A 24-year-old man was shocked while working on his house's electrical system. Assessment reveals a minor burn to the fingers on his left hand. Aside from being slightly shaky, he states he feels fine and does not see the need to be treated further or transported to the hospital. What statement would you make before allowing him to refuse additional care and transport?

A) "You really need to be evaluated in the hospital emergency department. The shock puts you at high risk for a stroke within the next 48 hours."
B) "You need to get the burn site cleaned to avoid infection. This can be done in the hospital emergency department."
C) "Electrical burns typically increase in pain as time goes on. The hospital emergency department can give you pain medication."
D) "It would be best to let the emergency physician check you out. Electrical shocks can damage the heart."

D

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Cardiac-related chest pain is often palliated by:

A) stress. B) exertion. C) nitroglycerin. D) mild exercise.

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Which of the following may occur when the lungs are exposed to noxious gases and the irritant reflex is activated?

I. Ventilatory rate increases II. Reflex cough III. Sneeze IV. Bronchospasm a. I and III only c. I, II, and III only b. I, II, III, and IV d. I and III only

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