Patient Assessment
A patient who moves and cries out only when you pinch his or her trapezius muscle is said to be responsive to ______.
responsive to painful stimuli
When you use the palpation method to obtain a blood pressure, the measurement you obtain is the:
systolic blood pressure
Supplemental oxygen without assisted ventilation would MOST likely be administered to patients who:
have difficulty breathing and adequate tidal volume
Aspirin is beneficial to patients suspected of having a heart attack because it:
prevents aggregation of platelets
A 20-year-old female with absent radial pulses and dilated pupils is said to be in (compensated/decompensated) shock.
decompensated
How often should you be reassessing an unstable patient?
every 5 minutes
What is the difference between and sign and a symptom?
signs = something you observe (deformity)
symptoms = something the patient reports (headache)
A 19-year-old female is found unconscious by her roommate. Your primary assessment reveals that her breathing is inadequate. As you insert an oropharyngeal airway, she begins to gag violently. What should your next step be?
remove the oral airway and prepare to suction
Describe the mechanism of action of Nitroglycerin.
relaxes the walls of the coronary arteries (vasodilation)
A liver laceration is most likely to result in which type of shock?
hemorrhagic shock
A 40-year-old male crashed his motorcycle into a tree. He is semiconscious, has snoring respirations, and has a laceration to the forearm with minimal bleeding. How should you open his airway?
jaw thrust manevuer
A 40-year-old male presents with pain to the right upper quadrant of his abdomen. He is conscious and alert with stable vital signs. During your assessment, you note that his skin and sclera are jaundiced. You should suspect:
liver dysfunction
Irregular respirations characterized by an increasing rate and depth of breathing followed by periods of apnea are called:
Cheyne-Stokes respirations
SBP <100; sexual enhancing drugs within the last 24 hours
The presence of elevated carbon dioxide levels in the blood is called:
hypercarbia
Which of the following indicates a patient is experiencing respiratory failure?
- is restless and is working hard to breathe.
- has an increased heart rate and retractions.
- has bradycardia and diminished muscle tone.
- is anxious, tachycardic, and leaning forward.
- has bradycardia and diminished muscle tone
Which of the following would the EMT likely NOT perform on a responsive patient with a headache and no apparent life-threatening conditions?
- focused secondary assessment
- systematic head to toe assessment
- assessment of pulse oximetry
systematic head to toe assessment
During your assessment of a patient with respiratory distress, you hear wheezing when listening to breath sounds. This indicates:
A _____ injection is given between the skin and the muscle.
subcutaneous
Pulmonary edema and impaired ventilation occur during which type of shock?
cardiogenic shock
During the primary assessment, circulation is evaluated by assessing which 3 components?
pulse quality, external bleeding, and skin condition
Both pupils being sluggish with introduction of a bright light would be indicative of what?
depressed brain function
A 37-year-old male has an apparent foreign body airway obstruction. He is conscious and alert and is coughing forcefully. His skin is pink, warm, and moist. The MOST appropriate treatment for this patient includes:
encourage him to cough; immediate transport
Which clinical sign would necessitate the administration of naloxone (Narcan) in a suspected narcotic overdose?
respiratory depression (slow respirations)
A crackling sound produced by air bubbles under the skin is called:
subcutaneous emphysema