Ch. 11 & 12 Quiz. Emergency Care in The Streets, 9th edition (Not MC)

To the patient, your entire assessment should?

Appear to be a seamless process

Which of the following phases is an example of using the communication technique of facilitation?

"is there anything else you can think of?"

Upon assessing a patient, you notice that they open their eyes spontaneously and follow commands. When speaking with the patient, you note that they are disoriented. What GCS score should you assign?

14

When treating a patient with life threatening external bleeding, it is critical that the tourniquet be applied in how many seconds ?

30 Seconds

Drug interactions are most likely to occur in patients who take how many drugs or more?

5

An adult patient breathing at 12 breaths/min and 500mL/breath would have a minute volume of:

6,000 mL

In general, for adults, a resting pulse rate of less than which value would be considered bradycardia?

60 beats/min

When a patient is a high priority and there is no time for a complete secondary assessment on scene, what should you preform before transport?

A rapid full-body scan

Which of the following conditions or situations is an example of a critical life threat that needs immediate care?

Acute presentation of a chronic condition

On most runs, the two most important pieces of patient history information that you need to obtain initially are the:

Patient's name and chief complaint

The process on concept formation starts:

When you arrive on scene

Which of the following patients would be considered a priority patient requiring immediate transport?

a 36-year old patient with difficulty breathing and hypoxia

Which of the following conditions would likely cause mottled skin?

a decreased perfusion

the apparent absence of a palpable pulse in a responsive patient most likely indicates:

a low cardiac output

One of the most important observations you need to judge is the patient's :

affect

Sonorous respirations are likely caused by:

an anatomic airway obstruction

The paramedic should address a patient :

as the patient wishes to be addressed.

When caring for a critically ill patient, three or more sets of vitals signs will allow you to:

assess trends and reassess whether the patients condition is stabilizing, getting better, or worse.

Objective patient information :

is based on fact or observation

Which of the following is true of the working diagnosis ?

it is based on your field impression

Which of the following hazards are you likely to encounter at the scene of a motor vehicle crash ?

moving traffic

For every patient, including those being transported on routine transfers, you must:

obtain a baseline set of vital signs

The main disadvantage of patient care algorithms is that they:

only address classic patient presentations

After determining the patients primary problem by identifying the chief complaint and establishing you working diagnosis, your treatment plan is defined and guided by:

patient care protocols or standing orders.

What should you do after reading the patient when utilizing the "six R's of clinical decision making"?

react

When examining the anterior abdomen of a patient who complains of abdominal pain...

routinely palpate the least painful areas first.

When reading the scene, the paramedic must remember that:

scene information becomes unavailable once transport is initiated

A patient with dysarthria has?

slurred speech

After you have evaluated the information you obtained from the scene, patient, or bystander and have determined which information is valid or invalid. You should next:

synthesize the information

What can the paramedic do to facilitate better thinking under pressure?

take a moment to stop and think

More often than not, the paramedic will form a general impression of a patient based on:

the initial presentation and chief complaint

The care plan that you implement based on your working field diagnosis of a patient is almost always defined by:

your EMS system's patient care protocols or standing orders

What is one of the most challenging aspects of the reflection stage?

Learning to accept that something went wrong

Patient care protocols do not address patients with:

Multiple disease etiologies

During a 20-minute transport of a critical patient, you should make a concerted effort to reassess the patient ___ times.

four

In EMS, the process of concept formation involves:

gathering information about your patient

When you introduce yourself to a patient and ask why 911 was called, the patient looks at you, shakes your hand, and answers your question appropriately. From these findings, you can gather that the patient :

has a GCS score of 15

Why is it challenging to assess the severity of a sick infant or child?

Calls for infants and children are less frequent, and therefore paramedics have less experience assessing infants and children.

When treating a patient with chest pain, you administer fentanyl. Shortly after, you ask him if his pain has improved. This is an example of:

data interpretation

After gathering information from the patient, scene, and any bystanders, you must

determine which information is valid and which may be invalid