Author Question: A 17 year old was taken to the emergency department when his mother found him unresponsive. Upon ... (Read 37 times)

krzymel · **on:** Jul 22, 2018

A 17 year old was taken to the emergency department when his mother found him unresponsive. Upon examination, his pupils were found to be pinpoints. This is a common sign of which of the following?

a. Opioid intoxication
b. Arcus senilis
c. Cataracts
d. Opioid withdrawal

Question 2

Which of the following trouble points are common in the side-lying position? (Select all that apply.)

a. Lack of support for the feet
b. Lack of protection for pressure points for the ears, shoulders, anterior iliac spine, trochanter, and ankles
c. Adduction of the shoulder and hip joints
d. Hyperextension of the neck
e. Spinal curves out of normal alignment

medine · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Pinpoint pupils are a common sign of opioid intoxication. A thin white ring along the margin of the iris, called an arcus senilis, is common with aging but is abnormal in anyone less than age 40 . Cloudy pupils indicate cataracts. Continuous dilation of pupils results from neurological disorders, glaucoma, trauma, eye medication, or withdrawal from opioids.

Answer to Question 2

A, B, C, E
The following are trouble points that are common in the side-lying position:
Lateral flexion of the neck
Spinal curves out of normal alignment
Shoulder and hip joints internally rotated, adducted, or unsupported
Lack of support for the feet
Lack of protection for pressure points at the ear, shoulder, anterior iliac spine, trochanter, and ankles
Excessive lateral flexion of the spine if the patient has large hips and a pillow is not placed superior to the hips at the waist