Critical care face-to-face services, during an interfacility transport of critically ill or critically injured pediatric patient, age 20 months, with 56 minutes of hands-on care during transport

Which of the following indicates the need to perform a full neurologic assessment?

a. Chest pain b. Diabetic emergency c. Respiratory distress d. Syncopal episode

You have been called to a residence for an 18-year-old female patient with shortness of breath and a history of cystic fibrosis. On scene, you find the patient to be very thin and sick looking. Her airway is patent and breathing adequate, although slightly labored. Her radial pulse is strong, and she has a constant cough, which occasionally produces green- and yellow-colored mucus. Auscultation of the lungs reveals rhonchi to the upper portion of both lungs. Vital signs are pulse, 108; respirations, 20 breaths/min; blood pressure, 98/56 mmHg; and SpO2, 92%. Based on these findings, appropriate care should include:

A) Suctioning of the lower airway to remove mucus B) Gentle abdominal thrusts to help the patient expectorate the mucus C) A bronchodilator administered via small-volume nebulizer D) Humidified oxygen via nasal cannula starting at 2 liters per minute