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Read the scenario and ask yourself, What would I do?

Scenario:

A 36-year-old patient complains that she "does not feel well." She is alert and oriented but you note that she is sitting in a tripod position. She appears pale but her lips are gray and her skin is pale, cool, and clammy.

She has no allergies but has a history of asthma and is on a Proventil inhaler. She has a blood pressure of 162/98 mm Hg, a pulse rate of 102 beats/min, and respirations of 28 breaths/min.


1:  The A in SAMPLE History refers to:
A: age.
B: affect.
C: attitude.
D: allergies.

2:  The tripod position usually suggests that the patient may have:
A: difficulty sitting up.
B: difficulty lying down.
C: difficulty breathing.
D: weakness or dizziness.

3:  In this patient, which of the following assessment signs suggests poor perfusion?
A: BP of 162/98
B: Gray lips
C: Pulse 102
D: Tripod position

4:  When getting a history, you note that she can only talk in two- to three-word sentences. Other signs of difficulty breathing you should be looking for include:
A: accessory muscle use.
B: difficulty sitting up.
C: extremity paralysis.
D: flushed face.

5:  Of all the signs of difficulty breathing, which are specific for a child?
A: Cyanosis
B: Nasal flaring
C: Mottled skin
D: Fever

6:  Finding the brachial pulse in an infant may be made easier by:
A: placing the infant in a sitting position.
B: lowering the infant's arm.
C: raising the infant's arm.
D: tilting the infant's head down.

7:  This patient's BP is a little high. One thing that can cause a false high blood pressure is:
A: a cuff that is too small.
B: a cuff that is too large.
C: using the bell of the stethoscope.
D: using the diaphragm of the stethoscope.

All Learning Resources for Chapter 5

Assessment in Action for All Chapters