateral recumbent position, Phenergan IV, transport D. Provide comfort, manage the airway, establish IV access, expedited transport
Which of the following would lead the nurse to suspect that an elderly woman has rheumatoid arthritis?
A) Darker pigmentation B) Crepitus of joints C) Rashes on the skin D) Ulnar deviation