You are caring for a 42-year-old woman who is 32 weeks pregnant ...

[fnuegbu]

You are caring for a 42-year-old woman who is 32 weeks pregnant with twins. She is complaining of a severe headache and blurred vision, and lives in a rural area approximately 30 miles from the nearest ED. Your physical exam reveals significant peripheral edema and the following vital signs: heart rate 98, blood pressure 156/98 mmHg, respirations 18. The patient states she has a history of hypertension, but has not taken her prescribed medications because they aren't safe for the babies. Appropriate treatment for this patient includes:
 
  A) administration of nitroglycerine and delayed transport.
  B) intravenous calcium chloride and 12-lead ECG.
  C) administration of aspirin and a prehospital stroke assessment.
  D) intravenous magnesium sulfate and rapid transport.

Question 2

A 31-year-old groundskeeper has been stung by wasps three times in his right arm and left ankle. After performing the primary and secondary assessments, what should you do next?
 
  A) Place a constricting band above the sting sites.
  B) Wash the sting sites with sterile water and soap.
  C) Attempt removal of any embedded stingers.
  D) Apply ice packs to the sting site for pain relief.

[yasmin]

Answer to Question 1

D

Answer to Question 2

C