You are caring for a client from China. He denies a complaint of pain. You notice he is splinting and guarding his right side when he moves. He is grimacing and his jaw is clenched. You note he is frequently re-positioning himself in the chair and you occasionally hear him grunt with the effort. What could you derive from your observations and what should you do?

You have just given a shock to a person in cardiac arrest. You should check to see if the person is breathing before starting CPR again. True or False?

Postural tachycardia syndrome (POTS) is a form of orthostatic intolerance, the development of symptoms that come on when standing up from a reclining position, and that may be relieved by sitting or lying back down. The primary symptom of an orthostatic intolerance is lightheadedness, fainting and an uncomfortable, rapid increase in heartbeat (tachycardia), a common response to a rapid drop in blood pressure as mediated by baroreceptors in the carotid bulb and aortic arch. There are several inconstant secondary symptoms. A syndrome is simply a constellation of symptoms, not all of which may be present in all cases, and as is the case in POTS, a syndrome may also have a wide variety of underlying causes.   A subset of POTS patients suffer from a low blood volume. Would you predict that this particular subset of patients has elevated or suppressed plasma levels of renin and aldosterone? Explain your answer.   The nuance of dysregulation of the RAA axis is complex in these patients,…

Mr. Garcia is a -68-year-old patient who was diagnosed with COPD 5 years ago and has been successfully treated by Dr. Green ever since. This morning, Mr. Garcia is scheduled for a spirometry test followed by an evaluation by the Dr. Oliver, a certified medical assistant, who will be in charge of Mr. Garcia. Due to the office being busy, Mr. Garcia is left waiting 30 more minutes than expected. Oliver finally calls him over and directs him to the examination room. As Mr. Garcia sits down, he lets out a heavy sigh. As Oliver enters the patient information in the computer, he stated, “Alright Mr. G., let’s do the spirometry test first. I see you are familiar with how it goes.” To which Mr. Garcia aggressively responded, “Why must I keep taking this test? This is the 5th time Dr. Green has ordered the test, I even quit smoking 4 years ago, why do I have to keep coming back and sitting through long waits just to have the same exact test performed?” Questions : Explain what a spirometry is…

You are a staff nurse who is assigned to give a bed bath for a client with Deep Veins Thrombosis (DVT) in lower extremities. Which of the following actions is true about cleaning the lower legs for this client? a. use firm strokes from the distal legs toward proximal. b. use gentle movement and rub legs.  c. use gentle movement and don't rub legs.  d. use firm strokes toward the hip.

(what would be the importance of blood pressure measurement in your field?)

Mrs Alensi returned to the ward 1 hour ago following a Left sided total knee replacement. She has a morphine infusion running at 1mg/hour for pain relief. 30 minutes ago, her BP was 115/75 and her respirations were 16. You have just checked again and now her BP is 85/55 and her respirations are 10. Describe what actions you would take and medications you anticipate administering and provide rationale.

The post mortem evacuation of any substance from any external orifice of the body due to internal and/or external pressure is     emaciation     desquamation      skin slip     purge

George Tomlin, RMA, has been working for several years in a specialty practice. He applies for a position closer to his home with better hours and more pay. This office, however, sees patients with a variety of illnesses. For the first time since he graduated from college, he is encountering words and procedures with which he is not familiar. What is the best way for George to review his basic medical terminology? What should George do when he encounters a new word? What are some good ways for him to learn the new vocabulary for his new position?"

A 24-year-old female visits her GP after having been in an automobile accident three days prior. She reports that while driving in slippery conditions she rear-ended the car in front of her and she was then rear-ended by the car behind her. She was traveling at about 30 mph and her airbags did employ. She reports first responders found no injuries but advised her to follow up with her GP if she developed any unusual symptoms.The woman reports that she seemed fine after the accident but did wake the morning after with a bit of a stiff neck and a headache; she didn't feel this was unusual given the accident and went on about her day. At the end of the next day she had to carry heavy bags up two flights of stairs to her apartment and when almost to her door she felt a zing all the way down her right arm. She immediately put the bags down. When she lifted the bags again her right arm felt numb. She woke this morning with a very stiff neck, stiffness in her upper arm, and “tingles” in her…