EMR CH 18 HW

A​ partial-thickness burn involves which of the​ following? A. The epidermis and underlying epidermis tissue B. All layers of skin and tissue C. Only the epidermis D. The nerves and muscle tissues

A

EMR London Orozco is on an emergency call in response to a 911 call from Carla​ Yaeger, 37, who is in childbirth at home and is bleeding heavily. What​ precautions, if​ any, should Orozco use to protect her own safety and the safety of her​ patient? A. Wear protective​ gloves, a​ gown, and goggles and a mask because these help protect against​ blood-borne infectious disease. B. No need to wear any protective gear when a patient is not injured but is instead giving​ birth, as this is a natural procedure. C. Wear protective gloves and a gown but not goggles or a mask because the sight of a covered face could alter the​ patient's mental state. D. None of the above.

A

Eva​ Guerra, age​ 11, sliced the pad of her finger with a razor blade while working at home on a class project. The wound is a smooth cut with straight edges. Her wound is classified​ as: A. an incision B. an abrasion C. an avulsion D. a deep cut

A

In the recommended method for estimating the percentage of an​ adult's body that has been​ burned, each area of the body surface EXCEPT the genital area—such as​ chest, abdomen, backs of​ legs, and so on—is assigned a percentage value​ of: A. ​9% B. ​10% C. ​18% D. none of the above

A

The method used to determine what percentage of body surface area has been burned is​ called: A. the rule of nines. B. the rule of percentages C. the BSA formula. D. the firefighter formula.

A

To keep a patient with an eye injury from moving their injured​ eye, the EMR​ should: A. cover both eyes B. flush both eyes with water C. flush the injured eye with water D. cover the injured eye

A

Which of the following is true about​ bandaging? A. You should always bandage limbs from their distal ends to their proximal ends. B. You should always leave loose ends. C. You should always bandage tightly. D. You should always leave fingers and toes exposed in order to monitor circulation.

A

Which of the following patients would be classified as a multisystem trauma​ patient? A. A woman with a broken wrist and broken ulna B. A woman with abrasions to the feet and legs C. A child with burns to the​ hands, arms, and face D. A man who sustained injuries to his torso from a car accident

A

Which of the following terms is associated with nonpenetrating​ trauma? A. blunt trauma B. the rule of nines C. superficial trauma D. hemostatic trauma

A

You are holding​ firm, direct pressure on a wound that was spurting bright red blood. Blood is seeping through the gauze you are holding against the wound. You should direct your partner to​ apply: A. a tourniquet. B. a triangular bandage. C. a wet cloth. D. a traction splint.

A

Your patient has burned her hand with scalding water. When bandaging the hand you​ should: A. place gauze in between the fingers prior to bandaging the hand. B. wrap it as tightly as possible with sterile bandages to prevent swelling. C. leave the hand unbandaged to promote healing. D. leave rings in​ place, as removing them may be painful.

A

Your patient has experienced a burn. His skin is​ red, free of​ blisters, and extremely painful. This type of burn can be classified​ as: A. superficial. B. partial thickness. C. ​semi-thickness. D. full thickness.

A

A dressing that has been treated with a chemical that promotes clotting is called​ a: A. medicated dressing B. hemostatic dressing C. tourniquet D. sterile gauze pad

B

As you approach your​ patient, you notice bright red blood is spurting from a cut on her upper arm. You should​ immediately: A. wrap a bandage around the wound. B. apply​ firm, direct pressure. C. elevate the arm above the level of the heart. D. apply sterile gauze.

B

A​ 5-year-old patient has a nosebleed. You​ should: A. tilt the head back and apply an ice pack. B. tilt the head forward and pinch the nose. C. tilt the head forward and have the patient sneeze. D. tilt his head back and have him breathe through his mouth.

B

In amputation​ emergencies, what should a rescuer do if bleeding is not controlled by direct pressure and a pressure​ bandage? A. use a sterile gauze pad B. use a tourniquet C. put the amputated limb on ice D. None of the above

B

The purpose of​ _____ is to hold a dressing in place. A. an adhesive B. a bandage C. gauze D. gloves

B

To evaluate an electrical​ burn, an EMR should do all of the following​ EXCEPT: A. provide care for shock B. help the patient before turning off the electricity C. provide oxygen D. look for the entrance and exit wounds

B

What is the definition of a​ bandage? A. Bandages are used primarily to splint extremities. B. A bandage is a piece of material that holds a dressing in place. C. Bandages are usually only applied in the​ hospital; dressings are more common in EMS. D. A bandage is a sterile piece of gauze that usually comes in a roll form.

B

What is the definition of a​ dressing? A. A dressing is a medicated material used to protect a burn. B. A dressing is material that is placed directly onto a wound to cover it. C. A dressing is material that can only be applied in a sterile environment. D. A dressing is material that holds a bandage in place.

B

What is the purpose of a hemostatic​ dressing? A. To control minor bleeding from abrasions B. To use a chemical compound to promote clotting C. To protect a large area of burned skin D. To pad a wound prior to tourniquet application

B

When dealing with a patient with an impaled​ object, the rescuer​ should: A. assume there is severe internal injury and bleeding. B. stabilize the object in place. C. remove the object if it is safe to do so. D. all of the above.

B

Which of the following statements is NOT true about​ impaled-object emergencies? A. The EMR should stabilize the impaled object with bulky pads. B. The EMR should immediately remove the impaled object. C. The EMR should provide care for shock to these patients. D. A and C.

B

Your patient has cut his hand while making dinner. A laceration on his palm is slowly bleeding with dark blood. This bleeding is best classified​ as: A. uncontrollable bleeding. B. venous bleeding. C. ​life-threatening bleeding. D. arterial bleeding.

B

Your patient was the driver in a​ head-on collision into a tree. Based on the mechanism of​ injury, the patient may​ have: A. complex system trauma. B. multisystem trauma. C. primary system trauma. D. very minor injuries.

B

A wound that results in a flap of skin and tissue that is partially or completely torn away is called​ an: A. aversion. B. amputation. C. avulsion. D. abrasion.

C

Any patient with suspected internal bleeding will benefit​ from: A. ​Fowler's position B. hydration C. oxygen D. oral glucose

C

If a dressing covering a minor wound becomes soaked with blood during​ transport, the rescuer​ should: A. remove it and replace it with a sterile​ dressing, to prevent infection. B. apply a tourniquet immediately to prevent death. C. put additional dressings on top of the soaked​ one, so as not to interrupt the clotting process. D. call medical control and ask for directions.

C

What is the first step to treating a patient with any type of​ burn? A. Apply​ dry, sterile dressings B. Apply​ burn-cooling gel C. Make sure the burning process has stopped D. Make sure the burned area is very clean

C

When cutting away clothing to expose a​ wound, the EMR should​ avoid: A. B and C B. putting direct pressure on the wound to control bleeding C. cutting directly through holes made by knives or bullets. D. informing the patient because the clothing will be ruined.

C

When you place gauze directly on a​ wound, you are applying​ a: A. tourniquet. B. bandage. C. dressing. D. cravat.

C

Your patient is complaining of eye pain after splashing bleach into her eye. You should direct her​ to: A. blink rapidly to encourage tear production. B. wipe her eyes with a dry towel. C. flush the eye with water for at least 20 minutes. D. hold the eyelid open so as not to further irritate the eye.

C

Your patient sustained a wound on her right knee after falling. The wound looks like a large scrape and appears to affect only the top layers of the skin. This wound would best be described as​ an: A. acute laceration. B. avulsion. C. abrasion. D. amputation.

C

Your​ patient, 17-year-old Trevor​ Hill, has been the victim of an assault. Some men attacked him and stole his wallet.​ However, Hill is too upset and disoriented to explain what happened. You notice some small bruises on his chest and abdomen. You​ should: A. Disregard the bruises because small bruises indicate only minor bleeding directly beneath the skin. B. Disregard the bruises because their presence indicates they are old​ injuries; new injuries do not show bruising. C. Take the bruises seriously because seemingly simple bruises may be a sign of serious internal bleeding. D. A and B

C

​Severe, rapid,​ life-threatening bleeding is also​ called: A. worrisome bleeding. B. venous bleeding. C. arterial bleeding. D. capillary bleeding.

C

Katie​ Garksy, 47, tripped in a supermarket parking lot and fell face forward into a concrete lamppost​ base, severely injuring her face. She is unresponsive and bleeding profusely from the nose. No skull fractures or spinal injuries are suspected. As the EMR providing​ care, you​ should: A. probe the nose to remove any foreign material B. place her on her side with her head turned to provide drainage C. pinch her nostrils shut to attempt to control the bleeding D. B and C

D

Signs of internal bleeding include which of the​ following? A. Decreased level of consciousness B. ​Cool, pale, moist skin C. Rapid and weak pulse D. All of the above

D

When you administer emergency care for patients with open​ wounds, what should you do about superficial foreign matter on the​ wound's surface? A. Put a dressing over it so it can be properly cleaned later. B. Flush it away with water before dressing the wound. C. Leave it in place so as not to aggravate bleeding. D. Remove it with a sterile gauze pad.

D

Which of the following best describes why it is important for EMS providers to wear appropriate personal protective equipment such as gloves and masks when caring for someone who is​ bleeding? A. Protective equipment ensures that the Emergency Medical Responder will not be exposed to infectious diseases. B. Wearing gloves completely protects the provider from infection with HIV. C. Wearing protective equipment presents a professional appearance and makes patients more comfortable. D. Wearing protective equipment provides body substance isolation for both the patient and the provider.

D

You suspect your patient is bleeding internally. You​ should: A. sit the patient upright and apply a tourniquet. B. press on the skin above the site where you suspect​ bleeding, to stop the blood flow. C. give small sips of water and assess mental status. D. apply oxygen if allowed and transport rapidly.

D

Your patient has amputated the first digit on his left hand. What is the appropriate way to handle the amputated​ digit? A. Place the amputated part in a container of​ cool, sterile water. B. Place the amputated part into a bag of ice. C. Place the amputated part in a plastic bag with a heating pack to keep the tissue warm. D. Wrap the amputated part in gauze and place it in a plastic bag or plastic wrap.

D

Your patient has gotten dry lime on her arm that has caused a painful burn. You should​ first: A. rinse the arm with water. B. pour vinegar on the arm to neutralize the lime. C. apply​ dry, sterile dressings. D. use a dry dressing brush off any remaining lime from the​ patient's skin.

D