A 19-year-old female is flushed, itchy, and wheezing after eating crab legs. Her vital signs are BP 90/64 mm Hg, P 128 bpm, R 24 breaths/min. Which intervention is indicated first? - ANSWER- Epinephrine intramuscular A 2-year-old male is found chewing on berries from a lily of the valley plant. Predict his vital signs. - ANSWER- BP 70/50 P 70 bpm A 22-year-old female is found at a party unresponsive and breathing approximately 8 breaths/min. Her skin is gray. Which of the following signs or symptoms will confirm your suspicion that the opioid toxidrome is causing her emergency? - ANSWER- Pupils 2 mm and equal A 22-year-old male complains of a 2-day history of abdominal pain. His skin is flushed, and he has a fruity odor on his breath. Assessment reveals BP 106/54 mm Hg, P 128, R 28, glucose 568 mg/dL. Your highest priority intervention would be to: - ANSWER- Infuse normal saline rapid IV A 22-year-old patient at a restaurant is complaining of abdominal pain and diarrhea. Her skin is flushed, and she feels faint. Her vital signs are: BP 98/50, P 124, R 24. Which finding in her SAMPLER history is most likely to guide your differential diagnosis for this patient? - ANSWER- Illness began about 10 minutes after eating A 23-year-old female has an acute onset of left flank pain. You should investigate which of the following regarding her pain? - ANSWER- Dysuria A 24-year-old female took 24 diphenhydramine tablets. Her vital signs are BP 86/54 mm Hg, P 110 bpm, R 20/min. What other sign or symptom should you anticipate. - ANSWER- Seizures

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