An 89-year-old female presents with multiple bruises on her face and upper extremities. She lives with her son, who tells you that the patient is always falling down and is just generally clumsy. The patient appears malnourished and frightened. She cowers when you approach and is reluctant to allow you to examine her. Her son seems to be hostile toward you and your partner and nervously attempts

to explain each bruise. In this case you should do all of the following EXCEPT:

a. obtain a complete patient and family history.
b. report suspicions of elder abuse to the emergency department staff.
c. be honest and open with the patient's son about your concerns.
d. listen carefully for inconsistencies in stories.

c

Health Professions

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A patient admitted to the ED is noted to have pulse and blood pressure variations with respirations. This is most indicative of

A. cardiac tamponade. B. severe pneumonia. C. congestive heart failure. D. large pleural effusion.

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The mantle bundles are located on the outer area of the nerve membrane and the core bundles are located in the central area. Both have significance in the order of anesthesia development

A) True B) False

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