Chapter 12 @jeff_yulo

What is most important to assess during secondary assessment?
Airway
Pulse
Respiration
Chief complaint
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You are assessing a 55-year-old male complaining of chest pain and have determined that his radial pulse is barely palpable. You also determine that there were 20 pulsations over a span of 30 seconds. Based on this, how would you report this patient's pulse?
Pulse 20, weak, and regular
Pulse 20 and weak
Pulse 40 and weak
Pulse 40, weak, and irregular
Which of the following are the vital signs that need to be recorded?
Pulse, respiration, skin color, skin temperature and condition
Pulse, respiration, skin color, skin temperature and condition, pupils, blood pressure, and bowel sounds
Pulse, respiration, skin color, skin temperature and condition, pupils, and blood pressure
Pulse, respiration, skin color, skin temperature, pupils, and blood pressure
Breathing sounds that should concern the EMT are: Answer snoring, gurgling, wheezing, crowing, and crowning. retractions, diaphragmatic breathing. tachycardia, retractions, diaphragmatic breathing. snoring, gurgling, wheezing, and crowingsnoring, gurgling, wheezing, and crowing.You are called to care for a child who has fallen out of a third-story window. You arrive to find the child in his mother's arms. As you approach, you notice the child's skin is pale with dark spots of cyanosis. You would report this uncommon condition of blotchy skin as: Answer mottled. flushed. jaundiced. cyanotic.mottled.The term cyanosis is used when the patient's skin color is noted to be which of the following characteristics? Answer Yellow Blue-gray Very pale FlushedBlue-grayWhich of the following is the BEST way to assess a patient's skin temperature? Answer Place your cheek against the patient's forehead. Place the back of your hand against the patient's forehead. Place your cheek against the patient's abdomen. Place the back of your hand against the patient's abdomen.Place the back of your hand against the patient's forehead.A(n) _______________ set of vital signs is important for critical decision making for the EMT. Answer unbiased accurate complete repeatedaccurateIf capillary refill is assessed in a child patient, how long should it take the normal pink color to return to the nail bed? Answer 2 seconds 4 seconds 3 seconds 5 seconds2 secondsYou are assessing a 48-year-old male who is unconscious. The scene is safe and you hear the patient gurgling. What is your next action? Answer Suction the airway. Insert an airway adjunct. Open the airway with a head tilt. Quickly check the pulse.Suction the airway.Why is the skin temperature such an important vital sign? Answer It can provide information about the patient's ability to maintain normal body temperature. It can provide reportable information about the patient's level of consciousness, a drop in oxygen, and if the blood vessels in the brain constrict, which could indicate a life-threatening problem. It can provide reportable information about the patient's breathing, a drop in oxygen, and if the blood vessels in the skin constrict, which could indicate a life-threatening problem. It can provide valuable information about the patient's circulation, a drop in perfusion, and if the blood vessels in the skin constrict, which could indicate a life-threatening problem.It can provide valuable information about the patient's circulation, a drop in perfusion, and if the blood vessels in the skin constrict, which could indicate a life-threatening problem.When the EMT checks the pupils he or she is checking for what three things? Answer Movement, gaze, and equality Color, equality, and reactivity Reactivity, gaze, and equality Size, equality, and reactivitySize, equality, and reactivityWhat is the normal response of the pupils when exposed to bright light? Answer Fluttering Dilation Constriction No effectConstrictionWhen pupils are dilated they are: Answer elliptical or elongated in shape. smaller than normal. larger than normal. irregularly shaped.larger than normal.When the heart contracts and forces blood into the arteries, the pressure created is known as the: Answer pulse pressure. systolic blood pressure. diastolic blood pressure. central venous pressure.systolic blood pressure.What is the pressure remaining in the arteries after the pulse wave has passed through? Answer Venous pressure Systolic blood pressure Diastolic blood pressure Resting blood pressureDiastolic blood pressureWhich of the following BEST describes the proper placement of the blood pressure cuff? Answer Covering two-thirds of the upper arm Midway between the elbow and shoulder One inch below the armpit Covering the patient's elbowCovering two-thirds of the upper armWhat category would include a patient with a blood pressure of 134/84 mmHg? Answer Hypotension Normotension Hypertension PrehypertensionPrehypertensionA patient being transported by ambulance to the hospital can have his blood pressure measured by which of the following methods? Answer Blood pressure monitor Palpation Auscultation Any of the aboveAny of the aboveThe method of taking blood pressure by using a stethoscope to listen to the characteristic sounds produced is called: Answer auscultation. articulation. palpation. pulsation.auscultation.In a blood pressure reading of 120/80, the 120 is measuring what body process? Answer Diastolic blood pressure; when the left ventricles contract and the blood is forced into the arteries Systolic blood pressure; when the right ventricles contract and the blood is forced into the veins Systolic blood pressure; when the left ventricles contract and the blood is forced into the arteries Systolic blood pressure; when the left ventricles contract and the blood is forced into the veinsSystolic blood pressure; when the left ventricles contract and the blood is forced into the arteriesYou are called to a 72-year-old patient with weakness and headache with an initial blood pressure of 140/92. His repeat blood pressure at 5 minutes is unchanged. His condition is called: Answer stroke. prehypertension. hypertension. hypotension.hypertension.Vital signs should be reassessed every ________ minutes for a stable patient. Answer 15 10 5 2015What are the three ways to take blood pressure? Answer Sphygmomanometer, blood pressure monitor, and heart monitor Palpation, auscultation, and blood pressure monitor Sphygmomanometer, auscultation, and blood pressure monitor Auscultation, palpation, and osculationPalpation, auscultation, and blood pressure monitorWhich of the following methods should the EMT attempt first when transporting a patient to the hospital? Answer Palpation Auscultation Blood pressure monitor Any of the aboveAuscultationHow often should a patient's vital signs be reassessed during transport to the hospital after he has had his pulse restored with CPR and the use of an AED? Answer Every 10 minutes Every 15 minutes Every 2 minutes Every 5 minutesEvery 5 minutesTo determine blood pressure, the EMT should position the cuff over the upper arm and place the stethoscope over the brachial artery. Next, she should inflate the cuff, then slowly deflate the cuff, listening for clicks or tapping sounds while remembering the number at the first sound. What is the next step in taking a blood pressure? Answer Dump all the pressure and record the number as the diastolic pressure. Re-inflate the cuff on the patient's arm and repeat the process to verify the reading. Continue releasing pressure until the clicks or tapping stop, and record both numbers. These are the blood pressure. Remove the cuff from the patient's arm, place it on the opposite arm, and repeat the process to verify the reading.Continue releasing pressure until the clicks or tapping stop, and record both numbers. These are the blood pressureThe abbreviation mmHg indicates that the blood pressure is measured by which of the following comparisons? Answer Minimum heart rate Millimeters of mercury Millimeters of water Atmospheric pressureMillimeters of mercuryAn oxygen saturation of 97 percent is considered which of the following? Answer Severe hypoxia Normal Hypoxia Significant hypoxiaNormalYour patient is warm, dry, and pink and denies shortness of breath. Which of the following should the EMT expect to find when evaluating the patient's oxygen saturation? Answer 91 percent 98 percent 102 percent 95 percent98 percentAn inaccurate oxygen saturation reading can result in all of the following EXCEPT: Answer carbon monoxide inhalation. a patient that smokes cigarettes. a patient wearing fingernail polish. All of the aboveAll of the aboveThe EMT should reassess the vital signs of an unstable patient every ________ minutes. Answer 15 10 5 25Upon assessment of your patient, you notice that he has cool, sweaty skin. This finding is best described as which of the following? Answer A diagnosis A sign A complaint A symptomA signYou respond to a 30-month-old patient who has passed out. Is the patient's blood pressure important to your treatment and why? Answer Yes, blood pressure must be taken on everyone because without it we cannot impact the patient's field management. No, blood pressure taken on children younger than age 3 can cause damage to the tender tissues of the arm that could lead to hypertension in later life. Yes, blood pressure can be taken on children because it is the only way we can understand the patient's condition. No, blood pressure taken on children younger than age 3 is difficult and has little impact on the patient's field management.No, blood pressure taken on children younger than age 3 is difficult and has little impact on the patient's field management.The device that some EMS services use as a light wave device to measure oxygen saturation (SpO2) is called Answer capnography. sphygmomanometer. end tidal CO meter. pulse oximeter.pulse oximeter.You have a 38-year-old who has fainted. Following your local protocol you use a light wave device to determine the SpO2. As the EMT, you attach the device on the patient's finger, which gives you a reading of 91. What does that reading indicate? Answer Significant hypoxia Severe hypoxia Normal results HypoxiaHypoxiaRecording and documenting your patient's first set of vital signs is very important because, when combined with reassessments, it allows you to do which of the following? Answer Make an accurate diagnosis of the patient's illness. Compare your patient's condition with other patients' conditions. Discover trends and changes in the patient's condition. Fill in all of the blanks on the patient care report form.Discover trends and changes in the patient's condition.When taking blood pressure, the cuff should be inflated to what point? Answer 20 to 30 mmHg beyond the point where the pulse disappears Until the patient says it hurts Until the Velcro starts to crackle Until the gauge reads 200 mmHg20 to 30 mmHg beyond the point where the pulse disappearsYour patient has a rapid, regular, and thready pulse. Which of the following is a possible cause of this finding? Answer Exertion Shock Fright All of the aboveShockYou respond to a high school football field on a hot, humid day to find a 16-year-old male complaining of dizziness and weakness after playing football for an hour. Which of the following would you expect his vital signs to be? Answer Normal pulse, blood pressure, and skin Rapid pulse, high blood pressure, and hot, dry skin Slow pulse, low blood pressure, and cool, dry skin Rapid pulse, low blood pressure, and sweaty skinRapid pulse, low blood pressure, and sweaty skinAn approximate normal systolic blood pressure can be calculated for infants and children by using which of the following formulas? Answer 80 plus 2 times the age in years 120 plus 2 times the age in years 120 minus 2 times the age in years 80 times 2 plus the age in years80 plus 2 times the age in yearsYou respond to a childcare center for a report of an injured 4-year-old. Her pulse is 130 beats per minute. Which of the following BEST describes this finding? Answer Bradycardic Normal for the child's age Tachycardic Unable to determine without knowing the family historyTachycardicWhich of the following cause the pulse oximetry to give a false or incorrect reading? Answer A patient in shock or hyperthermia, carbon monoxide and certain poisonings, excessive movements A patient in shock or hypothermia, carbon monoxide and certain poisonings, fingernail polish, excessive movements, poor batteries A patient with rapid respirations, shock or hypothermia, carbon monoxide and certain poisonings, fingernail polish, excessive movements, poor batteries A patient in shock or hypothermia, carbon monoxide and certain poisonings, excessive movements, good batteriesA patient in shock or hypothermia, carbon monoxide and certain poisonings, fingernail polish, excessive movements, poor batteriesYou respond to a cafeteria to find an unconscious person with gurgling sounds upon exhalation and inhalation. What is the probable cause of the respiratory sounds? Answer Cardiac arrest A complete airway obstruction Fluids in the airway The tongue blocking the airwayFluids in the airwayThe range of normal blood glucose level is from a low of 60 to 80 mg/dL to a high of: Answer 110 to 130. 100 to 120. 90 to 100. 120 to 140.120 to 140.Which of the following is NOT a cause of unequal pupils? Answer Fright An artificial eye Stroke Eye injuryFrightYou respond to a nursing home to find an elderly patient with a pulse of 100, blood pressure of 100/60, respiratory rate of 12, and cool, pale skin. Which of the following describes this set of vital signs? Answer They are normal. They indicate the patient is critically ill. They will serve as a basis of comparison for later vital signs. The patient is stable and will not require additional vital signs during transport.They will serve as a basis of comparison for later vital signs.Your patient is in late stages of liver failure and has requested to be transported to the emergency department. You take your body substance isolation and move him to your cot and notice his skin is warm and dry with a yellow color. Your radio report to the hospital should state your patient is: Answer flushed. mottled. jaundiced. cyanotic.jaundiced.