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I'm having trouble with this question:
You arrive at a college softball game to find a 21 y/o female player sitting on the bench. She c/o generalized chest pn and appears to be breathing hard with slight tripoding. You have examined the scene, taken BSI precautions, and completed your primary assessment. V/S are BP 132/88; HR 104, strong and regular; Temp 97.4ºF; SPO2 97%; Resp 20, regular but heavy. In your secondary assessment, what is the first question you ask her?
A. Do you have a hx of cardiac problems?
B. Have you fallen or had anything hit your chest recently?
C. Do you have a hx of asthma?
D. Are you taking any medications?
My problem:
I remember SAMPLE history. Signs and symptoms, medications, pertinent past history, last oral intake and events leading up the illness.
Choice A would be within pertinent past history. Choice B would be Events leading up to the illness. Choice C would also be pertinent past history. Choice D would be medications.
I think the best answer is D because "Medications" comes first in the SAMPLE history order and could cause these symptoms, but is that really what you would want to ask first?. I also think the best answer would be B because you want to rule out a trauma so you can proceed with interventions. You know she played softball-perhaps and injury. On the other hand "events leading up to the illness is the E-Last in the SAMPLE history order. Choice A would be good too because she could have over-exercised and hurt her already messed up heart.
Which is the correct answer?
The answer could not be C because asthma because an asthmatic would not experience pain.
You arrive at a college softball game to find a 21 y/o female player sitting on the bench. She c/o generalized chest pn and appears to be breathing hard with slight tripoding. You have examined the scene, taken BSI precautions, and completed your primary assessment. V/S are BP 132/88; HR 104, strong and regular; Temp 97.4ºF; SPO2 97%; Resp 20, regular but heavy. In your secondary assessment, what is the first question you ask her?
A. Do you have a hx of cardiac problems?
B. Have you fallen or had anything hit your chest recently?
C. Do you have a hx of asthma?
D. Are you taking any medications?
My problem:
I remember SAMPLE history. Signs and symptoms, medications, pertinent past history, last oral intake and events leading up the illness.
Choice A would be within pertinent past history. Choice B would be Events leading up to the illness. Choice C would also be pertinent past history. Choice D would be medications.
I think the best answer is D because "Medications" comes first in the SAMPLE history order and could cause these symptoms, but is that really what you would want to ask first?. I also think the best answer would be B because you want to rule out a trauma so you can proceed with interventions. You know she played softball-perhaps and injury. On the other hand "events leading up to the illness is the E-Last in the SAMPLE history order. Choice A would be good too because she could have over-exercised and hurt her already messed up heart.
Which is the correct answer?
The answer could not be C because asthma because an asthmatic would not experience pain.
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