A 69-year-old female was involved in a motor vehicle crash. She is semiconscious with a blood pressure of 80/50 mm Hg and a heart rate of 74 beats/min that is weak. Her daughter, who was uninjured in the crash, tells you that her mother has a history of hypertension and takes beta-blockers. Considering the fact that this patient is probably in shock, what is the MOST likely explanation for the absence of tachycardia?
A. deterioration of the cardiac conduction system
B. intrathoracic bleeding and cardiac compression
C. the effects of her antihypertensive medication
D. failure of the parasympathetic nervous system
Answer: C. the effects of her antihypertensive medication
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The primary assessment of a 27-year-old female who has been raped reveals no life threats to the airway, breathing, or circulation. The patient complains of pain in the vaginal area, but a focused assessment of her genitalia indicates no remarkable findings. When caring for this patient, which of the following statements would be most therapeutic for the patient?
A) "Please be assured that you are safe from harm here in the ambulance." B) "I know that this is difficult, but you will need to be tested for HIV or other STDs." C) "I need to look one more time at your genital area to see if there is any new bleeding." D) "It may set you at ease to hear that in most cases, the attacker is apprehended by authorities."
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