A 67-year-old female presents with difficulty breathing and chest discomfort that awakened her from her sleep. She states that she has congestive heart failure, has had two previous heart attacks, and has prescribed nitroglycerin. She is conscious and alert with adequate breathing. Her blood pressure is 94/64 mm Hg and her heart rate is 120 beats/min. Treatment for this patient includes:
A. nitroglycerin for her chest pain.
B. ventilations with a bag-mask device.
C. oxygen at 4 L/min via nasal cannula.
D. placing her in an upright position.
Answer: D. placing her in an upright position.
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If a physician's office is closed for two weeks with no coverage by another physician and no emergency referral, this can be seen as:
A) malpractice. B) breach of confidentiality. C) abandonment. D) tort of outrage.
You are called to a local knife-throwing contest, where a 42-year old man has a large dagger impaled in the middle of his chest. Your assessment reveals that he is pulseless and apneic. How should you manage this patient and his injury?
A. Carefully remove the knife, control the bleeding, and begin CPR B. Carefully remove the knife, control the bleeding, and attach an AED to the patient. C. Secure the knife in place with a bulky dressing and transport immediately D. Make sure that the knife is secured, initiate CPR and transport immediately