chapter 10 - 24 review questions

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A 62-year-old man with a history of congestive heart failure presents with severe respiratory distress and with an oxygen saturation of 82%. When you auscultate his lungs, you hear widespread rales. He is conscious and alert, is able to follow simple commands, and can only speak in two- to three-word sentences at a time. You should: Select one: A.apply a CPAP device, monitor his blood pressure, and observe him for signs of improvement or deterioration. B.place him in a supine position and assist his ventilations with a bag-valve mask and high-flow oxygen. C.force fluid from his alveoli by hyperventilating him with a bag-valve mask at a rate of at least 20 breaths/min. D.place him in a position of comfort, deliver oxygen via nasal cannula, and closely monitor his breathing

a

A decrease in blood pressure may indicate: Select one: A.loss of vascular tone. B.increased blood volume. C.forceful cardiac contraction. D.arterial constriction.

a

After sizing up the scene of a patient with a possible infectious disease, your next priority should be to: Select one: A.take standard precautions. B.contact medical control. C.quickly access the patient. D.notify law enforcement.

a

All of the following conditions should make you suspect shock, EXCEPT: Select one: A.ischemic stroke. B.anaphylaxis. C.severe infection. D.spinal injury.

a

An oxygen cylinder should be taken out of service and refilled when the pressure inside it is less than: Select one: A.500 psi. B.1,500 psi. C.200 psi. D.1,000 psi.

a

Cardiogenic shock may result from all of the following, EXCEPT: Select one: A.increased preload. B.increased afterload. C.heart attack. D.poor contractility.

a

Chronic renal failure is a condition that: Select one: A.is often caused by hypertension or diabetes. B.occurs from conditions such as dehydration. C.can be reversed with prompt treatment. D.causes dehydration from excessive urination.

a

Common signs and symptoms of AMI include all of the following, EXCEPT: Select one: A.pain exacerbated by breathing. B.sudden unexplained sweating. C.shortness of breath or dyspnea. D.irregular heartbeat.

a

How does positive-pressure ventilation affect cardiac output? Select one: A.It increases intrathoracic pressure, which decreases venous return to the heart and causes a decrease in cardiac output. B.There is no effect on cardiac output because positive-pressure ventilation is the act of normal breathing. C.It decreases intrathoracic pressure, which facilitates venous return to the heart and increases cardiac output. D.It causes pressure in the chest to decrease, which increases stroke volume and cardiac output.

a

In an acute injury setting, neurogenic shock is commonly accompanied by: Select one: A.hypothermia. B.tachycardia. C.hypovolemia. D.diaphoresis.

a

Law enforcement has summoned you to a nightclub, where a 22-year-old female was found unconscious in an adjacent alley. Your primary assessment reveals that her respirations are rapid and shallow and her pulse is rapid and weak. She is wearing a medical alert bracelet that identifies her as an epileptic. There is an empty bottle of vodka next to the patient. You should: Select one: A.assist ventilations, perform a rapid exam, and prepare for immediate transport. B.apply oxygen via a nonrebreathing mask, place her on her left side, and transport. C.place a bite block in her mouth in case she has a seizure and transport at once. D.apply oxygen via nonrebreathing mask and transport her for a blood-alcohol test.

a

Rapid, labored breathing in a patient with signs and symptoms of AMI should make you suspicious for: Select one: A.congestive heart failure. B.right ventricular failure. C.significant hypotension. D.a cardiac arrhythmia.

a

Sudden death following AMI is MOST often caused by: Select one: A.ventricular fibrillation. B.cardiogenic shock. C.severe bradycardia. D.congestive heart failure.

a

The diaphragm is innervated by the _________ nerve, which allows it to contract. Select one: A.phrenic B.hypoglossal C.vagus D.vestibulocochlear

a

The main legal risk in using the AED is: Select one: A.failing to deliver a shock when one is needed. B.failure of the AED's internal computer chip. C.not assessing for a pulse after a shock is delivered. D.negligence on the part of the manufacturer.

a

What is the minimum number of chest compressions that should be delivered per minute to a 4-month-old infant? Select one: A.100 B.110 C.90 D.120

a

When assessing a patient with a medical complaint, which of the following would MOST likely reveal the cause of the problem? Select one: A.Medical history B.Index of suspicion C.Baseline vital signs D.Primary assessment

a

When assessing the skin of an unresponsive patient, you note that it has a bluish tint to it. This finding is called: Select one: A.cyanosis. B.mottling. C.pallor. D.flushing.

a

When you assess capillary refill time in an infant, normal color to the tested area should return within: Select one: A.2 seconds. B.3 seconds. C.4 seconds. D.1 second.

a

Which of the following assessment findings is MOST indicative of a cardiovascular problem? Select one: A.Jugular venous distention B.Palpable pain to the epigastrium C.Use of the accessory muscles D.Unequal breath sounds

a

Which of the following cardiac dysrhythmias has the greatest chance of deteriorating into a pulseless rhythm? Select one: A.Ventricular tachycardia B.Extra ventricular beats C.Sinus tachycardia D.Sinus bradycardia

a

Which of the following conditions often requires transport to a hospital with specialized capabilities that may not be available at the closest hospital? Select one: A.Stroke and heart attack B.Diabetes and migraines C.Cardiac arrest and shock D.Seizures and infection

a

Which of the following statements regarding the blood pressure is correct? Select one: A.Blood pressure is usually not measured in children younger than 3 years of age. B.Blood pressure is the most reliable indicator of perfusion. C.The systolic pressure represents ventricular relaxation. D.Blood pressure falls early in patients with hypoperfusion.

a

While en route to the scene of a shooting, the dispatcher advises you that the perpetrator has fled the scene. You should: Select one: A.confirm this information with law enforcement personnel at the scene. B.proceed to the scene as usual but exercise extreme caution upon arrival. C.ask the dispatcher if he or she knows the location of the perpetrator. D.request law enforcement personnel if the scene is unsafe upon arrival.

a

You are treating a middle-aged man with chest discomfort. He has a history of three previous heart attacks and takes nitroglycerin as needed for chest pain. You have standing orders to administer aspirin to patients with suspected cardiac-related chest pain or discomfort. While your partner is preparing to give oxygen to the patient, you should: Select one: A.confirm that the patient is not allergic to aspirin, give him the appropriate dose of aspirin, and document the time and dose given. B.contact medical control, apprise him or her of the patient's chief complaint and vital signs, and request permission to give him aspirin. C.assist the patient in taking one of his prescribed nitroglycerins, assess his vital signs, and give him aspirin if he is still experiencing chest discomfort. D.ensure that the patient's systolic blood pressure is at least 100 mm Hg because aspirin dilates the blood vessels and can cause a drop in blood pressure.

a

You respond to the residence of a 70-year-old male who complains of weakness and severe shortness of breath. His wife tells you that he is a dialysis patient, but has missed his last two treatments. After applying oxygen, you auscultate his lungs and hear diffuse rhonchi. The patient is conscious, but appears confused. His blood pressure is 98/54 mm Hg, his pulse rate is 120 beats/min and irregular, and his respirations are 24 breaths/min and labored. You should: Select one: A.leave him in a sitting position, keep him warm, and prepare for immediate transport. B.perform a detailed secondary assessment and then transport him to a dialysis center. C.place him in a supine position, elevate his lower extremities, and transport at once. D.treat for shock and request a paramedic unit to respond to the scene and assist you.

a

n addition to looking for severe bleeding, assessment of circulation in the conscious patient should involve: Select one: A.checking the radial pulse and noting the color, temperature, and condition of the skin. B.taking a blood pressure and determining if the patient is alert and oriented or confused. C.applying a pulse oximeter probe to the finger to determine if peripheral perfusion is adequate. D.palpating the carotid pulse to determine the approximate rate and checking capillary refill time.

a

A 74-year-old woman complains of heaviness in her chest, nausea, and sweating that suddenly began about an hour ago. She is conscious and alert, but anxious. Her blood pressure is 144/84 mm Hg and her heart rate is 110 beats/min. She took two of her prescribed nitroglycerin (0.4-mg tablets) before your arrival but still feels heaviness in her chest. You should:

b

A young female is unconscious after intentionally ingesting a large amount of aspirin. You will MOST likely find her respirations: Select one: A.slow and deep. B.deep and rapid. C.rapid and shallow. D.slow and shallow.

b

Gas exchange in the lungs is facilitated by: Select one: A.surfactant-destroying organisms. B.adequate amounts of surfactant. C.water or blood within the alveoli. D.pulmonary capillary constriction.

b

Hepatitis B is more virulent than hepatitis C, which means that it: Select one: A.is less resistant to treatment. B.has a greater ability to produce disease. C.is a more contagious type of disease. D.leads to chronic infection after exposure.

b

Hypovolemic shock caused by severe burns is the result of a loss of: Select one: A.platelets. B.plasma. C.red blood cells. D.whole blood.

b

In which of the following situations is a pertinent negative identified? Select one: A.A 53-year-old man with dizziness also tells you that he has vomited three times. B.A 59-year-old man complains of crushing chest pain but denies shortness of breath. C.A 56-year-old woman states that her chest hurts when she takes a deep breath. D.A 50-year-old woman states that nothing makes her chest pain better or worse.

b

Inhalation occurs when the: Select one: A.diaphragm and intercostal muscles ascend and cause an increase in intrathoracic pressure. B.diaphragm and intercostal muscles contract and cause a decrease in intrathoracic pressure. C.diaphragm and intercostal muscles relax and cause an increase in intrathoracic pressure. D.diaphragm ascends and the intercostal muscles contract, causing a decrease in intrathoracic pressure.

b

Major risk factors for AMI include all of the following, EXCEPT: Select one: A.hypertension. B.hypoglycemia. C.diabetes mellitus. D.elevated cholesterol.

b

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

b

Peritonitis may result in shock because: Select one: A.abdominal distention impairs cardiac contractions. B.fluid shifts from the bloodstream into body tissues. C.intra-abdominal hemorrhage is typically present. D.severe pain causes systemic dilation of the vasculature.

b

The AED is MOST advantageous to the EMT because: Select one: A.it delivers an unlimited number of shocks with the same amount of energy. B.it delivers prompt defibrillation to patients with ventricular fibrillation. C.its use does not require the presence of advanced life support personnel. D.it is lightweight, easy to use, and safe for the EMT who is using it.

b

The kidneys help to regulate blood pressure by: Select one: A.eliminating toxic waste products from the body. B.removing sodium and water from the body. C.accommodating a large amount of blood volume. D.retaining key electrolytes, such as potassium.

b

What is the correct ratio of compressions to ventilations when performing two-rescuer child CPR? Select one: A.5:1 B.15:2 C.3:1 D.30:2

b

What medication form does oral glucose come in? Select one: A.Suspension B.Gel C.Fine powder D.Liquid

b

When assessing for fluid collection in the lungs during auscultation of lung sounds, you should: Select one: A.auscultate the posterior chest first and compare the apex of one lung to the base of the opposite lung. B.start at the lower lung fields and determine at which level you start hearing clear breath sounds. C.note the presence of a high-pitched whistling sound, which is an indicator of fluid in the lungs. D.pay special attention to the exhalation phase because this is when you will likely hear rales or rhonchi.

b

When forming your general impression of a patient with a medical complaint, it is important to remember that: Select one: A.most serious medical conditions do not present with obvious symptoms. B.the conditions of many medical patients may not appear serious at first. C.it is during the general impression that assessment of the ABCs occurs. D.the majority of medical patients you encounter are also injured.

b

When gathering a patient's medications, you find the following: Isordil, Lasix, Nexium, and digoxin. Which of these medications can be obtained over-the-counter (OTC)? Select one: A.Digoxin B.Nexium C.Lasix D.Isordil

b

When performing CPR on a child, you should compress the chest: Select one: A.80 to 100 times per minute. B.with one or two hands. C.until a radial pulse is felt. D.to a depth of 1 to 2 inches.

b

When preparing to obtain a 12-lead ECG, the LL and RL electrodes should be placed: Select one: A.on the lower abdomen. B.on the thighs or ankles. C.anywhere on the arms. D.on either side of the chest.

b

When testing a mechanical suctioning unit, you should turn on the device, clamp the tubing, and ensure that it generates a vacuum pressure of more than: Select one: A.200 mm Hg. B.300 mm Hg. C.400 mm Hg. D.100 mm Hg.

b

Which of the following statements regarding hepatitis A is correct? Select one: A.Infection with hepatitis A causes chronic illness with a high mortality rate. B.Hepatitis A can only be transmitted by a patient who has an acute infection. C.Although there is no vaccine against hepatitis A, treatment is usually successful. D.Hepatitis A is primarily transmitted via contact with blood or other body fluids

b

Which of the following statements regarding the AED and defibrillation is correct? Select one: A.CPR should be performed for 5 minutes before using the AED. B.The AED will analyze the rhythm of a moving patient. C.The AED will shock any rhythm not accompanied by a pulse. D.Defibrillation is the first link in the AHA chain of survival.

b

Which of the following would MOST likely result in hemorrhagic shock? Select one: A.Severe vomiting B.Liver laceration C.Excessive sweating D.Repeated diarrhea

b

You are assessing a patient with respiratory distress and are unsure if the cause is congestive heart failure or chronic obstructive pulmonary disease (COPD). Which of the following clinical signs would be the MOST helpful in determining whether the patient has chronic heart failure or COPD? Select one: A.Rapid breathing B.Jugular vein distention C.Cyanosis of the skin D.Altered mental status

b

you are assessing a 49-year-old man who, according to his wife, experienced a sudden, severe headache and then passed out. He is unresponsive and has slow, irregular breathing. His blood pressure is 190/94 mm Hg, and his pulse rate is 50 beats/min. His wife tells you that he has hypertension and diabetes. He has MOST likely experienced: Select one: A.an occluded cerebral artery. B.a ruptured cerebral artery. C.acute hypoglycemia. D.a complex partial seizure.

b

A 58-year-old man complains of chest discomfort and nausea. He is conscious and alert; his blood pressure is 140/90 mm Hg, his pulse is 104 beats/min, and his respirations are 16 breaths/min. Your partner has applied supplemental oxygen. Prior to assisting the patient with one of his prescribed nitroglycerin tablets, you ask him if he takes medication to treat erectile dysfunction (ED), and he tells you that he does. You should: Select one: A.avoid giving him nitroglycerin and transport him at once. B.recall that erectile ED drugs can cause significant hypertension. C.ask him what he takes, how much, and when he last took it. D.administer his nitroglycerin and then reassess his blood pressure.

c

A patient with spontaneous respirations is breathing: Select one: A.at a normal rate. B.with shallow depth. C.without assistance. D.without difficulty.

c

Acute pulmonary edema would MOST likely develop as the result of: Select one: A.an upper airway infection. B.severe hyperventilation. C.toxic chemical inhalation. D.right-sided heart failure.

c

Advil, Nuprin, and Motrin are trade (brand) names for the generic medication: Select one: A.aspirin. B.nitrostat. C.ibuprofen. D.acetaminophen.

c

Asthma is caused by a response of the: Select one: A.cardiovascular system. B.endocrine system. C.immune system. D.respiratory system.

c

Capnography is used to: Select one: A.assess how much oxygen is bound to the hemoglobin. B.assess how much oxygen is reaching the body's tissues. C.determine how much carbon dioxide is being exhaled. D.trend a patient's blood pressure and assess for shock.

c

During your treatment of a woman in cardiac arrest, you apply the AED, analyze her cardiac rhythm, and receive a "no shock advised" message. This indicates that: Select one: A.she has a pulse and does not need CPR. B.the AED detected patient motion. C.she is not in ventricular fibrillation. D.the AED has detected asystole.

c

High-flow oxygen with a nasal cannula during the preoxygenation phase of endotracheal intubation is called: Select one: A.passive ventilation. B.active ventilation. C.apneic oxygenation. D.denitrogenation.

c

How is nitroglycerin usually given by the EMT? Select one: A.Orally B.Injected C.Sublingually D.Inhaled

c

In contrast to an automatic implantable cardiac defibrillator (AICD), an external defibrillator vest: Select one: A.does not require the EMT to stand clear when it shocks. B.does not warn when a shock is about to be delivered. C.delivers high-energy shocks, similar to an AED. D.will only deliver a shock if ventricular fibrillation occurs.

c

In contrast to inhalation, exhalation: Select one: A.requires muscular effort to effectively expel air from the lungs. B.is an active process caused by decreased intrathoracic pressure. C.is a passive process caused by increased intrathoracic pressure. D.occurs when the diaphragm lowers and expels air from the lungs.

c

In contrast to the sympathetic nervous system, the parasympathetic nervous system: Select one: A.dilates the blood vessels in the muscles. B.prepares the body to handle stress. C.slows the heart and respiratory rates. D.causes an increase in the heart rate.

c

Palliating factors regarding a patient's pain involve those that: Select one: A.worsen the pain. B.change the pain. C.alleviate the pain. D.initiate the pain.

c

The primary waste product of aerobic metabolism is: Select one: A.pyruvic acid. B.adenosine triphosphate. C.carbon dioxide. D.lactic acid.

c

The principal clinical difference between a stroke and hypoglycemia is that patients with hypoglycemia: Select one: A.always take oral medications to maintain normal blood glucose levels. B.do not present with slurred speech or weakness to one side of the body. C.usually have an altered mental status or decreased level of consciousness. D.are typically alert and attempt to communicate with health care providers.

c

Ventricular tachycardia causes hypotension because: Select one: A.the right ventricle does not adequately pump blood. B.the volume of blood returning to the atria increases. C.the left ventricle does not adequately fill with blood. D.blood backs up into the lungs and causes congestion.

c

Which of the following MOST accurately describes a focal-onset aware seizure? Select one: A.A seizure that is not preceded by an aura B.A generalized seizure without incontinence C.A seizure that begins in one extremity D.A seizure that causes the patient to stare blankly

c

Which of the following MOST accurately describes paradoxical movement of the chest wall? Select one: A.A marked decrease in chest wall movement due to abdominal breathing B.Only one section of the chest rises on inspiration, while another area falls C.One side of the chest wall moves opposite the direction of the other D.Multiple rib fractures that cause a marked deformity of the chest wall

c

Which of the following is an example of a rules-based medication error? Select one: A.The EMT administers the correct drug, but gives it by the wrong route. B.The EMT administers a drug that is contraindicated for the patient. C.The EMT administers a drug that is not approved by the medical director. D.The EMT accidentally gives a higher drug dose than what is indicated.

c

Which of the following is characteristic of a focal-onset aware seizure? Select one: A.Generalized twitching of all muscles B.No change in vision, smell, or taste C.Normal level of consciousness D.Absence of breathing

c

Which of the following medication routes would be the MOST appropriate to use in an unresponsive patient when intravenous access cannot be obtained? Select one: A.Transcutaneous B.Intramuscular C.Intraosseous D.Subcutaneous

c

Which of the following medications would the EMT be LEAST likely to administer to a patient with a medical complaint? Select one: A.Oral glucose B.Aspirin C.Ibuprofen D.Albuterol

c

Which of the following patients is in decompensated shock? Select one: A.A 28-year-old female with pale skin and rapid, shallow respirations B.A 23-year-old restless male with cool, clammy skin and tachycardia C.A 20-year-old female with absent radial pulses and dilated pupils D.A 32-year-old male with anxiety and a systolic blood pressure of 110 mm Hg

c

Which of the following statements regarding positive-pressure ventilation is correct? Select one: A.Unlike negative-pressure ventilation, positive-pressure ventilation does not affect the esophageal opening pressure. B.Positive-pressure ventilation allows blood to naturally be pulled back to the heart from the body. C.With positive-pressure ventilation, more volume is required to have the same effects as normal breathing. D.To prevent hypotension, the EMT should increase the rate and force of positive-pressure ventilation.

c

You are dispatched to a residence for a 56-year-old male with an altered mental status. Upon arrival at the scene, the patient's wife tells you that he complained of chest pain the day before, but would not allow her to call EMS. The patient is semiconscious; has rapid, shallow respirations; and has a thready pulse. You should: Select one: A.obtain baseline vital signs. B.attach the AED immediately. C.begin ventilatory assistance. D.apply a nonrebreathing mask.

c

A 30-year-old male experienced a generalized (tonic-clonic) seizure, which stopped before you arrived at the scene. The patient is conscious, is answering your questions appropriately, and refuses EMS transport. Which of the following would be the MOST compelling reason to disagree with his refusal of transport? Select one: A.His wife states that this was his "usual" seizure. B.He has experienced seizures since he was 20. C.His Glasgow Coma Scale (GCS) score is 15. D.He is currently not prescribed any medications

d

A 40-year-old patient without a history of seizures experiences a generalized (tonic-clonic) seizure. The LEAST likely cause of this seizure is: Select one: A.a brain tumor. B.a serious infection. C.intracranial bleeding. D.epilepsy.

d

A 60-year-old male presents with acute respiratory distress. He is conscious and alert, has pink and dry skin, and has respirations of 22 breaths/min with adequate depth. Which of the following treatments is MOST appropriate for this patient? Select one: A.Positive-pressure ventilations and immediate transport to the closest hospital B.Oxygen via a nasal cannula, vital signs, and prompt transport to the hospital C.Assisted ventilation with a bag-valve mask and a head-to-toe exam D.Oxygen via nonrebreathing mask and a focused secondary assessment

d

A patient's short-term memory is MOST likely intact if they correctly answer questions regarding: Select one: A.event and person. B.person and place. C.time and place. D.day and event.

d

An EMT may administer aspirin to a patient if: Select one: A.the patient is believed to be experiencing an acute stroke. B.the patient is currently experiencing hypotension. C.transport time to the hospital is greater than 30 minutes. D.authorization from medical control has been obtained.

d

Common signs and symptoms of acute hyperventilation syndrome include: Select one: A.altered mental status and bradycardia. B.unilateral paralysis and slurred speech. C.anxiety, dizziness, and severe bradypnea. D.tachypnea and tingling in the extremities.

d

Defibrillator pads are placed on the patient's chest: Select one: A.with one pad to the right of the upper sternum and the other pad just to the right of the right nipple. B.with one pad to the left of the upper sternum and the other pad to the right lower chest below the armpit. C.with one pad to the left of the upper sternum and the other pad just to the right of the left nipple. D.with one pad to the right of the upper sternum and the other pad to the left lower chest below the armpit.

d

Ischemic heart disease is defined as: Select one: A.death of a portion of the heart muscle due to a decrease in oxygen. B.absent myocardial blood flow due to a blocked coronary artery. C.decreased blood flow to the heart muscle due to coronary dilation. D.decreased blood flow to one or more portions of the myocardium.

d

Most prehospital cardiac arrests in adults occur as the result of: Select one: A.an acute ischemic stroke. B.severe blunt trauma. C.obstruction of the airway. D.a cardiac dysrhythmia.

d

Reassessment is performed to determine all of the following, EXCEPT: Select one: A.the patient's response to your treatment. B.the nature of any newly identified problems. C.whether or not the patient is deteriorating. D.the reason why the patient called EMS.

d

Shortly after assisting a 65-year-old female with her prescribed nitroglycerin, she begins complaining of dizziness and experiences a drop of 30 mm Hg in her systolic blood pressure. The patient remains conscious and her breathing is adequate. You should: Select one: A.transport her in a sitting position. B.wait 5 minutes and reassess her blood pressure. C.assist ventilations with a bag-valve mask. D.place her in a supine position.

d

The BEST way to prevent infection from whooping cough is to: Select one: A.ask all patients if they have recently traveled abroad. B.wear a HEPA mask when treating any respiratory patient. C.routinely place a surgical mask on all respiratory patients. D.get vaccinated against diphtheria, tetanus, and pertussis.

d

The right coronary artery supplies blood to the: Select one: A.right atrium and posterior wall of the right ventricle. B.left ventricle and posterior wall of the right ventricle. C.left ventricle and inferior wall of the right atrium. D.right ventricle and inferior wall of the left ventricle.

d

Three months after returning home from West Africa, a 50-year-old man begins experiencing a fever, cough, and muscle aches. The EMT should suspect: Select one: A.Ebola. B.whooping cough. C.hepatitis. D.influenza.

d

When assessing an elderly male who complains of nausea and generalized weakness, you find that he takes atorvastatin (Lipitor) and amlodipine (Norvasc). These medications suggest a history of: Select one: A.bacterial infection. B.non-insulin-dependent diabetes. C.reactive airway disease. D.cardiovascular disease.

d

When caring for a patient with an altered mental status and signs of circulatory compromise, you should: Select one: A.have a paramedic unit respond to the scene if it is less than 15 minutes away. B.transport immediately and begin all emergency treatment en route to the hospital. C.perform a detailed secondary assessment prior to transporting the patient. D.limit your time at the scene to 10 minutes or less, if possible.

d

When transporting a stable stroke patient with a paralyzed extremity, place the patient in a: Select one: A.sitting position with the head at a 45° to 90° angle. B.recumbent position with the paralyzed side up. C.supine position with the legs elevated 6″ to 12″. D.recumbent position with the paralyzed side down.

d

When you use the palpation method to obtain a blood pressure, the measurement you obtain is the: Select one: A.cardiac output pressure. B.diastolic blood pressure. C.pulse pressure. D.systolic blood pressure.

d

While assisting a paramedic in the attempted resuscitation of a 55-year-old male in cardiac arrest, you should expect the paramedic to: Select one: A.give the patient activated charcoal to rule out a drug overdose. B.give the patient nitroglycerin to increase his blood pressure. C.withhold drug therapy until an intraosseous catheter is in place. D.administer drugs via the IV route to achieve the fastest effect.

d

Your patient's past medical history includes hypertension, congestive heart failure, diabetes, and seizures. Today, he presents with signs of acute renal failure. Which of his medical problems MOST likely caused this? Select one: A.Diabetes B.Hypertension C.Seizures D.Heart failure

d


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