A patient is trapped in a car where only his head and arm are available for you to assess. How should you properly apply the patient assessment process?
A. Perform the primary and secondary assessments only
B. Perform all of the parts of each assessment that you can physically perform
C. Perform the scene size-up, primary assessment, and then wait for extrication to perform the rest.
D. Perform the scene size-up, primary assessment, and then only perform reassessments skipping the secondary assessment until after extrication

Mrs. h, age 42 years, is experiencing severe rheumatoid arthritis in her wrists, fingers, and knees. the joints are quite inflamed, red, and swollen. she is sitting rigidly in a chair and refuses to put on a sweater, even though she is shivering, or let anyone touch her arms. she has been prescribed an analgesic and an anti-inflammatory drug, but her dose is not due for another hour. she is feeling nauseated, so she has not eaten for the past 8 hours. based on patient history and the signs and symptoms, discuss how the effects of pain are exacerbating her condition.