Author Question: You remove his sock and find a large hematoma forming on the lateral aspect of an already swollen ... (Read 55 times)

tichca

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You remove his sock and find a large hematoma forming on the lateral aspect of an already
  swollen ankle. The ankle also shows the color of a bruise that is several days old. You inquire
  about D.M.'s pain perception.
 
  He states, It doesn't feel too bad now, but I sure saw stars
  when it popped. What is the significance of his statement?
 
  What will be an ideal response?

Question 2

D.M.'s blood alcohol concentration (BAC) result is 0.06 mg. Interpret this result. Does this
  level reflect legal intoxication?
 
  What will be an ideal response?



britb2u

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Answer to Question 1

 His ankle is probably fractured, or he has snapped or torn a ligament.
 He has probably ingested a significant quantity of beer, enough to dull his sensory perception.
 An x-ray examination should be performed.
 Plans should be made to admit him to the hospital for detoxification management, as well as care
of the ankle.
 Contact the case manager and social worker.

Answer to Question 2

A BAC of 0.06 causes mildly impaired judgment in most people, causing them to be less able
to make rational decisions. They are not able to judge their capabilities normally (e.g., driving, or
deciding to play touch football with an injured ankle). A BAC of 0.1 is considered legal intoxication
in most states (some states consider a BAC of 0.8 to indicate legal intoxication).



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