Your patient is a 55-year-old male with a history of seizures who ...

[cartlidgeashley]

Your patient is a 55-year-old male with a history of seizures who is on the floor and experiencing tonic-clonic motor activity. His jaw is clenched, he has peripheral cyanosis, and there are frothy secretions in his airway. HR = 130, RR = 4 and shallow, SaO2 = 88. Which of the following is most appropriate?
 
  A) Suctioning the airway, inserting a nasopharyngeal airway, assisting respirations by bag-valve-mask device with 100 percent oxygen
  B) Immediate nasal intubation and hyperventilation with 100 percent oxygen
  C) An IV of normal saline at a keep open rate, check blood glucose level, administer 3 mg of lorazepam, IV
  D) An IV of normal saline at a keep open rate, check blood glucose level, administer 5 mg of diazepam, IV

Question 2

You are assessing a newborn who presents with respiratory distress; heart sounds auscultated over the right chest; and a small, flat abdomen. Which of the following is appropriate in his care?
 
  A) Insertion of a gastric tube
  B) Needle chest decompression
  C) Elevation of the head and chest, endotracheal intubation
  D) Ventilation via an automatic transport ventilator

[tuwy]

Answer to Question 1

A

Answer to Question 2

C