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Question 10
Mitch C . is a 39 – year-old male who is brought to the ED by paramedics . According to the
report of a neighbor , Mitch was distraught over a breakup with his fiancee and
attempted to commit suicide by mixing some chemicals from under his kitchen sink and
drinking them ; afterward he changed his mind and knocked on his neighbor’s door
asking for help . Mitch is awake but stuporous , and the neighbor has no idea what he
frank . Visual inspection of his mouth and oropharynx reveals some edema and
erythema . He is coughing and has large amounts of pooling saliva . Mitch is not capable
of answering questions but he appears in pain . Endoscopy reveals full thickness
mucosal injury with mucosal sloughing , ulceration , and exudate . The AGACNP knows
that the appropriate course of treatment must include
A . At least 6 hours of observation in the emergency department B. Periodic
esophagram
C . Aggressive fluid resuscitation D . Esophagogastrectomy