Chapter 16 Quiz Flashcards
(27 cards)
You are treating a 57-year-old male for chest pain. You have gathered all pertinent history of the present illness, completed two sets of vital signs, talked with medical direction, and assisted the patient with two doses of his nitroglycerin. Determination of whether or not the nitroglycerin was effective is assessed during the:
reassessment
You are transporting a patient whom you are treating for chest pain. You have completed all of your assessments and are writing down some of his personal information such as his address and phone number. As the patient is speaking, you notice that he is having increasing difficulty breathing. You should:
immediately repeat your primary assessment.
You are treating a 15-year-old boy who apparently broke his right arm when he fell while skateboarding with his friends. You have completed your primary and secondary assessment including splinting his arm, but you found no other injuries or problems. Which of the following is the most important step to do during the reassessment?
Check distal circulation on his right arm.
As you arrive at the emergency department with an unresponsive trauma patient, the nurse asks for your trending assessment. Why is this information important to the nurse?
She can evaluate whether or not the patient is improving.
While transporting a patient to the hospital, the EMT repeats his reassessment including vital signs every 15 minutes until he arrives at the emergency department. According to this information, which of the following best describes your patient’s current status?
Stable
On which of the following patients should a reassessment be performed?
All patients should be reassessed
Under what circumstance should a reassessment not be performed?
Ongoing lifesaving interventions are required.
You are transporting a patient who has had her neck slashed from side to side. You and your partner are caring for the patient while a police officer drives you to the hospital, which is minutes away. You are focusing all of your efforts to maintain her airway and your partner is controlling her bleeding. Which of the following will you be unlikely to obtain?
Reassessment results
_______ is reassessing and recording findings of the reassessment so they can be compared to earlier findings.
Trending
You are called for a 58-year-old male who is concerned that his blood pressure is too high. He tells you that he has had a headache and is feeling a little dizzy. You notice that his skin is flushed and feels warm to the touch. As you finish taking his vital signs, you should:
write down the patient’s vital signs.
You are alone in the back of the ambulance where you are ventilating an apneic patient. Which of the following is the best way to manage the reassessment?
Continue ventilating the patient during transport and skip the reassessment.
You are transporting a 30-year-old male who has been shot in the chest. He is suffering from a sucking chest wound and has a decreased level of consciousness. How often should you perform a reassessment?
Every 5 minutes
Which of the following is false regarding the purpose of immediately documenting vital signs once they are obtained?
A.
It may be difficult to recall the vital signs accurately later on.
B.
You will be able to report the vital signs accurately when contacting the receiving facility.
C.
You will be able to compare each set of vital signs with the previous ones to detect trends in the patient’s condition.
D.
Failure to record the vital signs immediately is considered falsifying the medical record.
Your 76-year-old female patient is having trouble breathing. When you auscultate her lungs, you hear crackles (rales), and you are concerned that she may have pulmonary edema. Her oxygen saturation is 92%, so you place her on 100% oxygen via a nonrebreather mask. Her breathing gets a little easier with the oxygen. You decide to expedite transport since she is anxious about her condition. Later, as you are completing your reassessment, you see that her respirations have slowed to 8 times per minute and she is barely staying awake. What should you do next?
Begin ventilating her with a bag-valve mask.
You are caring for a woman who sustained a head injury as a result of a domestic dispute. You suspect she has a closed head injury since she cannot remember what happened and one of her pupils is slightly larger than the other. You have been monitoring her vital signs every 5 minutes and you see that her blood pressure is rising and her pulse is dropping. This part of the assessment is called:
trending.
What is the first step in the reassessment process?
Primary assessment
While performing a detailed physical exam on a patient involved in a fall from 30 feet, the patient (who had previously been responding to your questions) stops responding. What should you do next?
Repeat the primary assessment.
Your patient is a 23-year-old male with a stab wound to the abdomen. You have bandaged the wound and are transporting the patient to a trauma center. During your reassessment, you note that the bandage has become soaked with blood. What should your priority be with this patient?
Control the bleeding.
During reassessment, you notice that your patient is making gurgling sounds. Which of the following should you do immediately?
Suction the airway.
You have a long transport of a patient who may have sustained a spinal injury. The patient has been stable throughout your transport. During one of your reassessments, your patient tells you that he is losing the feeling in his feet and toes and his fingers are tingling. At this point you should:
reassess him every 5 minutes.
Your patient’s initial vital signs were a pulse of 120 per minute and weak, a blood pressure of 90/50 mm Hg, and a respiratory rate of 24 per minute. Upon reassessment, you note that the patient now has a weak pulse of 100 per minute, a blood pressure of 110/60 mm Hg, and a respiratory rate of 20 per minute. Which of the following can you conclude from this information?
The patient’s condition may be improving.
You are called for an alert patient with respiratory distress. As part of your primary assessment, you place the patient on oxygen via nasal cannula at 2 liters per minute. You continue with the rest of your assessment including taking a set of vital signs. During your reassessment, you notice that the patient’s respiratory rate has increased to 24 times per minute and he is having increasing trouble breathing. You should:
switch your patient to a nonrebreather mask at 15 liters per minute.
Your patient called 911 because he was having chest pain. He states that his pain is a 7 on a 10-point scale. As part of your care, you assist him with taking his nitroglycerin per medical direction. After waiting a few minutes for the medication to take effect, you should:
ask him what his pain is like now
You are caring for a teenager who is having a severe allergic reaction. He has hives all over his stomach, is having respiratory distress, and is wheezing. After you administer oxygen, you get a set of vital signs. Medical direction has ordered you to assist with administration of his EpiPen®. You will monitor the success of your interventions during the:
reassessment.
