Ch36 quizzes

The correct answer is: disconnect the ventilator and apply a tracheostomy collar.

A 13-year-old child is on a home ventilator. The parents called because the mechanical ventilator is malfunctioning and the child has increasing respiratory distress. You should: Select one: A. place a call to the home health agency treating this patient. B. disconnect the ventilator and apply a tracheostomy collar. C. attempt to troubleshoot the mechanical ventilator problem. D. reset the ventilator by unplugging it for 30 to 60 seconds.

The correct answer is: try repositioning the hearing aid or remove it and turn down the volume.

A 70-year-old male complains of shortness of breath. During your assessment, you note that he has bilateral hearing aids. When you ask him questions related to his chief complaint, he does not answer you. You can hear a whistling sound coming from his hearing aids. You should: Select one: A. remove his hearing aids, turn up the volume, and replace them in his ears. B. try repositioning the hearing aid or remove it and turn down the volume. C. remove both of his hearing aids and use pencil and paper to communicate. D. recognize that the batteries in his hearing aids are probably depleted.

The correct answer is: 30% or more

A person is said to be obese when he or she is ________ over his or her ideal weight. Select one: A. 40% or more B. 10% or more C. 20% or more D. 30% or more

The correct answer is: colostomy.

A surgical procedure that creates an opening between the intestine and the surface of the body that allows for elimination of waste products is called a(n): Select one: A. gastrostomy. B. gastric stoma. C. colostomy. D. intestinal shunt.

The correct answer is: shunt.

A tube from the brain to the abdomen that drains excessive cerebrospinal fluid is called a: Select one: A. G-tube. B. CS tube. C. shunt. D. cerebral bypass.

The correct answer is: Check the mechanical ventilator for malfunction.

According to the "E" in the DOPE mnemonic, which of the following actions should you perform to troubleshoot inadequate ventilation in a patient with a tracheostomy tube? Select one: A. Look for blood or other secretions in the tube. B. Check the mechanical ventilator for malfunction. C. Attempt to pass a suction catheter into the tube. D. Listen to breath sounds to assess for a pneumothorax.

The correct answer is: all health care facilities must provide a medical assessment and required treatment, regardless of the patient's ability to pay.

According to the Emergency Medical Treatment and Active Labor Act (EMTALA): Select one: A. a patient maintains the legal right to recant his or her consent to emergency treatment, even after signing in to the emergency department. B. a health care facility has the right to refuse assessment and treatment to a patient, but only if his or her condition is not deemed critical. C. all health care facilities must provide a medical assessment and required treatment, regardless of the patient's ability to pay. D. all health care facilities are legally obligated to provide assessment and care only if the patient is critically ill or injured.

The correct answer is: teeth are misaligned and they have a large tongue.

Airway management can be challenging in patients with Down syndrome because their: Select one: A. occiput is round, which causes flexion of the neck. B. tongue is relatively small and falls back in the throat. C. mandible is large, which inhibits a mask-to-face seal. D. teeth are misaligned and they have a large tongue.

The correct answer is: secretions can build up in and around the tube.

Because a tracheostomy tube bypasses the nose and mouth: Select one: A. bleeding or air leakage may occur around the tube. B. severe swelling of the trachea and bronchi can occur. C. the risk of a local infection is significantly high. D. secretions can build up in and around the tube.

The correct answer is: lower the pitch of your voice.

Because hearing-impaired patients typically have more difficulty hearing high-frequency sounds, it is important for you to: Select one: A. increase the pitch of your voice. B. try basic sign language first. C. lower the pitch of your voice. D. speak in a monotone voice.

The correct answer is: is sick.

By placing one hand on your head and the other hand over your abdomen, you are asking a hearing-impaired patient if he or she: Select one: A. is sick. B. is hurt. C. is nauseated. D. needs help.

The correct answer is: brain.

Cerebral palsy is a condition that results from damage or injury to the: Select one: A. brain. B. peripheral nervous system. C. spinal cord. D. voluntary muscles.

The correct answer is: body

Cerebral palsy is characterized by poorly controlled ________ movement. Select one: A. extremity B. neck C. eye D. body

The correct answer is: rupture of a central vein.

Common complications associated with central venous catheters include all of the following, EXCEPT: Select one: A. clotting of the line. B. bleeding around the line. C. a local infection. D. rupture of a central vein.

The correct answer is: a triplication of chromosome 21.

Down syndrome is a genetic defect that occurs as the result of: Select one: A. a triplication of chromosome 21. B. a sperm that contains 24 chromosomes. C. an extra pair of chromosomes. D. a separation of chromosome 21.

The correct answer is: a cervical spine injury.

EMTs are dispatched for a fall. The patient, a 16-year-old female with Down syndrome, is experiencing difficulty walking and says that her fingers "feel like needles." The EMTs should suspect: Select one: A. an intracranial hemorrhage. B. a seizure. C. a cervical spine injury. D. hydrocephalus.

The correct answer is: removing the tube if the area around it appears to be infected.

General care for a patient with a tracheostomy tube includes all of the following, EXCEPT: Select one: A. maintaining the patient in a position of comfort when possible. B. removing the tube if the area around it appears to be infected. C. suctioning the tube as needed to clear a thick mucous plug. D. ensuring adequate oxygenation and ventilation at all times.

The correct answer is: positioning yourself approximately 18 inches directly in front of the patient.

General techniques for communicating with hearing-impaired patients include: Select one: A. speaking directly into the patient's ear with an increased voice pitch. B. positioning yourself approximately 18 inches directly in front of the patient. C. removing any hearing aids and using pen and paper to ask questions. D. exaggerating your lip movements to ensure the patient understands.

The correct answer is: have extreme difficulty with complex tasks that require many steps.

Patients with autism: Select one: A. have extreme difficulty with complex tasks that require many steps. B. use and understand nonverbal means of communicating messages. C. prefer to maintain eye contact with whomever is talking with them. D. often speak with speech patterns that alternate in tone and speed.

The correct answer is: a birth defect caused by incomplete closure of the spinal column.

Spina bifida is defined as: Select one: A. a birth defect caused by incomplete closure of the spinal column. B. a birth defect in which the child is born without spinal vertebrae. C. chronic pressure on the brain caused by excess cerebrospinal fluid. D. congenital inflammation of the spinal cord, usually in the neck.

The correct answer is: prevent excess cerebrospinal fluid from accumulating in the brain.

The purpose of a ventricular peritoneum shunt is to: Select one: A. monitor pressure within the skull in patients with a head injury. B. remove fluid from the abdomen of patients with right-sided heart failure. C. divert excess cerebrospinal fluid to the ventricles of the brain. D. prevent excess cerebrospinal fluid from accumulating in the brain.

The correct answer is: As a bridge to heart transplantation while a donor heart is being located

Under what circumstances is a left ventricular assist device used? Select one: A. As a bridge to heart transplantation while a donor heart is being located B. To permanently replace the function of one or both of the ventricles C. To reduce ventricular pumping force in patients with aortic aneurysms D. To ensure that the ventricles contract at an adequate and consistent rate

The correct answer is: be observant for signs of fear or reluctance from the patient.

When assessing or providing care to a patient with an intellectual disability, you should: Select one: A. frequently reassure him or her that everything will be okay. B. move swiftly and deliberately to quickly accomplish the task. C. explain procedures while in the process of performing them. D. be observant for signs of fear or reluctance from the patient.

The correct answer is: tell him or her what is happening, identify noises, and describe the situation and surroundings.

When caring for a patient who is visually impaired, it is important to: Select one: A. tell him or her what is happening, identify noises, and describe the situation and surroundings. B. stand to the side of the patient when speaking if his or her peripheral vision is impaired. C. leave items such as canes and walkers at the residence if the patient will be carried on a gurney. D. allow a service dog to remain with the patient at all times, even if the patient is critically ill. Feedback

The correct answer is: their limbs are often underdeveloped and are prone to injury.

When caring for patients with cerebral palsy, it is important to remember that: Select one: A. most patients have the ability to walk, but have an unsteady gait. B. hearing aids are usually ineffective for patients with hearing loss. C. they are unable to walk and are totally dependent upon you. D. their limbs are often underdeveloped and are prone to injury.

The correct answer is: report exactly what the patient signs and not to add any commentary.

When enlisting the help of an interpreter who signs, it is important for you to ask the interpreter to: Select one: A. avoid any kind of lip movement while he or she is signing with the patient. B. voice what he or she is signing while communicating with the patient. C. report exactly what the patient signs and not to add any commentary. D. document the answers to the questions that the patient has responded to.

The correct answer is: ask your team members to wait until you can establish a rapport with the patient.

When interacting with an intellectually disabled patient, the best approach is to: Select one: A. approach the patient as a team to reassure him or her that you are there to help. B. speak primarily with the patient's family to establish the degree of disability. C. ask your team members to wait until you can establish a rapport with the patient. D. position yourself slightly above the patient's level to reduce his or her anxiety.

The correct answer is: Seizure disorder

Which of the following conditions would MOST likely be encountered in a patient with cerebral palsy? Select one: A. Seizure disorder B. Paralysis C. Type 2 diabetes D. Brain tumors

The correct answer is: Rapid metabolism

Which of the following does NOT usually contribute to or cause obesity? Select one: A. High caloric intake B. Low metabolic rate C. Rapid metabolism D. Genetic predisposition

The correct answer is: Most cases of autism are diagnosed by 3 years of age.

Which of the following statements regarding autism is correct? Select one: A. Autism affects females four times greater than males. B. Impairment of motor activity is a classic sign of autism. C. Most cases of autism are diagnosed by 3 years of age. D. The majority of patients with autism do not speak at all.

The correct answer is: Communication with the patient's caregiver or family members is important because they are the most familiar with the patient's condition.

Which of the following statements regarding interaction with the caregiver of a child or adult with special health care needs is correct? Select one: A. Before performing an assessment of the patient's ABCs, the EMT should ask the caregiver about the patient's medical condition. B. In general, the EMT should only speak with a certified home health care provider because he or she is the expert on the patient's illness. C. In most cases, it is more appropriate for the EMT to contact medical control prior to speaking with the patient's primary caregiver. D. Communication with the patient's caregiver or family members is important because they are the most familiar with the patient's condition.

The correct answer is: Patients with intellectual disabilities are susceptible to the same disease processes as other patients.

Which of the following statements regarding patients with intellectual disabilities is correct? Select one: A. An intellectual disability differs from mental retardation in that it is the result of a congenital abnormality. B. Most patients with intellectual disabilities have normal cognitive function, but abnormal physical features. C. Patients with intellectual disabilities are susceptible to the same disease processes as other patients. D. Speaking with the patient's family is the least effective way to determine how much the patient understands.

The correct answer is: Using a piece of paper and writing utensil to ask questions

Which of the following would be the MOST practical method of communicating with a hearing-impaired patient until his or her hearing aids can be located? Select one: A. Contacting dispatch and requesting a sign language interpreter B. Using a high-pitched voice while speaking directly into the ear C. Using a piece of paper and writing utensil to ask questions D. Attempting to use body language to determine the problem

The correct answer is: avoid placing him in a supine position if possible and administer oxygen.

You are assessing a 440-lb man who complains of shortness of breath and lower back pain. The patient is conscious and alert, his blood pressure is 148/98 mm Hg, and his heart rate is 120 beats/min. Your MOST immediate action should be to: Select one: A. ask a member of your team to locate the best route to move him to the ambulance. B. perform a secondary assessment, focusing on his respiratory system and back. C. notify the receiving facility and advise them of the patient's weight and status. D. avoid placing him in a supine position if possible and administer oxygen.