The mother of a 9-month-old baby informs you that her child has yet to make any sounds that resemble words or speech. She asks you if this is normal. You would respond by saying:
A) Babies typically begin making words at 6 months. I would call your pediatrician for additional information.
B) It usually takes 10 to 12 months for babies to begin talking. Give it time. This is normal.
C) To be honest, all babies develop at their own pace. I am sure that he is fine.
D) Why don't we take him to the hospital emergency department to find out what is wrong.
Question 2
You are by the side of a 77-year-old male with the complaint of shortness of breath. Auscultation of his lungs indicates crackles in the bases. In addition, both of his feet are swollen. His SpO2 on room air is 82 and the remainder of his vitals are: pulse 144 , respirations 26, and blood pressure 168/90 mmHg. He is complaining of lower-back pain with a history of a pinched nerve in that area. He continues to state that he always has this pain. He has difficulty finishing his sentences without gasping for air. Which of the following is the most appropriate care for this patient?
A) Oxygen at 2 lpm by nasal cannula
B) Bronchodilator through a small-volume nebulizer
C) Transport in an upright position
D) Immobilize to a backboard for the back pain
Summation of Heart Sounds, Normal Physiological Split of S2
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