CH 11 Flashcards
(100 cards)
1
Q
When asking questions pertaining to a patient’s sexual history, it is important to remember that:
it is essential to obtain the history in a private setting.
the patient’s sexual preference is especially relevant.
you should inquire about the patient’s HIV status.
a physical examination should be performed as well.
A
it is essential to obtain the history in a private setting.
2
Q
After determining that the scene is safe, the first step in approaching a patient is to:
ascertain the patient’s age.
ask the patient their name.
determine the patient’s chief complaint.
introduce yourself to the patient.
A
introduce yourself to the patient.
3
Q
When transferring a geriatric patient from a hospital to an extended care facility, it is most important to:
document at least two full sets of vital signs.
presume that the patient will not wish to speak.
call a radio report to the extended care facility.
review the patient’s transfer paperwork.
A
review the patient’s transfer paperwork.
4
Q
Percussion of the chest produces which of the following sounds if the pleural space is full of blood?
Hollow
High-pitched
Dull
Hyperresonance
A
Dull
5
Q
Frank blood or clear, watery fluid draining from the ear canal following head trauma is most suggestive of a(n):
orbital blowout fracture.
basilar skull fracture.
ruptured tympanic membrane.
fracture of the cribriform plate.
A
basilar skull fracture.
6
Q
A responsive patient who is talking or crying:
has a patent airway.
needs supplemental oxygen.
does not have an impending airway problem.
is breathing adequately.
A
has a patent airway.
7
Q
What is the Glasgow Coma Scale score of a patient who opens her eyes when you call her name, is confused when she speaks, and points to her area of pain?
10
12
13
11
A
12
8
Q
If your patient becomes seductive or makes sexual advances toward you, you should:
ensure that a witness is present at all times.
ask your partner to assume care of the patient.
continue providing care as usual.
threaten the patient with a sexual harassment lawsuit.
A
ensure that a witness is present at all times.
9
Q
During your primary survey of a 20-year-old man with blunt chest trauma, you note that he is semiconscious with rapid, shallow breathing. You do not see any obvious bleeding and note that his pulse is rapid and irregular, and his skin is cool and moist. An appropriate action would be to:
quickly log roll the patient and assess his back.
insert an oral airway and apply supplemental oxygen.
perform a secondary assessment while at the scene.
apply a cardiac monitor to assess for dysrhythmias.
A
apply a cardiac monitor to assess for dysrhythmias.
10
Q
A patient’s pulse is a physical expression of:
right ventricular contraction.
the diastolic blood pressure.
pressure in the vena cavae.
left ventricular contraction.
A
left ventricular contraction.
11
Q
An inward curve of the lumbar spine just above the buttocks is called:
sclerosis.
kyphosis.
lordosis.
scoliosis.
A
lordosis.
12
Q
Pulse oximetry measures the percentage of:
red blood cells in the blood.
percentage of oxygen that reaches the cells.
hemoglobin saturation.
white blood cells in the blood.
A
hemoglobin saturation.
13
Q
When determining whether a patient is sick, your most effective tool is often:
the patient’s baseline vital signs.
the patient’s chief complaint.
a quick visual assessment.
past medical history findings.
A
a quick visual assessment.
14
Q
A patient who does not respond to verbal or tactile stimuli is:
semiconscious.
disoriented.
lethargic.
unresponsive.
A
unresponsive.
15
Q
Situational depression is:
a condition that usually requires inpatient care.
ongoing and does not appear to have a cause.
often characterized by violent bouts of rage.
a reaction to a stressful event in a patient’s life.
A
a reaction to a stressful event in a patient’s life.
16
Q
Which of the following is a part of your overall job as a paramedic?
Efficiently executing a patient care plan
Definitively ruling out life-threatening conditions
Definitively diagnosing the patient’s problem
Determining the patient’s prognosis
A
Efficiently executing a patient care plan
17
Q
Blood pressure is the product of:
cardiac output and peripheral vascular resistance.
stroke volume and heart rate.
left ventricular ejection fraction and afterload.
right atrial preload and ventricular stroke volume.
A
cardiac output and peripheral vascular resistance.
18
Q
A conscious patient’s respiratory rate should be measured:
by auscultating the lungs.
by looking at the abdomen.
with the patient’s prior knowledge.
for a minimum of 30 seconds.
A
for a minimum of 30 seconds.
19
Q
The breath sounds found on the posterior chest in between the scapulae are called:
bronchovesicular sounds.
tracheal sounds.
adventitious sounds.
vesicular sounds.
A
bronchovesicular sounds.
20
Q
You patient is able to follow your finger as you move it in an “H” shape. This indicates functioning of which nerve?
Oculomotor
Optic
Trochlear
Hypoglossal
A
Optic
21
Q
Tidal volume is most effectively assessed by:
auscultating breath sounds.
observing for rise and fall of the chest.
noting the patient’s respiratory rate.
looking for accessory muscle use.
A
observing for rise and fall of the chest.
22
Q
Poor skin turgor in an infant or child is indicative of:
shock.
elastin deficiency.
dehydration.
hypoxemia.
A
dehydration.
23
Q
When asking a patient if they use illegal drugs, you will most likely get accurate information if you:
question the patient in the presence of a trusted family member.
reassure the patient that you can be trusted and will not tell anyone.
tell the patient that withholding such information from you is illegal.
remain professional, nonjudgmental, and nonthreatening.
A
remain professional, nonjudgmental, and nonthreatening.
24
Q
Diffuse pain caused by hollow organ obstruction and stretching of the smooth muscle wall is considered to be which type of pain?
Somatic
Referred
Radiating
Visceral
A
Visceral
25
A multisystem trauma patient opens his eyes in response to pain, moans when you ask him his name, and withdraws from painful stimuli. From this information, you should:
assign him a Glasgow Coma Scale score of 10.
ventilate him with a bag-mask device at 24 breaths/min.
assume that he has an intracerebral hemorrhage.
conclude that he has severe neurologic dysfunction.
conclude that he has severe neurologic dysfunction.
26
Flushed skin is commonly seen as a result of:
excessive blood loss.
vasoconstriction.
liver dysfunction.
high fever.
high fever.
27
The mnemonic OPQRST is a tool that:
is only effective when assessing a patient who is experiencing severe pain.
allows the paramedic to reach a field diagnosis quickly and initiate treatment.
is used commonly to rule out conditions that are immediately life threatening.
offers an easy-to-remember approach to analyzing a patient's chief complaint.
offers an easy-to-remember approach to analyzing a patient's chief complaint.
28
When caring for a patient who is mentally challenged:
it is highly unlikely that you will obtain a reliable medical history.
your priority should be to transport the patient to a psychiatric facility.
you should speak to the patient as though they are a young child.
you may have to obtain the medical history from a family member.
you may have to obtain the medical history from a family member.
29
Visceral abdominal pain is:
characterized by a localized area of abdominal tenderness or pain.
commonly encountered in patients with cholecystitis or pancreatitis.
highly suggestive of a ruptured hollow abdominal organ.
often less localized on palpation and is poorly described by the patient.
often less localized on palpation and is poorly described by the patient.
30
Which of the following factors could skew a pulse oximetry reading?
Carbon monoxide poisoning
Heart failure
Hypertension
High fever
Carbon monoxide poisoning
31
Which of the following questions would be helpful to ask when trying to determine a patient's current health status?
“What medications did you take as a child?”
“What did you eat for dinner last evening?”
“Are your immunizations up to date?”
“Are your mother and father still living?”
“Are your immunizations up to date?”
32
EMS providers who read off a list of questions to the patient to fill in all the blanks on the run report:
are in the best position to establish good patient rapport.
usually provide the most competent patient care.
tend to make little or no eye contact with the patient.
are reassuring the patient that they are not being ignored.
tend to make little or no eye contact with the patient.
33
Which of the following is an example of a leading question?
“Do you think that you are experiencing a cardiac emergency?”
“On a scale of 1 to 10, what number would you assign your pain?”
“Has anything like this ever happened to you before today?”
“Does the pain stay in your chest or does it move anywhere else?”
“Do you think that you are experiencing a cardiac emergency?”
34
A patient who is absolutely still and resists any movement should be suspected of having:
kidney stones.
peritonitis.
intra-abdominal bleeding.
a bowel obstruction.
peritonitis.
35
Pausing to consider something significant that you have just been told is called:
facilitation.
interpretation.
clarification.
reflection.
reflection.
36
You are in the best position to decide what, if any, care needs to be provided at the scene versus en route to the hospital once you:
can qualify that a patient is indeed sick.
determine how far away the hospital is.
perform a detailed secondary assessment.
are able to quantify how sick a patient is.
are able to quantify how sick a patient is.
37
S1, the first heart sound, represents:
the sound heard at the end of diastole.
the sound heard at the end of systole.
closure of the aortic and pulmonic valves.
closure of the mitral and tricuspid valves.
closure of the mitral and tricuspid valves.
38
Which of the following is an effective way of obtaining a medical history from a patient who is totally deaf?
Speaking slowly and slightly more loudly to the patient
Addressing the patient when standing by their side
Allowing them to wear your stethoscope so they can hear you better
Using paper and pencil to write down your questions
Using paper and pencil to write down your questions
39
Structural integrity of the pelvis should be assessed by:
applying firm upward pressure to the pelvic wings.
carefully rocking the pelvis back and forth.
placing the patient on their side to elicit pain.
gently pushing in and down on the iliac crests.
gently pushing in and down on the iliac crests.
40
In prehospital care, the priorities of evaluation and treatment are based on:
the receiving physician's online orders.
the degree of threat to the patient's life.
standard treatment guidelines and algorithms.
your overall experience as a paramedic.
the degree of threat to the patient's life.
41
A patient is generally considered to have orthostatic vital signs when:
the heart rate increases by 20 beats/min or more when going from a supine to a standing position.
the systolic blood pressure increases, and the diastolic blood pressure decreases when going from a lying to a sitting position.
they experience chest pain and a rapid, irregular heart rate when going from a seated to a standing position.
the respiratory rate becomes fast, and the depth becomes shallow when they suddenly stand up.
the heart rate increases by 20 beats/min or more when going from a supine to a standing position.
42
Using casual nicknames can be especially problematic when:
the patient is critically ill or injured and is semiconscious.
cultural differences exist between the patient and the paramedic.
assessing geriatric patients who fear losing their independence.
the patient is a male who was involved in an assault.
cultural differences exist between the patient and the paramedic.
43
When dealing with a patient who has multiple symptoms, the most effective way to develop an appropriate care plan is to:
perform a complete head-to-toe exam.
assume that all complaints are linked.
prioritize the patient's complaints.
address all complaints simultaneously.
prioritize the patient's complaints.
44
Which of the following is the most clinically significant indicator of ischemia in a limb?
Poikilothermia
Pulselessness
Parasthesias
Pain
Pulselessness
45
When assessing visual acuity in the prehospital setting, you should:
remove any corrective lenses the patient is wearing.
use a Snellen chart.
examine each eye in isolation.
check both eyes simultaneously.
examine each eye in isolation.
46
For a responsive patient with a medical problem, you will most likely form your working diagnosis based on information gathered during the:
detailed physical exam.
general impression.
primary assessment.
history-taking process.
history-taking process.
47
Examination of the head is most important when assessing a patient who:
has an altered mental status.
complains of nausea.
presents with hemiparesis.
has shortness of breath.
has an altered mental status.
48
Which of the following entails gently striking the surface of the body, typically where it overlies various body cavities?
Inspection
Percussion
Palpation
Auscultation
Percussion
49
When your patient is a non-English-speaking person, their child is often able to function as an interpreter because:
you can usually teach a child English quickly.
the child is usually not as scared as their parent is.
most children of non-English-speaking parents do not speak English.
children quickly absorb a new language in school.
children quickly absorb a new language in school.
50
Which of the following is the most practical method of assessing for gross neurologic deficits during your assessment of a patient?
Check deep tendon reflexes with a reflex hammer or similar object.
Ask the patient to lift both legs and hold them up for 20 to 30 seconds.
Ask the patient if they can feel and move their fingers and toes.
Assess capillary refill time at the forehead and the fingernails and toenails.
Ask the patient if they can feel and move their fingers and toes.
51
To appreciate the S2 sound:
ask the patient to breathe normally and hold their breath on expiration.
ask the patient to breathe normally and hold their breath on inhalation.
the patient should be sitting upright and leaning slightly backward.
the patient should be supine with their body tilted to the right.
ask the patient to breathe normally and hold their breath on inhalation.
52
Which of the following statements regarding the general survey of a patient is correct?
The general patient survey begins as you perform the initial assessment of the patient.
Little information can be gained from the patient without a hands-on assessment.
The environment in which the patient is found is more significant than their appearance.
It is not uncommon for patients in severe pain to present with a quiet and still affect.
It is not uncommon for patients in severe pain to present with a quiet and still affect.
53
What are Korotkoff sounds?
Sounds over an artery that indicate turbulent blood flow
Sounds that indicate a significant heart murmur
Abnormal sounds heard over the carotid arteries
The sounds heard when taking a blood pressure
The sounds heard when taking a blood pressure
54
A key part of making your practice of prehospital care successful is for you to:
approach every patient in the same fashion with the realization that patient assessment in the field is a static process.
develop and cultivate your own style of assessment and an overall strategy for evaluating and providing care.
let the patient guide the questions that you ask in order to build a cohesive rapport on which you can build.
strictly adhere to your department's standard operating procedures so that they become a rote series of actions.
develop and cultivate your own style of assessment and an overall strategy for evaluating and providing care.
55
Proper documentation of your physical examination of a patient is most important because it:
becomes a permanent part of the patient's medical record and may be subjected to legal issues.
facilitates the paramedic's definitive diagnosis of the patient, leading to the most appropriate care.
reflects your subjective findings and forms the basis for your working field diagnosis of the patient.
ensures an accurate historical accounting of the patient's problems prior to entering the hospital.
ensures an accurate historical accounting of the patient's problems prior to entering the hospital.
56
The brachioradialis tendon is located:
proximal to the wrist.
on the distal humerus.
directly over the elbow.
in the antecubital fossa.
proximal to the wrist.
57
Which of the following statements regarding ascites is correct?
Percussion of the abdomen will often yield hyperresonance.
Ascites is a collection of fluid within the peritoneal cavity.
The abdomen of a patient with ascites has a sunken appearance.
The most common cause of ascites is an acute splenic injury.
Ascites is a collection of fluid within the peritoneal cavity.
58
The most immediate consequence of providing inappropriate reassurance to your patient in the prehospital setting is:
causing the patient's family members severe emotional distress.
emotional distress when the physician tells the patient otherwise.
a lawsuit lodged against you by the patient or their family.
that the patient may choose not to share as much information with you.
that the patient may choose not to share as much information with you.
59
Upon completing your rapid full-body exam of an unresponsive trauma patient's head and neck, you should next:
apply a properly sized rigid cervical collar.
log roll the patient onto a long backboard.
assess the integrity of the 12 cranial nerves.
ventilate the patient at 12 to 20 breaths/min.
apply a properly sized rigid cervical collar.
60
When assessing muscle strength, a score of 5/5 indicates:
normal muscle tone and strength.
active movement with evident fatigue.
no muscle contraction or twitch.
minimal movement against resistance.
normal muscle tone and strength.
61
You are caring for an unresponsive 54-year-old man with an apparent isolated head injury after he fell from a standing position. Your partner is maintaining manual stabilization of the patient's head while assisting his breathing. Your rapid full-body exam reveals only a large hematoma to the patient's forehead. Further assessment reveals that the patient is wearing a medical alert bracelet that reads “allergic to codeine.” You should:
give epinephrine in case he is experiencing an allergic reaction.
instruct your partner to ventilate the patient at 24 breaths/min.
assess his blood glucose reading and give dextrose if necessary.
perform a detailed secondary assessment and transport at once.
assess his blood glucose reading and give dextrose if necessary.
62
Adventitious breath sounds include:
rales or crackles.
egophony.
vesicular sounds.
whispered pectoriloquy.
rales or crackles.
63
Which of the following significant mechanisms of injury is unique to the infant and child?
Penetrating injury to the head
Vehicle-pedestrian collision
Ejection from a car's back seat
Fall from greater than 10 feet
Fall from greater than 10 feet
64
A 29-year-old woman is in active labor. During your visual exam, you see a limb protruding from her vagina. Upon noting this, it is most important to:
start an IV line of normal saline.
prepare for immediate transport.
contact online medical control.
position the patient on her side.
prepare for immediate transport.
65
The fourth heart sound (S4):
indicates increased pressure in the atria.
occurs immediately before the S2 sound.
is normal in 40% of the population.
represents increased left ventricular stretching.
indicates increased pressure in the atria.
66
An opaque black area against the red reflex of the eye is indicative of:
macular degeneration.
retinitis.
conjunctivitis.
cataracts.
cataracts
67
When caring for an unresponsive trauma patient, a complete secondary assessment:
must be performed after the primary assessment.
will probably not be performed in its entirety.
should be performed before you begin transport.
will enable you to immediately detect life threats.
will probably not be performed in its entirety.
67
The diagnosis of a problem involving the shoulder can often be made by simply:
noting the patient's posture.
assessing range of motion.
asking the patient to bend the elbow.
palpating for gross deformities.
noting the patient's posture.
68
When assessing a patient's conjunctivae, you note they are injected. This means that the conjunctivae are:
yellow.
pale.
cyanotic.
red.
red
69
Which of the following statements regarding the patient assessment process is correct?
Expanding your questioning of a patient in order to elicit more information often confuses the patient and should be avoided if possible.
It is critical that you think of patient assessment as a static sequence of events that are carried out on every patient that you encounter.
The assessment process must be organized and systematic, yet flexible enough to allow you to maximize the amount of information you can gather.
As the patient interview unfolds, you must remain focused on the patient's chief complaint, as it is likely the most serious problem.
The assessment process must be organized and systematic, yet flexible enough to allow you to maximize the amount of information you can gather.
70
Which of the following questions should you ask to assess a patient with abdominal pain?
“Does the pain radiate to your chest or back?”
“Did the pain start today, yesterday, or the day before?”
“How would you rate the severity of the pain?”
“Does the pain hurt more when you move?”
“How would you rate the severity of the pain?”
71
Which of the following actions will provide the best personal protection when caring for a patient on uneven terrain?
Making lifts and moves as controlled as possible
Wearing a back brace whenever you lift
Using at least four personnel when moving a patient
Wearing boots that provide good traction
Making lifts and moves as controlled as possible
72
When red blood cell perfusion to the capillary beds of the skin is poor, the skin becomes:
cyanotic.
flushed.
pale.
mottled.
pale.
73
When auscultating heart sounds, you should place your stethoscope at the:
second intercostal space, over the base of the heart.
sternal border at the second or third intercostal space.
third or fourth intercostal space, in the midaxillary line.
fifth intercostal space, over the apex of the heart.
fifth intercostal space, over the apex of the heart.
74
When assessing a patient who is under the influence of alcohol, it is most important to remember that:
the patient often gives a reliable and accurate history.
suspicions of alcohol intoxication must be documented.
alcohol can mask any number of signs and symptoms.
the amount of alcohol consumed is often overstated.
alcohol can mask any number of signs and symptoms.
75
A deformed steering wheel in conjunction with a deployed air bag indicates that the:
driver was not wearing a seat belt.
driver's legs struck the steering wheel.
driver has intrathoracic hemorrhage.
driver wore a lap belt only.
driver was not wearing a seat belt.
76
A patient in shock due to internal bleeding will benefit most from:
two large-bore IV lines of normal saline.
a comprehensive physical examination.
oxygen and thermal management.
limited scene time and rapid transport.
limited scene time and rapid transport.
77
When the blood vessels supplying the skin are fully dilated, the skin becomes:
warm and pink.
cold and moist.
cool and pale.
blue or mottled.
warm and pink.
78
A pathologic fracture occurs when:
abnormal forces are applied to abnormal bone structures.
abnormal forces are applied to normal bone structures.
normal forces are applied to abnormal bone structures.
normal forces are applied to normal bone structures.
normal forces are applied to abnormal bone structures.
79
The most effective way to obtain a medical history from a patient who is crying is to:
tactfully advise the patient that you cannot effectively help them if they continue to cry.
have one family member calm the patient as you gather the medical history from another family member.
place your hand on their shoulder, if appropriate for the patient, and reassure them that you are in control of the situation.
administer a sedative medication, which will calm the patient and facilitate your gathering of the medical history.
place your hand on their shoulder, if appropriate for the patient, and reassure them that you are in control of the situation.
80
If you suspect that a patient has been abused, it is most important that you:
discreetly ask the patient if they have been abused.
request law enforcement personnel if necessary.
contact medical control to ensure that they are aware of the abuse.
ask a family member about the possibility of abuse.
request law enforcement personnel if necessary.
81
Bruising in the periumbilical area is indicative of:
a ruptured urinary bladder.
intraperitoneal hemorrhage.
ruptured ectopic pregnancy.
a leaking aortic aneurysm.
intraperitoneal hemorrhage.
82
Your patient will most likely develop a good first impression of you if you:
quickly determine their chief complaint.
tell them that everything will be okay.
address them as “dear” or “honey.”
look and act professional and confident.
look and act professional and confident.
83
Which of the following questions should be asked initially when assessing a patient who has a cerebral shunt?
“Has the shunt ever had to be replaced, and if so, why?”
“How long have you had the shunt and who placed it?”
“When was the shunt placed and do you have symptoms?”
“Where was the shunt placed and where does it drain?”
“Where was the shunt placed and where does it drain?”
84
Documentation of your physical examination should be:
reviewed by the EMS administrator.
subjective in all regards.
factual and nonjudgmental.
representative of your perceptions.
factual and nonjudgmental.
85
The history of present illness is defined as:
the reason why the patient called 9-1-1.
the patient's most significant problem.
a clinically significant physical finding.
an elaboration of the chief complaint.
an elaboration of the chief complaint.
86
In general, +3 pitting edema is characterized by indentation of the skin to a depth of:
greater than 1 inch.
0 to 0.25 inch.
0.25 to 0.5 inch.
0.5 to 1 inch.
0.5 to 1 inch.
87
In contrast to dementia, delirium is:
an acute change in mental status.
more common in the elderly population.
characteristic of Alzheimer disease.
a gradual deterioration in cognitive function.
an acute change in mental status.
88
A patient who complains of double vision has:
ptosis.
hyperopia.
anisocoria.
diplopia.
diplopia.
89
The history of present illness is defined as:
a past medical problem that is causing the chief complaint.
a chronologic account of the patient's signs and symptoms.
your perception of the severity of the patient's condition.
the reason why the patient called EMS in the first place.
a chronologic account of the patient's signs and symptoms.
90
If a patient is able to sense smell, you can expect that which nerve is intact?
Olfactory
Trochlear
Trigeminal
Abducens
Olfactory
91
Distention of the jugular veins indicates:
a state of hypovolemia.
left-sided heart failure.
increased venous capacitance.
decreased venous pressure.
increased venous capacitance.
92
Whether your patient's problem is medical or traumatic in origin, you must:
qualify and quantify the patient's condition.
perform a head-to-toe secondary assessment.
always begin transport within 10 minutes.
contact medical control as soon as possible.
qualify and quantify the patient's condition.
93
When assessing a trauma patient's chest, you should remember that:
the presence of hyporesonance to percussion is an indicator of air trapping in the pleural space.
breath sounds should be assessed routinely in at least two fields prior to visual or tactile assessment.
a structurally nonintact chest wall should be stabilized by circumferentially wrapping the chest with bandages.
paradoxical movement may not be grossly apparent due to the splinting effect of chest muscle spasms.
paradoxical movement may not be grossly apparent due to the splinting effect of chest muscle spasms.
94
Which of the following is a clinical sign of an inflamed joint?
Pitting edema
Deformity
Cyanosis
Redness
Redness
95
Which of the following statements regarding the rapid full-body exam of a trauma patient is correct?
All trauma patients should receive a rapid head-to-toe exam, even if the patient's injury is minor and the mechanism of injury is not significant.
The rapid exam is used to identify injuries that must be managed before and during packaging and loading the patient for transport.
The rapid exam is a detailed exam that should take between 1 and 2 minutes and should primarily focus on the patient's chief complaint.
The rapid exam is the first assessment you will perform on a trauma patient and is designed to find and treat immediate threats to life.
The rapid exam is used to identify injuries that must be managed before and during packaging and loading the patient for transport.
96
Which of the following is an example of an iatrogenic condition?
Despite several defibrillation attempts, a patient remains in cardiac arrest.
A patient is unresponsive and apneic after overdosing on heroin.
A patient stops breathing after being given morphine by the paramedic.
A bradycardic patient's heart rate improves after being given atropine.
A patient stops breathing after being given morphine by the paramedic.
97
Working to ensure a patient's privacy, confidentiality, and comfort level will:
help you gain the trust of the patient's family more than the trust of the patient.
make the patient feel comfortable in disclosing personal information to you.
leave no doubt in the patient's mind that you are truly a professional caregiver.
establish positive patient rapport and encourage honest, open communication.
establish positive patient rapport and encourage honest, open communication.
98
Vascular compromise in a lower extremity is characterized by:
inability to feel or move the extremity.
bilaterally diminished pedal pulses.
warm, flushed skin to the extremity.
unilateral pulse deficit and pallor.
unilateral pulse deficit and pallor.
99
Before asking a patient about any mental health issues, the paramedic should:
perform a comprehensive head-to-toe assessment.
speak privately with a family member or trusted friend.
ask questions relating to the patient's physical health.
move the patient to the ambulance, where it is more private.
ask questions relating to the patient's physical health.
