03-11-2010, 09:15 PM
25. A 16-year-old girl is brought to the emergency department because of heavy breathing for 8 hours, and vomiting and ringing in the ears for 1 hour. She recently broke up with her boyfriend and has been threatening to hurt herself. She appears somnolent but is arousable and answers questions appropriately. Her temperature is 37.5°C (99.5°F), pulse is 88/min, and respirations are 50/min. Pulse oximetry shows an oxygen saturation of 96%. She has no retractions, nasal flaring, or cough. The lungs are clear to auscultation
O A)Administration of BCG vaccine
O B)Administration of an inhaled bronchodilator
O C)Administration of oxygen
O D)Arterial blood gas analysis
O E)Bronchoscopy
O F)Culture of the pharynx for bacteria
O G)Direct laryngoscopy
O H) Gastric washings for acid-fast bacteria
O I) Intravenous infusion of saline
O J) Isoniazid and rifampin therapy O K) Lumbar puncture
O L) Measurement of serum aspirin level
O M) Subcutaneous administration of epinephrine.
N) Viral culture of respiratory secretions
00) X-ray films of the chest