At a construction site, an 18-year-old male was struck in the head by a pallet of concrete blocks as it was being moved by a crane. He has a large laceration to the left side of his head with noted instability to the skull beneath the wound. Moderate bleeding from the injury site is also noted. His airway is open, his breathing is adequate, and his pulse is strong and regular. Proper care for this patient should include:
A) hyperventilation with high-concentration oxygen.
B) direct pressure to control bleeding from injury.
C) rapid transport in an upright position.
D) loose dressing over the top of the laceration.
Question 2
A 56-year-old female with a smoking history and COPD complains of the sudden onset of shortness of breath and diaphoresis. History indicates no cardiac diagnosis but previous drug abuse 8 years ago. Vital signs are: pulse 96, respiration 18 and mildly labored, blood pressure 168/102 mmHg, and SpO2 94 on home oxygen at 4 lpm, which she wears for COPD. Her lung sounds are clear but diminished bilaterally. You would:
A) administer aspirin, monitor the patient, and transport.
B) turn down the oxygen to 2 lpm, monitor, and transport.
C) administer patient's MDI and transport to the hospital.
D) assist the patient is trying her husband's nitroglycerin.
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