I want to get answers and short explan.
1. 50 year old female states she has “the worst headache of her life”. The onset was 20 minutes ago and it was abrupt. Vitals BP 180/90 P56 and R 20. You should suspect?
Uncontrolled hypertension
migraine headache
TIA
subarachnoid hemorrhage
When lifting a stretcher into the ambulance using power grip, you should?
position hands 10’ apart
support weight on heels of palms
82 yo F mumbling and throwing clothes, nurse says she's diabetic. You should?
call law enforcement
give oral glucose
have nurse help restrain
ask her whats wrong
35) An unconscious male is cyanotic and actively vomiting you have been suctioning him for at least a minute.
Perform finger sweep
open airway, check pulse
apply O2 NBM
Log roll and suction
36) 32 yo F was involved in a car crash and complains of a tearing pain in her back. Her left radial pulse is stronger than her right radial pulse.
Abdominal aortic aneurysm
aortic dissection
flail segment
Tension pneumothorax
36 year old ventilator dependent, called 911 because the ventilator warning. What should you do?
Unplug and ventilate with bvm
suction airway
attach pulse ox
look for rise and fall
You arrive at a factory and see a lot of people coughing as they evacuate.You should?
Establish triage site and begin to sort patients by severity of 28 complaint
Become incident commander and direct partner to begin treating
Call for additional resources and look for triage sight upwind of factory
Park ambulance 100 yards away and wait for trained personnel
32 y/o complains of rapid heartbeat. You should?
Obtain vitals
assess pulse
perform secondary
put on stretcher and give o2
Unconscious 28 year old male has a puncture wound in his left forearm. You also see multiple scars on the backs of both his hands. What type of overdose should you suspect?
Barbiturate
narcotic
methamphetamine
hallucinogen
Which part of the heart is responsible for causing pulmonary edema.
Right Atrium
Left Atrium
Right Ventricle
Left Ventricle
immediately after the delivery of vigorous newborn, you should.
Blow-by
level with placentia
suction oropharynx with bulb
massage
A 59 year old male complains of distress and crushing chest. He is diaphoretic, pale cool. You should.
Supine position
search for meds
assist ventilations
assist with self administered rx nitro
67 yo female is unconscious and her family members are performing poor CPR. You should.
Give 2 breaths
2 minute CPR
Check Pulse
Attach AED
24 y F is 23 weeks pregnant and she tells you that she feels weak and has been vomiting for the past 3 days. She also tells you that she is scared to go to the hospital in the ambulance. V/S 84/52 P 110 R SPO2 98% on room air temp. You should.
Have her family take her to the hospital
monitor her vital signs and transport
contact her primary care physician
administer O2
92 year old female complains of a headache and trouble breathing. She is on home O2. What is the most important question you should ask?
Which meds do you take?
Are you allergic to any meds?
When did SOB start?
How many liters of home O2 are you normally on?
A 16 y/o male tripped and landed on his elbow. It is swollen with obvious deformities and he is screaming in pain. You should:
Administer oxygen
perform a primary survey
Apply gentle traction
splint in position found
A 450 lb patient has a 6 inch laceration to right upper arm & a fractured left ankle. He is on the 3rd floor. You should:
Apply a pressure dressing to the arm
Splint ankle and foot
Call for extrication assistance
carry him down the steps in a stair chair
What organ is responsible for the exchange of oxygen, food, and waste between the mother and fetus?
placenta
umbilical cord
birth canal
uterus
A 21-year-old has a open femur fracture after falling off a horse you should?
Immobilize on longboard
check the distal pulses
applying manual stabilization to the femur
52 year old female complains of severe abdominal pain, distention, and black stools. Vital signs are BP 92/, P 115, R 20. What should you suspect?
Upper intestinal bleeding
Hemorrhoids
Gastric Ulcers
Abdominal Aortic Aneurysm
A 12 year old male is prone in a shallow bathtub of water. He is pulseless and apneic. What should you do?
Start chest compressions
Assist his ventilations
Dry the patient
Immediately apply AED pads
Patient has been shot in the chest after cutting off the patient’s blood soaked shirt you should place it in.
Ambulance trash can
brown paper bag
plastic bag
biohazard disposal bag
Pg 837 also google gun shot blood on shirt in paper bag
35 y/o M is short of breath after being shot in abdomen and legs. Vitals are P 122, R 24 and labored. You should
Immobilize to longboard
Obtain vitals
Assist with ventilations
Apply oxygen by NRB
46 yr old F swollen feet, orthopnea SOB w/ exertion last 2 days. Most likely cause?
Pulmonary embolism
Bradycardia
Angina
Heart Failure
Which of the following is contraindication of nitro admin
Systolic < 110 mmHg
Recent use of erectile dysfunction med.
Recent use of bronchodilator
HR < 80 bpm
While triaging MCI you find unresponsive and apneic female with open head injury. What color are they?
Black
Yellow
Red
Green
50 year old F with a history of chronic bronchitis, RR 6, you should?
Assist w/ administration of a prescribed brhoncal dialator
Place in recovery position
Provide positive pressure ventilation via BVM
Oxygen via NRB
You are driving emergency with lights and sirens, when approaching an intersection with a green light, you should?
Proceed through with due regard
proceed through after a complete stop
attempt to make eye contact with all motorists
depend on audible and visual warning devices
7 year old is in cardiac arrest after choking on a bite of chicken, upon arrival you note effective CPR in progress, you should ?
Immediately apply AED
attempt to ventilate
continue chest compressions
perform 5 abdominal thrusts
51 year old male is unresponsive with agonal respirations, you should?
Attach AED
check for a pulse
apply O2 via NRB
Start CPR
Answer: TIA
Transient ischemic attack is usually cause high blood pressure which is more than 140/90 mmHg. The patient is 50 years old and prone to this attack.
I want to get answers and short explan. 1. 50 year old female states she has...
Billy Franklin, a 17-year-old male was in a motor vehicle accident and transported to the ED by ambulance. He presented with SOB, bruising diagonally across chest, tachypnea, uneven rise and fall of chest with breaths, and confusion when asked where he is at. He stated that he has sharp stabbing chest pain and is “having a hard time breathing”. During initial assessment nurse noted crepitus upon auscultation. His vitals were blood pressure of 108/61, pulse rate of 112, O2 sat:...
9483-A 78 year old female was found in her pajamas on the kitchen floor. It is a cold morning and no one has heard from her for 24 hours. You find her daughter performing CPR. You should Select one: A. auscultate heart tones. B. continue CPR for 5 minutes. C. assess quality of compressions D. attach the AED pads.
A 23-year-old female complains of severe left lower abdominal/pelvic pain for 6 hours. She states her last menstrual period was “about 3 or 4 weeks ago.” She is sexually active and denies using any contraceptive method. She denies other symptoms, significant history, or allergies. In order of importance, describe three (3) questions that you would like to ask this patient and give a brief explanation of why? Which lab or imaging tests would you order for this patient and give...
Sandy is a 47 year old female 2 days post operative abdominal surgery. She has a foley to gravity drainage. While assessing P.M.'s VS at noon, you note that there is no urine in the tubing and there is little in the bag. The patient tells you "I am in pain and I feel like I need to urinate." What could be the problem? What should you assess and do for this patient? Write 3 possible NANDA nursing diagnoses for...
1. A six-year-old child is choking on a marble. She coughs forcefully several times but is unable to speak and begins to gag. She is unable to move air in and out. What should you do? a. Reassure the child and call 911. b. Look in the mouth, and if you see the marble, remove it. c. Begin abdominal thrusts until the object comes out. d. Begin chest thrusts until the object comes out. 2. Which of the following steps...
76-year-old female patient complains of weight gain, shortness of breath, peripheral edema, and abdominal swelling. She has a history of congestive heart failure and admits to not taking her diuretic, as it makes her “have to get up every couple hours to go to the bathroom.” She now has to sleep on two pillows in order to get enough air. What is the cardiovascular and cardiopulmonary pathophysiology processes that result in the patient presenting these symptoms
9450 - A 34 year old female is found unconscious on a bathroom floor. She is apneic, has pinpoint pupils, and has a fresh puncture wound to her right forearm. She has multiple scars that form a bluish streak over the veins of the backs of both hands. You should suspect Select one: O A a narcotic overdose O B. domestic abuse. O C. a seizure disorder. O D. repeated suicide attempts.
1. You are called to the emergency department to assess a 14-year-old girl. She is short of breath and complains of tightness in her chest. She has a history of asthma. Upon assessment, you note that her respirations are 31/min and her heart rate is 110. On auscultation, you note prolonged expi ratory wheeze. Which of the following medications would you recommend and why? a a. ipratropium bromide b. albuterol c. salmeterol d. caffeine
Frances Jenkins, 63 year old female with a 15 year diagnosis of Diabetes, presents in the clinic. She also has a 10 year history of hypertension. Her diabetes and hypertension has been only moderately controlled. Today she reports edema in her hands, face, and feet. She reports that she is tired and "just doesn't seem to have any energy". Her blood sugar is within acceptable limits. Her urine is positive for blood and protein. What complication of diabetes might you...
2. Marie Perez, a 53-year-old patient, is day 1 after a gastric bypass. She complains of shortness of breath; her respiratory rate is 30 breaths/min, heart rate is 110 bpm, pulse oximetry 89% on room air, temperature is 100°F, and her blood pressure is 9050 mm Hg. She complains of feeling anxious and having stabbing chest pain which gets worse with inspiration. She complains that she feels like she is going to pass out or possibly die. (Learning Objective 7)...