A 59-year-old male with a history of emphysema complains of an acute worsening of his dyspnea and pleuritic chest pain following a forceful cough. Your assessment reveals that he has a barrel-shaped chest, unilaterally diminished breath sounds, and tachycardia. What is the MOST likely cause of this patient's condition?
A. Exacerbation of his COPD
B. Acute pulmonary embolism
C. Spontaneous pneumothorax
D. Rupture of the diaphragm
Ans: C. Spontaneous pneumothorax
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After administering a sympathomimetic drug to your patient, in what areas would you expect to see an upward trend? 1. Heart rate 2. Blood pressure 3. Blood glucose
a. 1 only b. 1 and 2 only c. 1 and 3 only d. 1, 2, and 3
Which of the following describes the MOST appropriate method of performing chest compressions on an adult patient in cardiac arrest?
A) Compress the chest at least 2 inches, allow full recoil of the chest after each compression, minimize interruptions in chest compressions B) Allow full recoil of the chest after each compression, compress the chest to a depth of 2 inches, deliver compressions at a rate of at least 80/min C) Do not interrupt chest compressions for any reason, compress the chest no more than 1½ inches, allow partial recoil of the chest after each compression D) Minimize interruptions in chest compressions, provide 70% compression time and 30% relaxation time, deliver compressions at a rate of 100/min