OEC 6th Edition Chapter 26

You are at a park with your family when you hear a call for help. There is a teenager who is "sick." On scene, you find a 16-year-old boy who is mildly confused. Friends state that they have been playing basketball for most of the morning and afternoon. The temperature is in the 90s, and the humidity is high. The boy's airway is patent, and his breathing rate is elevated but adequate. His pulse is weak and rapid. Observation of his skin reveals it to be pale, cool, and moist. Which of the following would you do first for this patient? A) Lay him in the shade in a supine position, and elevate his feet. B) Lay him down in a side-lying position. C) Administer salt tablets by mouth every 15 minutes. D) Get some newspaper and fan him vigorously.

A) Lay him in the shade in a supine position, and elevate his feet.

You are treating a patient with suspected heat cramps. Which of the following treatments is the usual recommended treatment? A) Have the patient drink a mixture of one tablespoon of table salt in one quart of Gatorade. B) Have the patient drink a mixture of ¼ to ½ teaspoon of table salt in a quart of cool water. C) Administer salt tablets every 15 minutes until the cramping subsides. D) Have the patient drink one quart of cold tap water every 15 minutes until he needs to urinate.

B) Have the patient drink a mixture of ¼ to ½ teaspoon of table salt in a quart of cool water.

The signs of heat exhaustion are: A) cool and clammy skin, bradycardia, slow respirations. B) warm and very sweaty skin, elevated body temperature, headache. C) diaphoretic skin, decreased heart rate, hunger. D) hot dry skin, elevated heart rate, elevated body temperature.

B) warm and very sweaty skin, elevated body temperature, headache.

You recognize that heat cramps are the probable cause of a patient's problem when the patient makes which of the following statements? A) "I am having a hard time moving my fingers." B) "I cannot remember what day it is." C) "I have pain in my belly and legs." D) "My neck feels as though it is in spasm."

C) "I have pain in my belly and legs."

You are at a football practice on a very hot summer day. A young player is panting and lying under a tree. His skin is flushed, and his teammates are continually wiping the sweat off his face, arms, and chest with towels and offering him fluids to drink. Which of the following statements is most appropriate for this situation? A) "Keep wiping. You are helping him retain water that his body needs." B) "Don't give him fluids. It will only make him sweat more." C) "It's OK for him to sweat. It is helping his body cool down." D) "Let's put his shirt back on to keep him from sweating."

C) "It's OK for him to sweat. It is helping his body cool down."

The minimum body temperature of a patient for a diagnosis of heat exhaustion is: A) 99°F. B) 100°F. C) 101°F. D) 102°F.

C) 101°F.

You are in the aid room with a patient who is unresponsive and has hot, dry skin. His friends state that he has been drinking and passed out in the hot sun for several hours. ALS has been called. Which of the following actions would be most beneficial to this patient now? A) Prepare the patient for vomiting by placing him in a prone position. B) Try to give the patient sugar because he could be having a diabetic reaction. C) Place cold packs on the patient's groin and armpits. D) Gently pour cold water over the patient to rapidly cool him down.

C) Place cold packs on the patient's groin and armpits.

Which of the following patients would have the highest priority for transport? A) A 24-year-old who is intoxicated and is complaining of pain and spasms in his legs B) A 34-year-old who is responsive, has cool diaphoretic skin, and is complaining of nausea C) A 28-year-old who is responsive, has tachycardia, and has cool, moist skin D) A 19-year-old who is lethargic, has hot dry skin, and has tachycardia

D) A 19-year-old who is lethargic, has hot dry skin, and has tachycardia

When cooling a patient with a possible heatstroke, which of the following findings would be of most concern to a rescuer? A) An increase in blood pressure to 100/80 B) A decrease in heart rate from 140 beats per minute to 120 beats per minute C) Observing your partner applying an ice pack to the patient's neck D) Observing your partner giving the patient two aspirin to bring down his temperature

D) Observing your partner giving the patient two aspirin to bring down his temperature

The body cools itself primarily by: A) conduction. B) respiration. C) radiation. D) evaporation.

D) evaporation.

The most serious of the types of heat-related illnesses is: A) heat-related syncope. B) heat cramps. C) heat exhaustion. D) heatstroke.

D) heatstroke.