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Latest / PMHNP Certification Q & A

Unresponsive ED Visit

The PMHNP is called to the emergency room for a stat consult on a patient who reportedly was transferred in by ambulance after “acting weird at a party.” Upon arrival to the ED the NP finds the patient unresponsive. His respiratory rate is 7 bpm, his blood pressure is 70/48 mm Hg and pulse is 40 bpm. The skin is pale and clammy and his pupils are 1 mm. The most appropriate initial action is:

A. A CT scan of the head

B. Immediate administration of naloxone

C. Rapid infusion of IV crystalloids

D. Determination of medical history

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