Author Question: The family of a patient in hospice care for the final stage of lung cancer has summoned 911 because ... (Read 87 times)

mp14 · **on:** Jul 2, 2018

The family of a patient in hospice care for the final stage of lung cancer has summoned 911 because their father is short of breath. The patient is responsive to verbal stimuli and has an open airway with adequate respiration of 18 to 20 per minute. His skin is cool and diaphoretic with diminished breath sounds bilaterally. Your partner reports a heart rate of 112, blood pressure 96/44 mmHg, and an SpO2 of 82. He has a valid DNR, but family is scared and wants him transported to the ED for evaluation. Your next action would be to:

A) monitor during transport but avoid providing physical care.
B) place an oral airway and start positive pressure ventilation.
C) provide high-concentration oxygen, monitor vitals, and transport to the ED.
D) administer oxygen at 2 lpm and provide emotional support during transport.

Question 2

When assessing the breath sounds (during a rapid secondary exam) of a critical trauma patient, it is best to auscultate each lung in at least how many places?

A) 2
B) 8
C) 4
D) 6