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Patients with Special Challenges
Terms in this set (40)
The majority of current hemodynamic monitoring involves placement of different types of catheters into areas within the:
Upon arriving at the residence of a 27-year-old man who has a tracheostomy tube and is being mechanically ventilated, you note that he is breathing shallowly, is cyanotic, and is diaphoretic. You should:
disconnect the patient from the mechanical ventilator and begin bag-mask ventilations.
Which of the following statements regarding autism is correct?
Some patients with autism are able to easily solve complex mathematical problems.
Some patients with a terminal illness will continue aggressive medical treatment, hoping for a statistically improbable recovery or attempting to prolong life as much as possible. This is called:
Spina bifida occurs when:
the fetus's spinal column does not close properly or completely and vertebrae do not develop, leaving a portion of the spinal cord exposed.
Down syndrome is a condition in which:
a triplication of chromosome 21 occurs
Following removal of an ostomy device and cleansing the stoma, you should:
place a clean gauze pad over the stoma.
Which of the following clinical presentations is MOST consistent with a malfunctioning cerebrospinal fluid shunt?
Visual disturbances, headache, and altered mental status
The transducer or drainage system of an intracranial pressure monitor is typically aligned at the same height as the patient's:
Which of the following factors complicates airway management in an obese patient?
Limited neck mobility
What should you do prior to inserting an indwelling urinary catheter if a home health care patient has sensation in the penile area?
Coat the end of the catheter with an anesthetic gel.
Which of the following are often the primary tasks for paramedics who are caring for a patient with a terminal illness?
Pain assessment and management
An intra-aortic balloon pump functions by:
inflating a balloon during diastole, which pushes blood into the systemic circulation.
Which of the following interventions is especially important when caring for a patient with a tracheostomy tube?
Hydrocephalus may occur if:
cerebrospinal fluid absorption into the bloodstream is reduced.
A fenestrated tracheostomy tube:
allows the patient to speak, breathe, or clear secretions from the upper airway.
A terminal illness is MOST accurately defined as a(n):
disease process that is expected to cause death within 6 months, verified by a physician.
Multiple sclerosis is:
a chronic central nervous system disease caused by destruction of the myelin and nerve axons within the brain and spinal cord.
The fistula used for hemodialysis is a surgical connection between:
an artery and a vein.
You are assessing a 6-year-old Asian child who presents with a fever. During your assessment, you note red, flat, rounded lesions on the child's torso. This finding is MOST indicative of:
The outflow catheter of a cerebrospinal fluid shunt is MOST commonly placed into the patient's:
When suctioning and cleaning the tracheostomy of a ventilator-dependent patient, it is MOST important to:
keep the patient well oxygenated.
You respond to a dialysis center for a patient with shortness of breath. When you arrive, you find the patient, an older male, still receiving dialysis. He is conscious and alert and is experiencing mild respiratory distress. As your partner administers oxygen, you should:
ask the dialysis technician how long the patient has been on the dialysis machine.
Which of the following statements regarding patients with emotional or mental impairment is correct?
A person's mental status can influence his or her physical well-being, and vice versa.
Which of the following injury patterns is MOST suggestive of child abuse?
Bruises on the abdomen
Which of the following statements regarding poliomyelitis (polio) is correct?
Polio initially presents with a headache, sore throat, fever, and vomiting
A dialysis patient requires pharmacologically assisted intubation. Which of the following medications should be avoided?
When urine becomes evident in the tubing during insertion of an indwelling urinary catheter in a male, you should:
continue inserting the catheter until the Y between the drainage port and the balloon port is at the tip of the penis.
The majority of acquired hearing loss in children and adults is the result of:
excessive exposure to loud noise.
Characteristic physical features of Down syndrome include
a protruding tongue.
Prior to replacing an ostomy device in a patient, it is MOST important to:
wash your hands and apply personal protective equipment.
During your assessment of a 4-year-old female, you find injury patterns that are highly suggestive of abuse. The child's mother is present; she is apprehensive and is hesitant to allow you to transport her daughter. Your MOST appropriate action should be to:
ask your partner to retrieve an extra set of latex-free gloves from the ambulance, as this will enable him or her to discreetly call the police.
Which of the following statements regarding paralysis is correct?
A paralyzed patient has lost the ability to voluntarily move a body part.
You respond to a residence where an infant's apnea monitor has alarmed several times within the last 30 minutes. When you assess the infant, you note that she is alert, she has strong peripheral pulses, and her skin is pink, warm, and dry. You should:
transport the infant and monitor her breathing en route.
You would MOST likely encounter the presence of a ventricular assist device in a patient who:
is awaiting a heart transplant.
You are performing an interfacility transfer of a patient who received a cardiac catheterization and has a sheath in his femoral artery. During transport, it is important that the patient:
remain in a supine position with his legs straight.
The purpose of hospice care is to:
provide quality end-of-life care through pain and symptom management.
Difficulty walking or sitting, nightmares, and bedwetting are MOST suggestive of:
Which of the following patient populations is at GREATEST risk for abuse or neglect?
Children with chronic medical conditions
Approximately 70% of all child abuse or neglect cases involve:
substance abuse by the perpetrator.
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