You arrive at a skilled nursing facility to care for an 89-year-old patient with an altered mental status. Staff at the facility state that the patient is being treated for a urinary tract infection, finished her antibiotics yesterday, and began acting differently this morning. The patient's skin is hot to the touch. She has a rapid heart rate and a low blood pressure. You suspect this patient is experiencing:
A) dementia. B) a generalized infection (sepsis).
C) a medication reaction. D) kidney failure.
Question 2
Your patient is a 60-year-old woman who stepped off a curb and injured her ankle. Your exam shows that her left ankle is swollen and painful. Which of the following should you do?
A) Explain to the patient that her ankle is sprained and transport her with her ankle elevated on a pillow and a cold pack applied to the injury.
B) Transport the patient immediately to a trauma center, applying high-concentration oxygen en route.
C) Explain to the patient that her ankle is fractured and you must splint her ankle to prevent further injury and reduce pain.
D) Explain to the patient that you cannot tell if her ankle is sprained or fractured until she is X-rayed at the emergency department, then splint the ankle.
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