Author Question: A delivery man comes to the emergency department with dog bites on his legs. He states that the dog ... (Read 31 times)

tingc95 · **on:** Jun 25, 2018

A delivery man comes to the emergency department with dog bites on his legs. He states that the dog ran away after the attack and could not be identified. After treating the bites, the nurse edu-cates the man about which next step?

a. Notification of Animal Control
b. Receipt of immune globulin for passive immunity
c. Receipt of the first of five rabies vaccina-tion injections
d. Infusion of IV fluids

Question 2

A restaurant patron sitting at a next table begins to choke and cough. The patron yells, I'm choking I can't breathe What action should the first responder take?

a. Initiate the Heimlich maneuver imme-diately.
b. Strike the victim sharply between the scapulae.
c. Encourage the patient to cough and deep-breathe.
d. Offer him a small sip of fluid.

brbarasa · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

B
The administration of immune globulin will build up his immediate defenses. As a delivery man, he would be considered to be in a high-risk group for animal bites and should be advised to ac-quire the vaccine, but the vaccine will not be of any use to him at this point. IV fluids are not likely indicated unless blood loss was severe.

Answer to Question 2

C
Because the victim can cough and speak, the airway is not compromised and can make an effort to clear the foreign matter by coughing. The Heimlich maneuver can be initiated at such a time that the victim's airway becomes occluded. The patron should not attempt to drink or eat until the foreign matter is cleared.