Quiz 12

Which of the following MOST accurately describes septic shock? Select one: a. Viral infection of the blood vessels, vascular damage, and vasoconstriction b. Bacterial infection of the nervous system with widespread vasodilation c. Widespread vasoconstriction and plasma loss due to a severe viral infection d. Bacterial damage to the vessel wall, leaking blood vessels, and vasodilation

d. Bacterial damage to the vessel wall, leaking blood vessels, and vasodilation

You respond to a residence for a patient with a severe leg injury following an accident with a chainsaw. When you arrive, you find the patient, a 44-year-old male, lying supine in the backyard. He has a partial amputation of his right lower leg that is actively bleeding. The patient is conscious and breathing adequately; however, he is restless and his skin is diaphoretic. You should: Select one: a. assess the rate and quality of his pulse. b. immediately evaluate his airway. c. administer 100% supplemental oxygen. d. apply direct pressure to the wound.

d. apply direct pressure to the wound.

Neurogenic shock occurs when: Select one: a. there is too much blood to fill a smaller vascular container. b. massive vasoconstriction occurs distal to a spinal cord injury. c. the spinal cord is severed and causes massive hemorrhaging. d. failure of the nervous system causes widespread vasodilation.

d. failure of the nervous system causes widespread vasodilation.

A 56-year-old male is found semiconscious by his wife. Your assessment reveals that his respirations are rapid and shallow, his pulse is rapid and irregular, and his blood pressure is low. The patient's wife states that he complained of left arm pain and nausea the day before, but would not allow her to call 9- 1-1. The MOST likely cause of this patient's present condition is: Select one: a. cardiogenic hypoperfusion. b. severe septic hypoperfusion. c. acute myocardial infarction. d. a ruptured aortic aneurysm.

a. cardiogenic hypoperfusion.

You are dispatched to a residence for a 40-year-old female who fainted. Upon your arrival, the patient is conscious and alert, and states that she is fine. Her husband tells you that she fainted after receiving news that her sister was killed in a car crash. You offer oxygen to the patient, but she refuses to accept it. At this point, your primary concern should be to: Select one: a. determine if she was injured when she fainted. b. obtain baseline vital signs and a medical history. c. advise her that she needs to go to the hospital. d. provide emotional support regarding her sister.

a. determine if she was injured when she fainted.

Which of the following statements regarding anaphylactic shock is correct? Select one: a. Anaphylactic shock occurs immediately after a person is sensitized to an allergen. b. Subsequent exposure after sensitization often produces a more severe reaction. c. Anaphylactic shock is caused by immune system failure due to a toxic exposure. d. Sensitized people will experience less severe reactions upon subsequent exposure.

b. Subsequent exposure after sensitization often produces a more severe reaction.

You are transporting a 33-year-old male who was involved in a major motor vehicle crash. You have addressed all immediate and potentially life-threatening conditions and have stabilized his condition with the appropriate treatment. With an estimated time of arrival at the hospital of 20 minutes, you should: Select one: a. repeat your secondary assessment. b. reassess his condition in 5 minutes. c. take his vital signs in 15 minutes. d. arrange for an ALS rendezvous.

b. reassess his condition in 5 minutes.

A 19-year-old male was stung multiple times by fire ants. He is experiencing obvious signs and symptoms of anaphylactic shock. You administer high-flow oxygen and give him epinephrine via intramuscular injection. Upon reassessment, you determine that his condition has not improved. You should: Select one: a. consider that he may actually be experiencing an acute asthma attack. b. repeat the epinephrine injection after consulting with medical control. c. request a paramedic unit that is stationed approximately 15 miles away. d. transport him immediately and provide supportive care while en route.

b. repeat the epinephrine injection after consulting with medical control.

Clinical signs of compensated shock include all of the following, EXCEPT: Select one: a. cool and clammy skin. b. restlessness or anxiety. c. absent peripheral pulses. d. rapid, shallow breathing.

c. absent peripheral pulses.

Your assessment of an unresponsive patient reveals that her breathing is inadequate. Your MOST immediate action should be to: Select one: a. ventilate her with a bag-valve mask. b. move her to the ambulance stretcher. c. check her airway for obstructions. d. administer high-flow oxygen.

c. check her airway for obstructions.