NREMT: Medical/Obstetrics/Gynecology

You are treating a​ 76-year-old female who complains of chest pain and difficulty breathing. She weighs 430 pounds. When you place her on your stretcher for​ transport, you should ensure that​ you:

do not restrict her breathing

A febrile​ 17-year-old female complains of a headache and sensitivity to light. You observe a petechial rash on her exposed legs. You should​ first:

don a mask and gloves

A​ 23-year-old female just delivered a​ full-term male infant. You should​ first:

dry and stimulate him

A​ 23-year-old female complains of shortness of breath. She has a history of lupus. You observe a rash across both cheeks and the bridge of her nose. Her lungs are clear to auscultation. Her vital signs are P​ 88, R​ 20, BP​ 126/76, and SpO2 is​ 95% on room air. You​ should:

administer oxygen

An unresponsive​ 27-year-old female vomited after she ingested a bottle of aspirin. Her skin is diaphoretic and hot. Her vital signs are P​ 114, R 24 and​ deep, BP​ 82/60, and SpO2 is​ 95% on room air. Which of the following will provide the most​ accurate, up-to-date information on how to manage her​ condition?

Contact poison control

When does a hernia become a life​ threat?

intestine is obstructed

Why would the fontanel of an​ 8-month-old female who has meningitis​ bulge?

ICP has increased

What is the mechanism of action of naloxone when administered for opioid​ overdoses?

antagonizes opioid effects by competing for the same receptor sites

A​ 59-year-old male complains of abdominal pain and dizziness. He tells you he had a kidney transplant six months ago. His skin is warmer than normal and diaphoretic. His abdomen is​ rigid, and his pain increases when you release the pressure after you palpate his abdomen. His vital signs are P​ 106, R​ 22, BP​ 122/90, and SpO2 is​ 93% on room air. You​ should:

administer oxygen

An​ 84-year-old male ingested some of his medication intending to harm himself. Which of the following information is most important for you to gather during your​ assessment?

spelling of medication, when and how much was ingested

A​ 78-year-old female complains of difficulty breathing. She has a history of chronic renal failure and asthma. She tells you she missed two dialysis appointments this week. You auscultate fine crackles in her bases. Her vital signs are P 92 and​ irregular, R​ 22, BP​ 150/68, and SpO2 is​ 89% on room air. You​ should:

administer oxygen by non-rebreather mask

A​ 16-year-old male tells you he is allergic to bees and that he was stung. Five minutes​ ago, he used his epinephrine autoinjector and felt​ better, but now he is having increasing difficulty breathing. You hear audible stridor and wheezes. You should​ first:

administer second dose of epinephrine

A​ 32-year-old female has a single episode of​ tonic-clonic seizure activity. She is awake now and restless. She has a history of alcohol abuse and tells you she quit drinking yesterday. Her skin is​ diaphoretic, and her hands are shaking. Her vital signs are P​ 114, R​ 16, BP​ 178/100, and SpO2 is​ 97% on room air. You should​ suspect:

alcohol withdrawl

Why can a patient who is having an anaphylactic reaction have​ angioedema?

capillary beds become more permeable and fluid leaks into the interstitial space

Why can a​ 4-year-old female who is in sickle cell crisis experience chest​ pain?

her pulmonary microcirculation is occluded

Which of the following assists in regulating the​ acid-base balance of the circulatory system by producing​ bicarbonate?

kidneys

A​ 73-year-old female complains of pain in her lower abdomen and pelvis. She tells you the pain increases during intercourse.​ Recently, she has had a​ foul-smelling vaginal discharge. You should​ suspect:

pelvic inflammatory disease

An​ 86-year-old female complains of pain in her sacral area. You observe a​ four-centimeter decubitus ulcer in the area. Her son tells you that she is bedridden and that he cares for her. Her bedding is wet and smells like urine. You should​ suspect:

physical neglect

Which of the following will irritate the peritoneum the​ quickest?

ruptured appendix

A​ 37-year-old female who is pregnant with identical twins is in labor. You have already delivered the first​ neonate, and your partner is assessing him. As she has a​ contraction, you observe the second​ neonate's buttock beginning to deliver. You​ should

support the neonate and assist with the delivery

An​ 8-year-old female who has a history of autism fractured her lower leg. Before applying the​ splint, you​ should:

tell her the splint will be tight to keep her leg from moving

How do the kidneys assist in buffering the pH of the​ blood?

Produce Bicarbonate

A​ 70-year-old female complains of lower abdominal pain. She tells you she has frequently been​ urinating, and that it burns when she urinates. She denies any other complaints. You should​ suspect:

UTI

A​ 6-month-old female is cyanotic and slow to respond to stimuli. Her father tells you he found her this way on the floor and removed an empty balloon from her mouth. Her pupils are pinpoint. Her vital signs are P 72 and R 16. After you begin to ventilate​ her, you​ should:

administer naloxone

A confused​ 74-year-old female has​ left-sided weakness. She can identify her husband and follow your commands but is unaware of current events. Her vital signs are P​ 70, R​ 14, BP​ 142/74, and SpO2 is​ 99% on room air. Her blood glucose level is 52​ mg/dL. You​ should:

administer oral glucose

A​ 34-year-old male complains of dizziness and feels like he is going to pass out. He tells you he just took naproxen for the first time for joint pain. You observe urticaria and angioedema. His vital signs are P​ 104, R​ 20, BP​ 78/58, and SpO2 is unobtainable. You​ should:

administer oxygen and transport

A​ 54-year-old male complains of abdominal pain. He tells you he has had generalized crampy pain and diarrhea for three days. His abdomen is soft to palpation. His vital signs are P​ 90, R​ 16, BP​ 142/86, and SpO2 is​ 96% on room air. You should​ suspect:

gastroenteritis

A​ 10-month-old female has a​ two-inch soft bulge under the skin of her belly button. Her father tells you that the bulge appeared after she was coughing. She does not cry when you palpate her abdomen. You should suspect​ a(n):

hernia

An​ 11-year-old male who has a history of autism has difficulty breathing. You observe intercostal​ retractions, and he answers basic questions. While caring for​ him, you​ should:

only perform necessary assessments and treatments

A​ 54-year-old male complains of pain in his right flank. He tells you the pain is so severe he feels like he is going to vomit. He tells you he was sitting in a chair watching TV when it started. You should​ suspect:

renal calculi

A​ 48-year-old female has fatigue and shortness of breath. She has a history of sickle cell anemia and tells you she is in crisis. Her lungs are clear to auscultation. Her vital signs are P​ 98, R​ 20, BP​ 148/84, and SpO2 is​ 93% on room air. You should​ suspect:

sickle cell crisis

A​ 32-year-old female complains of crampy abdominal pain. She tells you she is 20 weeks pregnant. She has moderate vaginal bleeding. You should​ suspect:

spontaneous abortion

What is the most common cause of seizures in an​ adult?

subtherapeutic levels of anticonvulsive meds

A​ 55-year-old female jumped out of a​ second-story window and injured her right leg. She tells you she is depressed and that there is no hope for her. She recently lost her​ job, and her husband left her. You should suspect that she​ is:

suicidal

A​ 32-year-old female who is 39 weeks gravid is in active labor. You observe the​ baby's head as it begins to deliver. You​ should:

support the baby's head

A confused​ 32-year-old female tells you she took several lorazepam tablets to help her sleep. Her level of consciousness is slightly​ decreased, and her speech is​ slurred, but she is arousable to voice. Her pupils are three​ millimeters, and you observe rapid movement of her eyes. Her vital signs are P​ 80, R​ 12, BP​ 128/82, and SpO2 is​ 92% on room air. You​ should:

administer oxygen

A febrile​ 49-year-old male complains of generalized weakness. He has a history of​ HIV/AIDs. He tells you that he has had diarrhea for three days. His mucous membranes are pale and dry. His vital signs are P​ 102, R​ 14, BP​ 108/76, and SpO2 is​ 96% on room air. You​ should:

administer oxygen

A febrile​ 80-year-old male complains of generalized weakness and foot pain. His left foot is​ swollen, red, and pus is draining from the wound. He tells you he has MRSA in the wound. His vital signs are P​ 108, R​ 22, BP​ 88/62, and SpO2 is​ 94% on room air. You​ should:

administer oxygen

An unresponsive​ 18-year-old female is obviously in her third trimester of pregnancy. Bystanders called when they saw her collapse and begin to have a seizure. She is no longer​ seizing, but she is postictal. Her​ face, hands,​ ankles, and feet appear swollen. Her abdomen is relaxed and soft to palpation. Her vital signs are P​ 98, R​ 16, BP​ 168/104, and SpO2 is​ 93% on room air. You​ should:

administer oxygen

An unresponsive​ 28-year-old female has​ hot, clammy skin and a​ foul-smelling vaginal discharge. Her lungs are clear to​ auscultation, and you observe good chest rise. Her vital signs are P​ 110, R​ 24, BP​ 86/58, and SpO2 is​ 92% on room air. You​ should:

administer oxygen

A​ 38-year-old male complains of nausea and vomiting. He has a history of alcoholism. His abdomen is​ distended, and he has left upper quadrant tenderness on palpation. His vital signs are P​ 112, R​ 18, BP​ 116/88, and SpO2 is​ 95% on room air. You​ should:

administer oxygen

A​ 41-year-old female complains of shortness of breath and fatigue. She tells you she has a history of​ Hodgkin's lymphoma and asthma. Her lungs are clear to auscultation. Her vital signs are P​ 88, R​ 18, BP​ 132/82, and SpO2 is​ 93% on room air. You​ should:

administer oxygen

A​ 76-year-old male complains of vomiting and diarrhea. He tells you he has not been able to keep down food or water for two days. His conjunctivae are pale and dry. He has a history of hypertension. His vital signs are P​ 80, R​ 18, BP​ 108/92, and SpO2 is​ 92% on room air. You​ should:

administer oxygen

A​ 78-year-old male is having difficulty breathing. He has a history of dementia and COPD. His daughter tells you his breathing gets worse when he walks up the steps. He tells you that he is fine and​ doesn't want to go to the hospital. He is dyspneic and unable to identify his daughter. You​ should:

administer oxygen and transport him

The mother of a​ 5-year-old male tells you that he was vomiting earlier today and complained of moderate pain around his umbilicus. She tells you that just before she​ called, the pain​ worsened, and he now has severe pain. When you ask him where the pain is the​ worst, he points to the right lower abdominal quadrant. His vital signs are P​ 98, R​ 26, BP​ 96/64, and SpO2 is​ 98% on room air. You should​ suspect:

appendicitis

A confused​ 60-year-old female complains of generalized weakness after working outside on a​ hot, humid day. Her skin is hot and moist. After moving her to your​ air-conditioned ambulance, you should​ next:

apply cold packs to her groin

A​ 72-year-old male complains of pain in his back. His daughter tells you he has a history of​ dementia, and he is confused. You observe several half inches by four inches ecchymotic stripes across his back in various stages of healing. His daughter volunteers that the marks are shingles. You​ should:

ask him about the bruise while alone en route to the hospital

A​ 91-year-old female complains of generalized weakness. She tells you that she is depressed because her husband died last month and she keeps forgetting to take her diabetes medication. Her skin is warm and dry. Her vital signs are P​ 98, R​ 16, BP​ 112/78, and SpO2 is​ 97% on room air. You​ should:

assess blood glucose

A febrile​ 66-year-old female complains of chills and body aches. She tells you she removed a tick from her back yesterday. You observe a 3 cm circle of reddened skin that is normal in the center. You​ should:

assess vital signs

A​ 38-year-old female was found unresponsive in her car by her son. He tells you she overdosed on​ heroin, and he administered Narcan​® intranasally before starting CPR four minutes ago. Upon your​ arrival, she starts to move. She has a carotid pulse and gasping respirations once every 15 seconds. You should​ next:

assist her ventilation

An unresponsive​ 2-month-old female had a single seizure. Her father describes a single​ tonic-clonic type seizure that lasted two minutes. He tells you that she has not woken up since the seizure. As you begin to assess​ her, she begins to have another generalized seizure. You should​ first:

begin transport

Which of the following is the mode of transmission for hepatitis​ C?

blood

An unresponsive​ 67-year-old male is lying next to a bag of pesticide that spilled powder on his legs. You observe clonic seizure activity and copious nasal and oral secretions. After assuring you are wearing proper​ PPE, you should​ next:

brush the dry chemical off him

A​ 30-year-old female complains of epigastric pain that radiates to her right shoulder. She tells you she vomited the French fries she ate 30 minutes ago. Her lungs are clear to auscultation. Her pain increases when she takes a deep breath while you are palpating her abdomen. Her vital signs are P​ 92, R​ 16, BP​ 124/80, and SpO2 is​ 97% on room air. You should​ suspect:

cholecystitis

A​ 45-year-old female complains of palpitations. She tells you she feels nervous and tired. She has a history of a panic disorder. Her vital signs are P​ 100, R 24 and​ deep, BP​ 142/84, and SpO2 is​ 100% on room air. You​ should:

coach her to slow her breathing

A​ 95-year-old male has chronic renal failure. He receives hemodialysis three times a week. He has missed two dialysis appointments this week. Which of the following conditions should you expect his symptoms to​ mimic?

congestive heart failure

A​ 62-year-old female spilled an industrial cleaning liquid on her forearm while at work. She complains of severe​ itching, and you observe redness on her entire forearm. Coworkers removed her contaminated clothing and flushed the area with large amounts of water for 20 minutes. Prior to​ transport, you should request​ a:

copy of the safety data sheet for the liquid

A​ 55-year-old female who was bitten by a snake five hours ago complains of a sudden onset of generalized weakness. She tells you the snake was not​ poisonous, and it had bands of color on its body. Her vision is​ blurry, and her pupils are four millimeters and reactive. Her vital signs are P​ 116, R​ 24, BP​ 92/64, and SpO2 is​ 92% on room air. What type of snake should you suspect bit​ her?

coral snake

How does the renal system help the body compensate for​ shock?

decreasing the amount of fluid excreted from the blook

A​ 21-year-old female has a sudden onset of left lower abdominal quadrant pain and vaginal bleeding. She denies the possibility that she could be pregnant. She tells you the pain started after she had a spicy meal. Her vital signs are P​ 116, R​ 18, BP​ 94/70, and SpO2 is​ 93% on room air. You should​ suspect:

ectopic pregnancy

Why are the signs and symptoms of ectopic pregnancy potentially​ life-threatening?

embryo ruptures the fallopian tube and causes uncontrolled internal breathing

A​ 57-year-old male complained of fatigue and shortness of breath after climbing a flight of stairs. He tells you that he feels better now and that he has a history of anemia. His conjunctivae are very pale. His lungs are clear to auscultation. His vital signs are P​ 90, R​ 22, BP​ 146/84, and SpO2 is​ 95% on room air. He tells you he does not want to go to the hospital. You​ should:

encourage him to go to the hospital and administer oxygen

Law enforcement officers requested your assistance with a​ 24-year-old male who is acting aggressively. He has removed his​ clothing, is​ shouting, and throwing heavy furniture around in his apartment. Law enforcement tells you he has a history of diabetes and cocaine use. You should​ suspect:

excited delirium

A​ 58-year-old female was sexually assaulted. Her only complaint is minor vaginal bleeding and lower pelvic pain. She reluctantly agrees to go to the hospital with you but wants to use the bathroom first. Her vital signs are P​ 84, R​ 16, BP​ 132/86, and SpO2 is​ 98% on room air. You​ should:

explain why she should wait to use the bathroom until she gets to the hospital

An​ 83-year-old male has uncontrolled epistaxis. He tells you that after blowing his nose it started and it will not stop. He has a history of atrial fibrillation. His vital signs are P​ 92, R​ 16, BP​ 142/82, and SpO2 is​ 94% on room air. You​ should:

have him lean his head forward and pinch nostril together

A healthy​ 32-year-old female just delivered a​ full-term neonate. She tells you she had no problems with the pregnancy and received prenatal care. After delivery of the​ placenta, she continues to have significant bleeding. You feel a​ grapefruit-sized mass in her lower abdomen that is painful when palpated. You should suspect the mass​ is:

her uterus

An unresponsive​ 23-year-old male is lying in bed. His mother tells you that he has been getting sicker all week and not taking his medication. He has a history of type 2 diabetes. His skin is warm and dry. His vital signs are P​ 98, R 24 and​ deep, BP​ 112/84, and SpO2 is​ 98% on room air. You should​ suspect:

hyperglycemia

A​ 3-year-old male is lethargic and does not respond appropriately. His mother tells you he has constantly been tired and drinking more fluid than normal for several weeks. His conjunctivae appear dry. His vital signs are P​ 130, R​ 40, BP 58​ systolic, and SpO2 is​ 98% on room air. You should​ suspect:

hyperglycemia

An unresponsive​ 10-year-old female passed out at the playground. Bystanders tell you she was acting confused before she collapsed. Her skin is pale and moist. She localizes to painful stimuli. Her vital signs are P​ 100, R​ 26, BP​ 114/72, and SpO2 is​ 98% on room air. You should​ suspect:

hypoglycemia

A drowsy​ 36-year-old female took 20 amitriptyline 150 mg tablets 15 minutes ago. When you ask why she took the​ tablets, she​ states, "My husband is cheating on​ me, and I want to​ die." She tells you she feels better now and just wants to take a nap. You​ should:

immediately transport her

An unresponsive​ 7-month-old male is found next to a bottle of his​ grandmother's oxycontin. There are several tablets on the floor next to him. His skin is​ cyanotic, and you observe occasional gasping respirations. You should​ suspect:

ingestion of an opioid

A pregnant​ 25-year-old female tells you that she feels the baby delivering. When you examine​ her, you see a loop of the umbilical cord. You should administer oxygen and transport​ after:

insert fingers into vagina and push neonate off the cord

You are assessing a newborn female one minute after she was born. Her body is​ pink, and her extremities are blue. She has a strong cry. She has some movement of her extremities and withdraws her foot when you tap it. Her vital signs are P 168 and R 56. You should suspect​ she:

is healthy

A​ 40-year-old female is 38 weeks pregnant with her fourth pregnancy. She complains of severe abdominal pain and has dark red vaginal bleeding. Her skin is pale and diaphoretic. Her vital signs are P​ 112, R​ 18, BP​ 88/58, and SpO2 is​ 93% on room air. After you administer​ oxygen, you should​ next:

keep her warm

A​ 36-year-old female is 39 weeks pregnant with her second pregnancy. She tells you that she started to have contractions and bleeding 15 minutes ago. You observe a large pool of dark red blood on the floor. Her skin is pale and diaphoretic. Your priority while transporting her should be​ to:

keep her warm and administer oxygen

A​ 67-year-old female complains of swelling in her legs and abdomen. She admits to a history of alcohol abuse. You observe that her sclerae are jaundiced. Which organ should you suspect is not functioning​ properly?

liver

An unresponsive​ 18-year-old male had a seizure. His girlfriend tells you he has had a fever and a headache for two​ days, but no other medical problems. He has been staying in his room with the blinds closed because the light makes his headache worse. You should​ suspect:

meningitis

A​ 32-year-old female complains of a throbbing​ right-sided headache. She tells you the lights are bothering her eyes and she feels nauseated. Her face is​ symmetrical, and both arms move equally. Her speech is​ clear, and she uses appropriate words. You should suspect​ a:

migraine

A​ 10-month-old male is crying after he was stung by a bee. The skin around the site is​ reddened, and there is localized swelling. His lungs are clear to​ auscultation, and he is interacting with you appropriately. His vital signs are P​ 120, R​ 28, BP​ 90/58, and SpO2 is​ 98% on room air. You​ should:

monitor him and transport

A​ 24-year-old male has a single episode of​ tonic/clonic seizure activity. He is awake when you arrive and is unaware of what happened. He tells you he ran out of his seizure medication. His vital signs are P​ 72, R​ 16, BP​ 138/68, and SpO2 is​ 95% on room air. You​ should:

monitor vitals and transport

An​ 86-year-old female complains of difficulty breathing. She has a history of tuberculosis. After donning an​ N-95 respirator, you auscultate rhonchi in her left lower lung. Her vital signs are P​ 86, R​ 16, BP​ 142/84, and SpO2 is​ 96% on room air. You should administer oxygen​ by:

nasal cannula and place mask over nose and mouth

A​ 1-month-old male has bilateral circumferential superficial burns from his​ mid-calf to his toes. He is crying and inconsolable. His mother tells you she placed him in the tub and then accidentally filled the tub with hot water. You should​ suspect:

non-accidental trauma

A​ 37-year-old female is 36 weeks pregnant. She tells you that she has a severe headache and blurred vision. She describes decreased fetal activity today. Her vital signs are P​ 86, R​ 14, BP​ 138/90, and SpO2 is​ 96% on room air. You should transport​ her:

on her left side

The wife of an unresponsive​ 74-year-old male was unable to wake him this morning. She tells you his only complaint when he went to bed last night was increased chronic pain. He takes medication for hypertension and chronic pain. You observe​ myosis, and his skin is cyanotic. His vital signs are P​ 68, R 8 and​ shallow, BP​ 136/86, and SpO2 is​ 90% on room air. You should suspect​ a(n):

opioid overdose

An​ 85-year-old female complains of chest pain. She has a history of renal failure. She receives hemodialysis and has an​ arterial-venous fistula in her left lower arm. When assessing her blood​ pressure, you​ should:

place the cuff on her right bicep

An unresponsive​ 58-year-old female had a single seizure prior to your arrival. Bystanders tell you that she​ hasn't woken up since she stopped shaking. While you are performing your​ assessment, she has a brief tonic period followed by generalized clonic activity. You should​ next:

protect her head and transport

A​ 34-year-old female has severe anxiety and tells you she is having a panic attack. She tells you she has been depressed since her son was born two months ago. Her vital signs are P​ 88, R​ 18, BP​ 132/84, and SpO2 is​ 99% on room air. You​ should:

reassure her and transport

A​ 26-year-old male was acting bizarre and violent toward you and your partner. While law enforcement officers assisted you in restraining​ him, you note he is unexpectedly strong. His skin is hot and diaphoretic. During​ transport, he suddenly calms down and stops thrashing against his restraints. You should​ immediately:

reevaluate his ABC's

A​ 25-year-old female tells you her water broke. When you examine​ her, you observe a greenish liquid and the​ neonate's head crowning. Immediately after the​ delivery, the male neonate is​ crying, has cyanotic hands and​ feet, and is moving all extremities. You​ should:

suction his mouth

An​ 84-year-old male tells you that he is hearing and seeing demons. He has a history of schizophrenia. He denies any other complaints. His vital signs are P​ 64, R​ 12, BP​ 122/74, and SpO2 is​ 98% on room air. You​ should:

tell him that you cannot see or hear them

Why should you administer a DuoDote​® autoinjector to your partner after he was exposed to sarin​ gas?

the medications help to counteract the effects on his nervous system

A​ 36-year-old female complains of palpitations. She tells you that she has a hyperactive thyroid gland. Her skin is warm and moist. Her vital signs are P 108 and​ irregular, R​ 18, BP​ 126/80, and SpO2 is​ 97% on room air. You​ should:

transport her

A febrile​ 32-year-old female complains of​ right-sided pelvic pain. She tells you she feels bloated and has heaviness in her abdomen. Her vital signs are P​ 78, R​ 18, BP​ 122/ 68, and SpO2 is​ 96% on room air. You​ should:

transport her in a position of comfort

A​ 19-year-old female who is in her third trimester complains of blurred vision and a headache. She tells you the baby is​ moving, and she denies contractions. Her vital signs are P​ 84, R​ 16, BP​ 152/94, and SpO2 is​ 97% on room air. You​ should:

transport her on her left side

A confused​ 30-year-old male has flushed dry skin and fever. His girlfriend tells you he took 500 mg of diphenhydramine to help him sleep. His pupils are dilated and​ non-reactive. His vital signs are P​ 118, R​ 20, BP​ 182/78, and SpO2 is​ 95% on room air. His blood glucose level is 73​ mg/dL. You​ should:

transport him

A​ 29-year-old male complains of severe​ left-sided flank pain. He tells you that the pain so severe that he cannot sit still to drive his car. His vital signs are P​ 94, R​ 16, BP​ 132/68, and SpO2 is​ 97% on room air. You​ should:

transport him

A​ 59-year-old male has superficial lacerations across both wrists. He tells you he cut himself seeking attention and​ doesn't want to go to the hospital. He has minor bleeding from the wounds. You should apply sterile dressings to the wounds​ and:

transport him to the hospital

A febrile​ 24-year-old female complains of severe abdominal pain. She tells you the pain began around her navel and then moved to her right lower abdomen. Her vital signs are P​ 78, R​ 14, BP​ 122/76, and SpO2 is​ 96% on room air. You​ should

transport in position of comfort

You are called to a school for a​ 9-year-old male who was acting strangely. His teacher tells you that during​ class, he had several episodes of sitting at his desk staring into space and briefly not responding. He answers your questions correctly and tells you he does not remember the episodes. What type of seizure should you​ suspect?

absence

Which of the following is least dependent on insulin to move glucose into the​ cells?

brain

A​ 67-year-old female complains of crampy abdominal pain. She tells you she has diarrhea and mucus in her stool. Her vital signs are P​ 94, R​ 16, BP​ 136/84, and SpO2 is​ 96% on room air. You​ should:

transport in position of comfort

A​ 21-year-old female complains of severe nausea and vomiting. She tells you she is six weeks​ pregnant, and she has been vomiting four times a day. Her conjunctivae are pale and dry. Her vital signs are P​ 110, R​ 18, BP​ 104/86, and SpO2 is​ 93% on room air. Her blood glucose level is 72​ mg/dL. You should administer oxygen​ and:

treat for shock

A​ 26-year-old male complains of difficulty breathing. He tells you he is​ homeless, and he​ doesn't have his medications with him. You auscultate slight wheezes in his lower lungs. His vital signs are P​ 92, R​ 18, BP​ 144/88, and SpO2 is​ 94% on room air. You​ should:

administer oxygen

A​ 44-year-old male complains of groin pain. He tells you he has had an erection for over an hour. He has a history of sickle cell anemia. His sclerae and conjunctivae appear pale and yellow. His vital signs are P​ 98, R​ 20, BP​ 138/82, and SpO2 is​ 95% on room air. You​ should:

administer oxygen

A​ 38-year-old female complains of sneezing and mild trouble breathing after inhaling an unknown substance. You auscultate wheezes in all fields. Her vital signs are P​ 88, R​ 20, BP​ 138/68, and SpO2 is​ 92% on room air. What type of reaction should you​ suspect?

allergic

A​ 66-year-old female complains of burning pain on the right side of her back. She tells you the pain began two days​ ago, and she can no longer tolerate it. You observe a red rash along the eighth intercostal space on the right side of her back. You should​ next:

assess her vital signs

A​ 91-year-old female complains of difficulty breathing. You auscultate fine crackles in her lower lungs. While assessing her lower​ legs, you observe large areas of​ dry, crusted scabs on her skin. You should administer oxygen​ and:

assess her vital signs

A​ 3-month-old male is crying and inconsolable. His mother tells you he has not been feeding and has had diarrhea all day. His fontanel is​ depressed, and you do not observe any tears. His vital signs are P​ 170, R​ 40, and his capillary refill is three seconds. You should​ suspect:

dehydration

A​ 95-year-old female fell in the bathroom and injured her hip. She has terminal lung cancer and is enrolled in hospice. Her leg is shortened and internally rotated. She tells you she​ doesn't want to go to the​ hospital, and only wants assistance back into her bed. You​ should:

encourage her to go to the hospital

A​ 16-year-old female complains of pelvic pain and vaginal bleeding. She tells you that she was raped. She is holding a sanitary pad against her external​ genitalia, and you observe bright red blood running down her leg. You​ should:

examine her external genitalia

A​ 70-year-old male complains of abdominal pain and vomited​ dark, brown material. He tells you that he has been under a lot of stress since his wife became ill. His vital signs are P​ 96, R​ 16, BP​ 152/94, and SpO2 is​ 96% on room air. You should suspect​ a(n):

gastric ulcer caused by stress

A confused​ 54-year-old female did not eat lunch but took her insulin. She has a history of diabetes and chronic back pain. She localizes to stimuli with both hands equally. Her vital signs are P​ 82, R​ 14, BP​ 170/110, and SpO2 is​ 97% on room air. You should​ suspect:

hypoglycemia

When placing a morbidly obese patient on the​ stretcher, why​ shouldn't you place​ him/her supine or in full​ Fowler's position?

movement of the diaphragm is restricted

A​ 68-year-old female complains of pelvic pain and a bloody vaginal discharge. She tells you that she is​ post-menopausal. She denies any other complaints. Her vital signs are P​ 88, R​ 14, BP​ 132/74, and SpO2 is​ 97% on room air. You​ should:

transport her in a position of comfort

A​ 21-year-old male complains of abdominal pain. His abdomen is soft to​ palpation, and the pain is the greatest in his left upper abdominal quadrant. He tells you his stool has been maroon in color for the past two days. His vital signs are P​ 104, R​ 16, BP​ 110/88, and SpO2 is​ 94% on room air. You should​ suspect:

upper GI bleed