You are working at the triage desk in the ED when a young man on crutches approaches the desk. He appears moderately short of breath. He states he had a cast put on his left leg seven days ago after surgery for a ruptured Achilles tendon. This morning, while he was watching television, he suddenly became short of breath. He has a history of asthma, for which he takes Xopenex as needed, and is
taking Tylenol with codeine for pain related to his surgery. The patient's lung sounds are clear and equal, SpO2 is 90 percent on room air, heart rate is 100 and regular, respirations are 24 and slightly labored, blood pressure is 128/88, and the patient is afebrile. These findings are most consistent with:
A) allergic reaction to codeine.
B) asthma exacerbated by recent anesthesia.
C) pneumonia secondary to recent anesthesia.
D) pulmonary embolism associated with immobilization of the lower extremity.
D
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In addition to adding pharmacy technology, what are some states considering as a way to meet the growing prescription volume?
A) A higher ratio of pharmacy technicians to pharmacists B) Restricting the number of prescriptions one patient can submit to be filled C) Restricting the number of prescriptions a physician can authorize D) Creating state-operated pharmacies to serve the Medicare/Medicaid populations
While responding to a call for a pediatric cardiac arrest, you approach a school bus with its red warning lights on. You should:
A) turn your emergency lights and siren off and carefully proceed past the bus at a slow speed. B) use your PA system to advise the students to remain on the bus as you carefully pass it on the left. C) carefully pass the bus on the right, if possible, so the children exiting the bus will be able to see you. D) wait for the bus driver to turn off the red warning lights and close the door before carefully passing.