Your patient is brought in by EMS after being pulled from a house fire. She is complaining of difficulty breathing, has burnt nasal hairs, soot in the oral pharynx, and stridor
The physician asks for a treatment suggestion regarding her respiratory needs. What would you suggest?
a. Racemic epinephrine
b. Hyperbaric oxygen therapy
c. Nonrebreathing mask at 15 L/min
d. Intubations and mechanical ventilation
ANS: D
Inhalation injury can complicate 20% of burn patients; these patients often present with facial burns. Patient presenting with facial burns, burnt nasal hairs, soot in the oral and nasal pharynx, and any signs of upper airway burns should be immediately intubated since the probability of se-rious airway obstruction developing over time is nearly 100%.
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When a patient is in "early shock," how much volume has she possibly lost?
A) 15 to 25 percent B) 30 to 45 percent C) 20 to 35 percent D) 10 to 15 percent
When you arrive at the receiving facility, the nurse asks your partner for a verbal report of the patient's condition. This is in addition to the radio report your partner gave to the hospital en route. Afterwards, you ask your partner why you must give a second verbal report and a written report to the receiving nurse. What is the best reason to provide both reports?
A) The nurse may be too busy to read the written report. B) The nurse may not have heard the first radio report. C) The patient's condition may have changed since the first radio report. D) The nurse may have to perform critical interventions on the patient before you complete your written report.
Which of the following does not describe a technical qualification?
A. ability to follow directions B. documents messages C. detail oriented D. oral communication skills
Under CPT's definition, after a consultation, who takes responsibility for the patient's care?
A. The specialist B. The nurse practitioner C. The consulting physician D. the referring physician