You are transporting a 33-year-old male who was involved in a motor vehicle crash. You have addressed all immediate and potentially life-threatening
... [Show More] conditions and have stabilized his condition with the appropriate treatment. With an estimated time of arrival at the hospital of 20 minutes, you should:
A) reassess his condition in 5 minutes
B) repeat your secondary assessment
C) take his vital signs in 15 minutes
D) arrange for an ALS rendezvous
A) reassess his condition in 5 minutes
Ch 12 Patient Assessment for Shock pg 499
Common side effects of nitroglycerin include all of the following except:
A. hypotension
B. bradycardia
C. hypertension
D. severe headache
C. hypertension
ch 16 Emergency Medical Care for Chest Pain or Discomfort pg 648
You are assessing a 49-year-old man who complains of chest pressure that began the night before. He is conscious, but anxious, and tells you he has a history of angina and hypertension. After applying high-flow oxygen, you expose his chest to auscultate his lungs and note that he has a nitroglycerin patch on his right upper chest. His skin is cool and pale, his blood pressure is 78/50 mm Hg, and his pulse is 110 beats/min and irregular. You should:
Choose one answer.
A. remove the nitroglycerin patch, place him in a supine position and elevate his lower extremities, and prepare for immediate transport.
B. immediately remove the nitroglycerin patch, apply the AED in case he develops cardiac arrest, and transport to the closest hospital.
C. move the nitroglycerin patch to the other side of his chest in case you need to apply the AED, keep him warm, and transport without delay.
D. ask him if the nitroglycerin patch he is wearing has improved his chest pressure, complete your secondary assessment, and transport promptly.
A. remove the nitroglycerin patch, place him in a supine position and elevate his lower extremities, and prepare for immediate transport.
ch 16 pathophysiology - pg 641
- remove nitro because it can worsen the hypotension; elevate LE so blood doesn't pool
You are assessing a 49-year-old man who, according to his wife, experienced a sudden, severe headache and then passed out. He is unresponsive and has slow, irregular breathing. His blood pressure is 190/94 mm Hg and his pulse rate is 50 beats/min. His wife tells you that he has hypertension and diabetes. He has MOST likely experienced:
A) a ruptured cerebral artery *****
B) an occluded cerebral artery
C) acute hypoglycemia
D) a complex partial seizure
A) a ruptured cerebral artery
chapter 17 stoke pg 679
To select the proper size oropharyngeal airway, you should measure from the:
A) corner of the mouth to the superior ear
B) corner of the mouth to the earlobe
C) center of the mouth to the posterior ear
D) angle of the jaw to the center of the mouth
B) corner of the mouth to the earlobe
Ch 10 Basic Airway Adjuncts pg 412-413
A 71-year-old male is semiconscious following a sudden, severe headache. There is vomitus around his mouth and his respirations are slow and shallow. The EMT must immediately:
A) apply oxygen via a nonrebreathing mask.
B) insert a nasopharyngeal airway
C) perform oropharyngeal suctioning
D) begin assisting the patient's ventilations
C) perform oropharyngeal suctioning
Ch 10 Suctioning pg 408
A 60-year-old man complains of chest pain. He is conscious and alert and denies shortness of breath. Which of the following questions would be the MOST appropriate to ask him?
A) "Does the pain in your chest feel like a stabbing sensation?"
B) "Does the pain in your chest move to either of your arms?"
C) "Were you exerting yourself when the chest pain began?"'
D) "Do you have any heart problems or take any medications?"
D) "Do you have any heart problems or take any medications?"
Ch 4 Therapeutic Communication pg 116-117
An absence seizure is also referred to as a:
A) total body seizure
B) generalized motor seizure
C) petit mal seizure
D) grand mal seizure
C) petit mal seizure
Ch 17 Seizures pg 682
Common signs and symptoms of AMI include all of the following, EXCEPT:
A) pain exacerbated by breathing
B) SOB or dyspnea
C) sudden unexplained sweating
D) irregular heartbeat
A) pain exacerbated by breathing
Ch 16 pathophysiology pg 638-6639
Which of the following statements regarding smooth muscle is correct?
A) The biceps and quadriceps are examples of smooth muscle.
B) Smooth muscle is under control of the voluntary
C) Smooth muscle is found exclusively within blood vessels
D) A person has no voluntary control over smooth muscle
D) A person has no voluntary control over smooth muscle
ch 6 The Musculoskeletal System: Anatomy pg 186-187
When assessing an 80-year-old patient in shock, it is important to remember that:
A) it is common to see a more significant increase in heart rate than what would be expected in younger adults
B) age-related changes in the cardiovascular system may make the patient less able to compensate for decreased perfusion.
C) the patient's cardiac output is able to increase by nearly 200% in response to the decrease in perfusion
D) in older adults, it is especially common to observe a significant decrease in hear rate in shock
B) age-related changes in the cardiovascular system may make the patient less able to compensate for decreased perfusion.
Ch 7 Older Adults pg 252
You are dispatched to an apartment complex where a 21-year-old female has apparently overdosed on several narcotic medications. She is semiconscious and has slow, shallow respirations. You should:
A) place her in the recovery position and monitor for vomiting
B) insert a nasopharyngeal airway and begin assisted ventilation
C) insert an oropharyngeal airway and perform oral suctioning
D) apply oxygen via a nonrebreathing mask and transport at once
B) insert a nasopharyngeal airway and begin assisted ventilation
Ch 15 patient assessment pg 603
While providing CPAP to a patient in severe respiratory distress, you note that his heart rate has increased by 20 beats/min. He is conscious, but is no longer following verbal commands. You should:
A. increase the amount of pressure that the CPAP device is delivering.
B. remove the CPAP device and ventilate him with a bag-valve mask.
C. remove the CPAP device and apply oxygen by nonrebreathing mask.
D. decrease the amount of pressure that the CPAP device is delivering.
B. remove the CPAP device and ventilate him with a bag-valve mask.
Ch 10 Continuous + airway pressure pg 436 [Show Less]