male was involved in a two-car motor vehicle crash. Upon examination, he complai
ID: 125019 • Letter: M
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male was involved in a two-car motor vehicle crash. Upon examination, he complains of chest pain when breathing and tendeness of the sternum. Your INITAL care should include 1. stabilizing the sternum. 2. positioning the patient on his side. 3. administering high-concentration oxygen 4. administering the patient's prescribed nitroglycerin. 26.? In assessing a pediatric trauma patient's capillary refill time, an abmormal finding would be a refill time of 1. greater than 5 seconds 2. less than 2 seconds. 3. greater than 2 seconds. 4. greater than 4 seconds. 27. A patient with acute respiratory distress requiring oxygen therapy is LEAST likely to exhibit: -1. a slow pulse rate 2. anxiety 3. nasal flaring - 4. intercostal muscle retractions 28. In an unstable patient, the Primary Assessiment should be repeated at lea 1. 2 minutes. -2. 5 minutes. 3. 10 minutes 4. 15 minutes. 29. When you take the pulse of a patient you arerealy counting the pressure waves of blood that the heart sends through an artery 2. feeling the swelling of the vein as each wave of blood passes back to the 3. noting the heartbeats in the column of blood in a large vein. 4. feeling the vibration of the heart muscles as they push the blood th A patient is found lying supine along a roadside. There are no Which of the following steps should be done FIRSI? 30. 1. Search for an emergency medical identification card or tag 2. Assess for unresponsiveness. 3. Provide oxygen and ventilate. · Open the airway with a head tilt/chin lift maneuver,Explanation / Answer
Ans 25: As the 60 years old patient after a car-motor vehicle crash is having chest pain while breathing, the initial care should include:
4: administering the patient’s prescribed nitroglycerin, because it is a fast acting vasodilator and is administered to combat the chest pain. Sternum stabilization will be done after the chest pain management.
Ans 26: Capillary refill time (CRT) is the routine assessment test in pediatric trauma patients. The CRT of 2 or less than two seconds is considered normal in pediatric care. The CRT time of (3) greater than 2 seconds is considered abnormal finding, as it increases the likelihood of death and dehydration.
Ans 27: Acute respiratory distress is a medical condition where the oxygen supply to blood drops due to infection in lungs. The blood pressure drops and pulse rate increase. Therefore, the patient needs oxygen therapy to combat organ failure. The patient requiring oxygen therapy in acute respiratory distress is least likely to exhibit :
1 A slow pulse rate
4 Intercostal muscle retractions.
As this therapy keep the air sacs open instead of collapsing.
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