A patient came to the walk-in clinic with extremely labored breathing and a history of asthma that is unresponsive to prescribed inhalers or medications. What would you do first?
Call 911 and report that the patient has probable status asthmaticus.
Obtain the equipment and prepare the patient for intubation.
Establish IV access to give emergency medication.
Place the patient in a high Fowler's position and start oxygen therapy.
The Correct Answer is D
A. While status asthmaticus is a severe, life-threatening asthma exacerbation, the first step is to stabilize the patient by improving oxygenation and relieving airway obstruction, not immediately calling 911 unless the situation worsens.
B. Intubation is not the first step unless the patient's respiratory status continues to deteriorate despite initial interventions. The focus should be on improving oxygenation and managing the airway.
C. Establishing IV access and administering emergency medications, such as corticosteroids or bronchodilators, may be necessary, but the first priority is to improve the patient's breathing and oxygenation.
D. Placing the patient in a high Fowler's position helps to open the airways and facilitate breathing. Starting oxygen therapy is essential to support oxygenation in a patient with labored breathing. This should be the first intervention.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Cystine stones are rare and occur due to a genetic disorder called cystinuria. They are not the most common type of renal calculi.
B. Uric acid stones are also relatively common, especially in individuals with gout or those with high levels of uric acid in the urine. However, calcium oxalate is more common.
C. Calcium oxalate is the most common type of renal calculi, accounting for about 70-80% of kidney stones. These stones form when calcium combines with oxalate in the urine.
D. Struvite stones are associated with urinary tract infections caused by urease-producing bacteria. They are less common than calcium oxalate stones.
Correct Answer is B
Explanation
A. Adjusting thirst sensation is not the primary focus of treatment for Diabetes Insipidus. The condition is more concerned with fluid balance and preventing dehydration due to excessive urination.
B. Hydration is crucial in the management of Diabetes Insipidus, as patients experience excessive urination and fluid loss. Proper hydration helps prevent dehydration and its associated complications.
C. A 24-hour urine collection is used to assess the extent of polyuria but is not a primary treatment strategy. Treatment focuses on managing fluid balance rather than just monitoring urine output.
D. While increasing Antidiuretic Hormone (ADH) or using synthetic ADH (desmopressin) can be part of treatment, the key treatment focus is maintaining adequate hydration to counteract the effects of polyuria.
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