Your patient has a 4.0-cm flap skin tear with partial tissue loss. Which of the following treatment options is most appropriate?
A. Carefully debride the remaining viable flap, cover with an amorphous gel, nonadherent gauze, gauze square, and secure with roll gauze.
B. Carefully approximate the remaining viable tissue flap, apply a skin sealant, cover with a semipermeable film.
C. Irrigate with 10% betadine solution for 2 minutes, apply a skin sealant and an alginate followed by a bulky gauze bandage.
D. Irrigate with tap water and cover with a silver-impregnated dressing for 3–5 days.
B
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Which of the following is not a chemical agent commonly used to sterilize certain surgical instruments?
A) dihydrogen monoxide B) glutaraldehyde C) chlorine dioxide D) sodium hypochlorite
A combat veteran's wife called 911 after her husband suddenly became confused and agitated. According to the wife, the patient takes several mood-stabilizing drugs and has a history of traumatic brain injury (TBI) from an improvised explosive device (IED) while on tour in the Middle East. There is no other medical history. On scene, in the patient's bedroom, the patient is staring at you with a face that appears angry. What is your initial priority in the care of this patient?
A) Recognize post-traumatic stress disorder and check a blood sugar B) Gather and identify the medications taken by the patient C) Recognize post-traumatic stress disorder and prepare for immediate transport D) Establish a rapport with the patient and ensure personal safety