Your patient is an 18-year-old man who was slashed across the abdomen with a machete. He has a mass of omentum and small bowel protruding from the wound. Which of the following is your primary concern with this patient?
A) Immediately covering the wound with an occlusive dressing, using your gloved hand if nothing else is available
B) Irrigating the exposed organs with sterile saline to remove debris and gently tucking them back into the opening to keep them warm and moist and to prevent further contamination
C) Covering the wound with a sterile, saline-moistened dressing covered by an occlusive dressing
D) Having the patient hold the omentum and placing him on the stretcher in a position of comfort to transport rapidly
Question 2
You are assisting in the delivery of an infant after an extremely prolonged labor. During delivery of the head, you note the presence of thick, green meconium in the patient's airway. What should be your next course of action?
A) Suction the nose and mouth with a bulb syringe, complete the delivery, then suction the hypopharynx and trachea using an endotracheal tube and a meconium aspirator.
B) Do not suction the nose and mouth; complete the delivery, then suction the hypopharynx and trachea using an endotracheal tube and a meconium aspirator.
C) Do not suction the nose and mouth, complete the delivery, maintain routine care
D) Immediately suction the hypopharynx and trachea before completing the delivery using an endotracheal tube and a meconium aspirator.
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