Chapter 20 Quiz

When documenting the administration of an epinephrine auto-injector, which of thefollowing should be included? A. Patient's response to the medication B. Site of medication administration C. Time the medication was administered D. All of these

All of these

Which of the following is a general term for a substance to which the body may have an anaphylactic reaction? A. Pathogen B. Allergen C. Pyrogen D. Antibody

Allergen

A 35-year-old female has just eaten lobster and is now complaining of itchy, watery eyes. Her blood pressure is beginning to fall, but she denies difficulty breathing. Which of the following best describes her condition? Shock Mild allergy Anaphylaxis Dyspnea

Anaphylaxis

What is another name for a severe allergic reaction? A. Dermatitis B. Anaphylaxis C. Asthma D. Psychosomatic reaction

Anaphylaxis

near a running trail. She states that she has been running for the past 30 minutes, and all of a sudden she cannot catch her breath. She states that this has never happened before and she usually runs 5 miles a day. Your assessment reveals that she is flushed, her pulse is fast and weak, her respirations are fast and she is wheezing, and she has hives on her arms and chest. She is most likely suffering from which of the following? A. Anaphylaxis B. Heat stroke C. Hyperventilation syndrome D. Allergic reaction

Anaphylaxis

Your patient has eaten a casserole that may have contained seafood. The patient is worried because he has a seafood allergy. Upon assessment, you find no signs or symptoms of anaphylaxis. The patient's vital signs are stable and he has an epinephrine auto-injector prescribed to him. Which of the following actions is most appropriate? A. Transport the patient rapidly before the onset of anaphylaxis. B. Try to find out if the casserole contained seafood. C. Advise the patient that he does not require treatment and transport at this time. D. Assist him with the administration of his epinephrine auto-injector

Try to find out if the casserole contained seafood.

After activating the auto-injector, how long should it be held in place before removing it from the patient's thigh? 30 seconds 10 seconds 1 minute It should be removed from the injection site immediately.

10 seconds

You are on the scene of a motor vehicle collision in which a car has driven off the roadway and is resting at the bottom of an embankment. The driver is in severe respiratory distress and is unable to speak. His skin is flushed and he has hives. A Medic-Alert bracelet indicates an allergy to peanuts. You notice a candy bar wrapper on the floor of the car. Which of the following should you do first? A. Search the patient for an epinephrine auto-injector. B. Administer high-concentration oxygen. C. Read the candy wrapper to see if it contains peanuts. D. Perform rapid extrication

Administer high-concentration oxygen.

You are treating a 28-year-old female who is 34 weeks pregnant. She has a history of bee sting anaphylaxis and was stung by a bee while in the garden. She is having severe respiratory distress and her blood pressure is 72/50 mmHg. Which of the following is the BEST option for the EMT? Answers: Immediately administer the patient's Epi-Pen®. Transport rapidly, bypassing the emergency department and taking the patient directly to the obstetrics unit of the hospital. Do not administer the Epi-Pen® under any circumstances. Administer the Epi-Pen® only on the advice of medical control.

Administer the Epi-Pen® only on the advice of medical control.

As you prepare to enter a patient's room in a nursing home, you see a sign posted on the door indicating that the patient has a latex allergy. Which of the following is the BEST way to care for the patient? A. Ask the nursing staff if the patient has an epinephrine auto-injector available in case of a reaction to your gloves. B. Only perform a history on this patient, not a physical exam, so you can avoid contacting him with your gloves. C. Ask the nursing facility staff to find synthetic exam gloves to wear for contact with this patient. D. Put on latex gloves anyway; you must protect yourself with BSI.

Ask the nursing facility staff to find synthetic exam gloves to wear for contact with this patient

Which of the following is included in the primary assessment of a conscious patient suffering from anaphylactic shock? Looking for hives and swelling Assessing whether the patient is able to speak without difficulty Determining whether the patient's systolic blood pressure is over 100 mmHg Finding out how the patient was exposed to the substance to which she is allergic

Assessing whether the patient is able to speak without difficulty

You are transporting a 41-year-old female suffering from severe anaphylaxis. Her respiratory rate is 42 per minute, she is cyanotic, and she has a decreased level of responsiveness. Which of the following is the highest priority of care for this patient? A. Assist ventilations with a bag-valve mask. B. Transport rapidly. C. Search for an epinephrine auto-injector. D. Elevate the patient's head

Assist ventilations with a bag-valve mask.

Your patient has a history of severe anaphylaxis and carries several auto-injectors. You have administered one of the auto-injectors, but the patient's condition continues to worsen. Which of the following is the next best course of action? . Contact medical control Immediately administer a second auto-injector. Divert transport to a hospital with critical care capabilities. Continue supportive care en route to the hospital.

Contact medical control

Your patient is a 45-year-old female who is allergic to sesame seeds, which she accidentally ingested when she ate a deli sandwich. She is having difficulty breathing, and she has hives, watery eyes, a weak pulse of 120 per minute, and swelling of the face and tongue. Which of the following is the BEST course of immediate action? A. Insert an oropharyngeal airway (OPA). B. Contact medical control for orders to administer the patient's epinephrine auto-injector. C. Transport immediately. D. Contact dispatch to see where the closest ALS unit is.

Contact medical control for orders to administer the patient's epinephrine auto-injector.

Which of the following is a trade name for an epinephrine auto-injector? A. Epi-Pen® B. AllerPen® C. Autodrenalin® D. Anajecto

Epi-Pen®

You are unsure if a patient's condition requires the administration of an epinephrine auto-injector. Which of the following actions is most appropriate? A. Ask a family member if this is the type of situation when the patient usually takes his auto-injector. B. Administer the epinephrine, just in case. C. Consult with a paramedic on your service for advice. D. None of these

None of these

Most epinephrine auto-injectors, except the Twinject, contain how many doses of epinephrine? A. Two B. Three C. One D. None of these

One

Which of the following is the proper method of disposing of a used epinephrine autoinjector? Place the device in a rigid biohazardous sharps disposal container. Leave it at the scene for the patient or his family to dispose of. Bend the needle at an angle to prevent accidental punctures and place it in the trash. Take it to the hospital for disposal in the emergency department.

Place the device in a rigid biohazardous sharps disposal container.

Your patient is a 7-year-old girl who was prescribed an antibiotic for an ear infection. After 4 days on the antibiotic, the patient is experiencing hives and itching on her face, throat, and neck. Which of the following should you do? Advise the parents to call the pediatrician for a different antibiotic. Immediately administer Epi-Pen Jr.® Provide supportive care and monitor the patient's condition during transport to the hospital. Advise the parents that these symptoms are related to the ear infection and the antibiotic will take care of these symptoms if taken as directed.

Provide supportive care and monitor the patient's condition during transport to the hospital.

You respond to a local swim park for a 29-year-old male who was stung by a bee and "passed out." Upon arrival, you find the patient unresponsive to all stimuli with agonal respirations at 6 per minute. You insert an oral airway and administer oxygen at 15 liters per minute by bag-valve mask. You notice that it is difficult to bag the patient. Your partner listens to lung sounds and states they are very diminished in the upper fields and absent in the lower fields. What is the best action? Request orders from medical control to administer epinephrine. Request orders from medical control for an emergency cricothyroidotomy. Request an ALS unit. Hyperventilate the patient

Request orders from medical control to administer epinephrine.

If a patient was having a myocardial infarction, not an allergic reaction, and received an epinephrine auto-injection, which of the following would most likely occur? No reaction if administered inadvertently Stronger and faster heartbeat Relief of shortness of breath Bradycardia

Selected Answer: Stronger and faster heartbeat

Which of the following is an action caused by epinephrine in anaphylaxis? Decreased heart rate Vasoconstriction Bronchoconstriction All of these

Selected Answer: Vasoconstriction

After administering epinephrine per medical control via an auto-injector to an unresponsive anaphylactic adult patient, your partner reassesses the lung sounds. He tells you that the patient is now wheezing loudly in all fields whereas before the injection they were diminished in the upper fields and absent in the lower. What is your suspicion regarding the patient's condition? The patient's condition is improving. The patient's condition is worsening. There is no change in the patient's condition. The patient is about to go into cardiac arrest.

The patient's condition is improving.

At which of the following sites should the EMT administer an epinephrine autoinjector? Thigh Abdomen Upper arm Buttocks

Thigh

Upon delivering a patient to the emergency department, you remove your gloves and find that your hands are red and itchy. Which of the following is most likely? You have come into contact with poison ivy in the patient's yard. You have been exposed to an infectious disease through contact with the patient. You are having an allergic reaction to the latex in the gloves. You are showing early signs of an anaphylactic reaction.

You are having an allergic reaction to the latex in the gloves.