A 25-Year-Old Man Is Brought to the Emergency Department by Ambulance

question 929

Multiple Choice

A 25-year-old man is brought to the emergency department by ambulance after ingesting toilet bowl cleaner an hour ago.  The patient has a history of schizoaffective disorder and stopped taking his medication a week ago.  His family suspected deterioration of his condition when he stopped returning their calls.  They came to his house with emergency medical personnel to bring him to the hospital, but he said he "had to maintain order in the solar system" and would rather die than leave.  The patient then consumed toilet bowl cleaner for a few moments before he started coughing and was subsequently restrained.  He has no other medical conditions.  The patient currently reports burning sensation in his throat, chest, and upper abdomen.  His voice is hoarse and saliva runs out of his mouth while speaking.  Temperature is 36.8 C (98.2 F) , blood pressure is 148/75, pulse is 104/min, and respirations are 28/min.  Pulse oximetry shows 93% on room air.  The oropharynx is erythematous and edematous with gray exudates.  Lung and heart sounds are normal.  The abdomen is soft, nondistended, and tender in the epigastric region.  There is no guarding or rebound tenderness.  Which of the following is the most appropriate next step in management of this patient?

• A)Administration of activated charcoal
• B)CT scan of the neck and chest
• C)Laryngoscopy for airway evaluation
• D)Nasogastric tube insertion and saline lavage
• E)Supportive care and close observation

Recognize the distinct aspects and legal requirements of limited liability partnerships (LLPs).

Understand the formation and operational mechanisms of a limited liability company (LLC).

Understand and apply basic principles of ratio and proportion.

Simplify complex ratios to their lowest terms.

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Definitions:

Legal Device

A legal tool or method used to meet a requirement, enforce a right, or manage a legal process.

Hostile Takeover

A situation where a company is acquired by another company without the consent of the former company's management.

Poison Pill

A strategy used by companies to prevent or discourage hostile takeovers by making the company less attractive to the potential acquirer.

Controlling Interest

Ownership of a sufficient portion of a company's stock (commonly 50% plus one share) to influence or control its management and decisions.