You arrive on the scene of a motorcycle accident and find an unresponsive male patient lying in the middle of the road with blood coming from his ears and nose. He was not wearing a helmet and has snoring respirations. Which of the following would be most appropriate in the care of this patient?
A) Primary assessment, airway management, oxygen administration, immobilization, transport within 10 minutes of arriving on scene
B) Primary assessment, oxygen administration, transfer to stretcher, transport within 5 minutes of arriving on scene with immobilization done enroute
C) Immobilization, transfer to the ambulance with all assessment and care done enroute to the hospital with total scene time of 7 minutes
D) Primary assessment, immobilization, transfer to the ambulance after 8 minutes of scene time, all other care provided en route
Question 2
A patient complaining of substernal chest pain tells you that it feels the same as when he had a heart attack two years ago.
He is diaphoretic, nauseated, vomiting, and has a blood pressure of 78/50 mmHg and heart rate of 84. He also is allergic to aspirin. He asks you to assist him in taking one of his nitroglycerin pills. Which one of the assessment findings that follows represents a contraindication to the administration of the nitroglycerin?
A) Chest pain rated less than 5 on a scale of 1 to 10
B) Heart rate below 100
C) Nausea and vomiting
D) Blood pressure of 78/50 mmHg
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