Following a traumatic injury, a 19-year-old woman presents with confusion, tachycardia, and significant hypotension. Her skin is cool, clammy, and pale. Further assessment reveals abdominal rigidity and deformity with severe pain over her thoracic vertebrae. In addition to administering high-flow oxygen and immobilizing her spine, you should:
A) start at least one large-bore IV line and give crystalloid boluses as needed to maintain adequate perfusion.
B) conclude that she is in neurogenic shock, start an IV line of normal saline, and initiate a dopamine infusion.
C) start at least one large-bore IV of normal saline and administer a narcotic analgesic to treat her severe pain.
D) perform a focused history and physical exam, start an IV of normal saline, and administer a corticosteroid.
Answer: A) start at least one large-bore IV line and give crystalloid boluses as needed to maintain adequate perfusion.
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a. Nerves that connect to muscles b. Sensory regions of the brain c. Language centers d. Emotional regions
You are in the home of a 17-year-old female patient who is complaining of abdominal pain. Her mother and father are hovering near her and answering most of the questions you ask her. You sense that the patient is uncomfortable answering questions in front of her parents. Which of the following is the best way to handle this situation?
A) Tell the patient you know she might be embarrassed but that it is imperative that she give you the whole story so you know what to do for her. B) Defer the history to the triage nurse at the emergency department so as not to cause undue discomfort to the patient. C) Ask the parents to go to the kitchen with your partner so he can get some information for your paperwork. D) Tell the parents that their daughter is a big girl and probably doesn't want to talk about her problems in front of them.
To reduce drug error when drugs are being used in the sterile field, each and every drug container and its delivery device must be ____________
A. used only once C. sealed B. closely watched by the surgeon D. labeled
Pap smears are performed as a screening process for ________ ________
Fill in the blank(s) with correct word