chpt 24

Created by matthewgasque 

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A 24-year-old female who was hiking in shorts informs you that she has been bitten by an insect on her leg. She states no other complaints. Assessment reveals a tick embedded in her leg. As an EMT, you should provide care to this patient by:

removing the tick with tweezers.

A core temperature is most accurately assessed on a patient who has been exposed to cold temperatures by placing a:

medical-grade thermometer in the patient's rectum.

A hypothermic patient is in cardiac arrest. The automated external defibrillator (AED) is applied and delivers one shock. Which one of the following actions would the EMT perform next?

Start cardiopulmonary resuscitation

A patient at a mountain ski resort presents to you with notable shortness of breath. She denies any past medical history and takes no medications. Your assessment reveals crackles to the bases of both lungs. After applying oxygen, you realize that the key to helping this patient improve is to:

remove to a lower altitude

A patient has been struck by lightning at a picnic. A doctor on scene states that the patient was in cardiac arrest after the strike, but with one minute of CPR, has a heartbeat and weak respirations. The patient remains unresponsive. Which one of the following should you do immediately?

Perform the jaw-thrust maneuver.

A person is in a hot environment and his body is successfully compensating to off-load the excess heat. Which one of the following assessment findings best illustrates this process?

Warm and diaphoretic skin, elevated heart rate, increased respirations

A young female was weeding her garden when she was bitten on her left hand by an unidentified snake. The primary assessment does not reveal any life threats and vital signs are stable. In caring for this patient, it is critical that the EMT:

have the patient remove her wedding ring from her left hand.

A young male who was angry with friends wandered away from a party and spent the night outside uncovered in 40 to 50 degree temperatures. He is confused, has decreased but adequate breathing, and a weak radial pulse. His skin is cool and capillary refill delayed. When looking to see if he is shivering, you note that he is not. Based on this presentation, which one of the following can the EMT safely conclude?

The patient's body temperature is most likely dangerously low.

After successfully rewarming a foot and frozen toes, the EMT should:

cover the foot and toes with dry, sterile dressings

As an EMT working at a mountain resort, you are presented with a 50-year-old female who states that she does not feel well. From your assessment, which one of the following findings would seemingly indicate that the patient is being adversely affected by the high altitude?

Complaint of dyspnea on exertion

At an in-service, your medical director asks if anyone can tell her the cause of heat cramps. What response would be most appropriate?

"They are caused when the patient's electrolytes such as salt and calcium are lost and become too low in the body."

Medical direction has ordered you to begin rewarming an unresponsive patient with a core temperature of 93°F. Which one of the following measures would best benefit this patient?

Wrap the patient in several warm blankets.

The EMT should recognize which one of the following patients as suffering from generalized hypothermia?

21-year-old female who was trapped in cold water for 10 minutes before being rescued

The EMT shows she understands the regulation of temperature in the human body when she states:

"If the body becomes too hot or too cold, the brain will send instructions out to the body to either retain or lose heat."

Which one of the following best describes a patient suffering an environmental emergency?

Which one of the following best describes a patient suffering an environmental emergency?

Which one of the following patients would be the highest priority for transport?

19-year-old responsive to verbal stimuli with hot dry skin and tachycardia

Which one of the following signs would present earliest in the hypothermic patient?

Shivering

You are accompanying a team of hikers climbing a high mountain. In the morning, you are summoned to a tent and find one of the climbers confused and complaining of a headache. His airway is patent and respirations adequate. He has no medical history and was in good health until found this morning by his friend. Suspicious of high-altitude cerebral edema (HACE), you should do which one of the following?

Provide high-flow oxygen.

You are assessing a conscious but confused hunter who became lost in the woods on a cold day. Your assessment shows him to have an open airway, adequate breathing, and a weak radial pulse. His skin is cold to the touch and he is shivering. The EMT should recognize that the:

shivering is a protective means by which the body is attempting to warm itself.

You are called for an elderly woman who has slipped on the ice. On arrival you find her supine on an icy sidewalk and responsive to painful stimuli with decorticate posturing (flexion). She has blood coming from a laceration on the back of her head and is breathing agonally at four times a minute. Which one of the following should you do immediately?

Perform the jaw-thrust airway maneuver

You are en route to the hospital with a patient who is unresponsive and has hot, dry skin. His friends state that he has been drinking and passed out in the hot sun for several hours before 911 was called. An Emergency Medical Responder is ventilating the patient with a bag-valve mask attached to high-flow oxygen. Which one of the following actions would be most beneficial to the patient at this time?

Place cold packs to the patient's groin and armpits

You are transporting a 44-year-old male who was stung multiple times by fire ants. Which one of the following patient statements should concern you most?

"I am beginning to feel itchy all over."

You are transporting a patient who was bitten on her hand by a spider about 20 minutes ago. On scene the primary assessment revealed no life threats and vital signs were stable. While conducting your ongoing assessment, which one of the following would be of most concern to the EMT?

Hives to the chest and abdomen

You have been asked by your medical director to put together an emergency kit specifically for patients who have been stung or bitten by small marine life animals. Which one of the following should you place in that kit?

Vinegar

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