A 55-year old-woman presents with aphasia and ataxia. She i…
A 55-year old-woman presents with aphasia and ataxia. She is awake and seems to understand what you are saying. Her daughter says the patient is a diabetic and has a history of high blood pressure. The patient took her insulin as usual and had just finished eating when the signs and symptoms occurred. Vital signs and test results are heart rate, 84 beats per minute; blood pressure, 148/90 mmHg; respiratory rate, 16 breaths per minute; SpO2 97 percent on room air; and BGL, 114 mg/dL. Which of the following should be highest on your list of differential diagnoses?
Read DetailsA 50-year-old woman fell backward from a kitchen step stoo…
A 50-year-old woman fell backward from a kitchen step stool, striking her head on the tile floor. She opens her eyes to voice command, but her words are garbled and do not make sense. She does not follow commands but is able to localize painful stimuli. Her skin is warm and moist with normal color. There is a hematoma on the occipital area of the head. The right pupil is about 3 mm larger in diameter than the left and reacts more slowly to light. Vital signs are heart rate, 72 beats per minute; blood pressure, 132/82 mmHg; respiratory rate, 12 breaths per minute; and SpO2 97 percent on room air. Which treatment plan is most appropriate for this patient?
Read DetailsYour patient who has been involved in a flash fire tells you…
Your patient who has been involved in a flash fire tells you he was working on a small engine when volatile chemicals ignited and burned him. He has dry red skin without blistering. Considering their depth, you would classify his burns as:
Read DetailsYou have responded to a college lecture hall for an unrespon…
You have responded to a college lecture hall for an unresponsive person. The patient is a college-age male who is unresponsive. Witnesses state that he became confused, pale, and sweaty while working with classmates on a project. He is pale, and his clothing is damp with perspiration. He has snoring respirations at 16 per minute; the snoring stops when you manually position the airway, and there is no indication of cyanosis. As you check the radial pulse, you notice a medical bracelet that indicates the patient is diabetic. The radial pulse is present and regular at 100 beats per minute. Which of the following should you do first?
Read DetailsA 52-year-old man presents with 30 minutes of heaviness in…
A 52-year-old man presents with 30 minutes of heaviness in the center of his chest. He is awake, alert, and anxious; is breathing 20 times per minute; has an SpO2 of 98 percent on room air; and a heart rate of 76 beats per minute. Of the options listed below, which best meets the patient’s needs?
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