Your patient is a 32-year-old female who is alert and sitting at her kitchen table complaining of dizziness and near-syncope with exertion. She describes a four-day history of a 104°F fever, nausea, vomiting, and diarrhea unrelieved with over-the-counter medications. Physical examination reveals dry skin and mucous membranes, lung sounds clear and equal bilaterally. HR = 131 and regular, BP = 84/60, RR = 20 and regular, SaO2 = 98%, blood glucose = 58 mg/dL. She has a history of colitis, for which she often takes prednisone, but she has been noncompliant with her prednisone therapy for the past five days because she cannot afford to refill her prescription. The treatment for this patient should include
A) a one-liter NS bolus IV.
B) an IV of NS, 25 g dextrose IV, and 100 mg thiamine IV.
C) a one-liter NS bolus, IV, and 25 g dextrose IV.
D) 15 lpm oxygen by nonrebreather, IV of NS, 25 g dextrose.
Answer: C) a one-liter NS bolus, IV, and 25 g dextrose IV.
You might also like to view...
Which of the following best describes the fight or flight stage of the GAS theory?
a. The body becomes exhausted by its reaction to stress. b. The sympathetic nervous system prepares the body. c. The parasympathetic nervous system is activated. d. The body begins to perceive and be aware of stress.
Which component of the delivery of care is the simplest to measure when assessing quality?
A. Structure B. Process C. Outcome D. All of the above
In a business letter, all words in the inside address (such as the street name) are spelled out fully.
Answer the following statement true (T) or false (F)
Which of the following statements is not true about E codes?
A. All accidents involving motor vehicles require an E code describing the vehicle. B. E codes are always the primary or first diagnosis listed. C. They are generally used only for the initial treatment of an acute illness or injury. D. E codes associated with poisonings can be found in the Table of Drugs and Chemicals. E. Burns require an E code to describe how the burn occurred.