You enter the room of a 15-month-old patient with respiratory syncytial virus (RSV) infection to deliver racemic epinephrine via small volume nebulizer (SVN). His mother asks you if it is okay for her to give her child the breathing treatment
Because your hospital policy allows this, you agree. During the treatment you notice that the patient's mother is holding the aerosol mask about 4 cm off of his face. You tell her
a. "Good idea … he seems much calmer this way."
b. "Maybe we should try blow-by instead."
c. "I'll be back later … it's my lunchtime."
d. "We need to hold the mask as close to his face as we possibly can to make sure he gets his medicine."
ANS: D
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You respond to a 65-year-old patient complaining of abdominal pain. Your physical exam reveals a nonpulsating mass in the lower left quadrant. You suspect:
A) aortic abdominal aneurysm. B) splenic rupture. C) hernia. D) appendicitis.
Which statement about water streams is MOST accurate?
A. Water in a solid stream absorbs heat more rapidly. B. A solid stream has greater surface area to absorb heat. C. A stream broken into small droplets has a greater surface area. D. A stream broken into small droplets absorbs heat less efficiently.