Ch. 37 Flashcards

(20 cards)

1
Q

A tube from the brain to the abdomen that drains excessive cerebrospinal fluid is called a:

-G-tube
-Cerebral bypass
-Shunt
-CS tube

A

Shunt

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2
Q

An obese person is _____ over ideal weight.

-30% or more
-50% or more
-15% or more
-10% or more

A

30% or more

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3
Q

Autism is defined as a:

-Psychiatric condition related to an imbalance of serotonin in the brain
-Congenital condition caused by factors such as malnutrition or birth complications
-Mental disability caused by insufficient cognitive development of the brain
-Pervasive developmental disorder characterized by impairment of social interaction

A

Pervasive developmental disorder characterized by impairment of social interaction

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4
Q

Cerebral palsy is characterized by poorly controlled ____ movement.

-Body
-Extremity
-Eye
-Neck

A

Body

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5
Q

If suctioning of the tracheostomy tube is necessary, the EMT should:

-Attempt to use the patient’s suction device first because it is probably already sized correctly
-Insert the suction catheter to a depth of no more than 15 cm and set the suction unit to 140 mm Hg
-Attach a bag-valve mask to the tracheostomy tube and hyperventilated the patient for 2 minutes
-Instill 20mL of saline into the tracheostomy tube and suction for no longer than 20 seconds

A

Attempt to use the patient’s suction device first because it is probably already sized correctly

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6
Q

When caring for a morbidly obese patient, you should:

-Leave him or her in a supine position, as this often facilitates breathing
-Call for ALS backup because obese patients are at high risk for heart attack
-Establish his or her chief complaint and then communicate your plan to help
-Ask the patient if he or she knows what led to his or her obesity problem

A

Establish his or her chief complaint and then communicate your plan to help

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7
Q

When caring for a patient who is visually impaired, it is important to:

-Stand to the side of the patient when speaking if his or her peripheral vision is impaired
-Leave items such as canes and walkers at the residence if the patient will be carried on a gurney
-Allow a service dog to remain with the patient at all times, even if the patient is critically ill
-Tell him or her what is happening, identify noises, and describe the situation and surroundings

A

Tell him or her what is happening, identify noises, and describe the situation and surroundings

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8
Q

When enlisting the help of an who signs, it is important for you to ask the interpreter to:

-Voice what he or she is signing while communication with the patient
-Report exactly what the patient signed and not to add any commentary
-Avoid any kind of lip movement while he or she is signing with the patient
-Document the answers to the questions that the patient has responded to

A

Report exactly what the patient signed and not to add any commentary

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9
Q

Which of the following statements regarding patients with intellectual disabilities is correct?

-An intellectual disability differs from mental retardation in that it is the result of a congenital abnormality
-Patients with intellectual disabilities are susceptible to the same disease processes as other patients
-Most patients with intellectual disabilities have normal cognitive function but abnormal physical features
-Speaking with the patient’s family is the least effective way to determine how much the patient understands

A

Patients with intellectual disabilities are susceptible to the same disease processes as other patients

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10
Q

Which of the following would be the most practical method of communicating with a hearing-impaired patient until his or her hearing aids can be located?

-Contacting dispatch and requesting a sign language interpreter
-Using a high-pitched voice while speaking directly into the ear
-Attempting to use body language to determine the problem
-Using a piece of paper and writing utensil to ask questions

A

Using a piece of paper and writing utensil to ask questions

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11
Q

Which of the following is a developmental disorder characterized by impairment of social interaction?

-Down syndrome
-Autism
-Cerebral palsy
-Spina bifida

A

Autism

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12
Q

Known risk factors for Down syndrome include:

-Smoking
-Traumatic brain injury at birth
-Increased maternal age
-Lack of vitamin B

A

Increased maternal age

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13
Q

Which of the following may be difficult to perform on a patient with Down syndrome?

-CPR
-Pulse oximetry
-Splinting
-Intubation

A

Intubation

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14
Q

Most patients with this disease also have hydrocephalus.

-Paralysis
-Down syndrome
-Spina bifida
-Cerebral palsy

A

Spina bifida

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15
Q

What does the DOPE mnemonic help you to recognize?

-Causes of airway obstruction
-Risk factors for patients using technology assistance
-Questions to ask patients with pacemakers
-A vagal nerve stimulator

A

Causes of airway obstruction

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16
Q

What device is placed directly into the stomach to feed patients?

-Colostomy
-Ileostomy
-Gastrostomy tube
-Central venous catheter

A

Gastrostomy tube

17
Q

What do vagal nerve stimulations do?

-Keep seizures from occurring
-Keep the airway clear from secretions
-Act as an alternative treatment to medicine
-Both A and C

A

Keep seizures from occurring and Act as an alternative treatment to medicine

18
Q

An important part of the assessment process for a patient with special needs is to:

-Interact with the caregiver
-Interact with the patient
-Talk to the manufacturer of the equipment being used
-Transport immediately

A

Interact with the caregiver

19
Q

What improves a patient’s quality of life shortly before death?

-Home care
-Hospice care
-Comfort care
-Health care

20
Q

The EMTALA act states that:

-Patients should only be treated if they can pay for care
-All patients must be treated regardless of their ability to pay for care
-Only those with serious injuries can be treated without payment for care
-Only certain facilities can treat patients who cannot pay for care

A

Only those with serious injuries can be treated