Question 1

Reassessment

Accepted Answer

A procedure for detecting changes in a patients condition. It involves four steps; 1. Repeating of the primary assessment 2. Repeating and recording vital sx 3. Repeating the physical exam 4. Checking interventions

Question 2

Trending

Accepted Answer

Changes in a patients condition over time, such as slowing respirations or rising pulse rate, that may show improvement

Question 3

Reassessment Step 1

Accepted Answer

Repeat the Primary Assessment - 1. Reassess mental status 2. Maintain an open airway 3. Monitor breathing for rate and quality 4. Reassess the pulse for rate and quality 5. Monitor skin color and temperature 6. Reestablish patient priorities

Question 4

Reassessment Step 1 - NOTE

Accepted Answer

\ \ \ Life threatening problems that were not detected earlier, can start surfacing \ \ \ \ Interventions bringing the life threatening conditions under control may develop or redevelop before the patient reaches the hospital

Question 5

Reassessment Step 1 - PEDIATRIC NOTE

Accepted Answer

\ Mental status on an unresponsive child or infant can be checked by speaking loudly or flicking their foot (painful stimuli).

Question 6

Reassessment Step 2 - Reassess and Record VS

Accepted Answer

\ \ During your secondary assessment, you took the recorded the baseline VS. \ \ \ In this step you are reassessing the VS and comparing them to the baseline. Checking for improvements, or degradation of the patients condition. \ \ \ \ This is why the baseline is so critical. Without it, you have nothing to compare the reassessment VS to

Question 7

Reassessment Step 3 - Repeat Pertinent Parts of Patient Hx and Physical Exam

Accepted Answer

\ A patients CC can change over time \ \ One of the main things that may/will change will be the severity of the CC \ \ \ This is also your time to reassess your Physical Exam. If you found that your patient had contusions on the chest during your initial physical exam, and your reassessment shows it getting worse, or the chest wall is showing issues not detected or not present at all during the assessment, it will show you that potentially your transport priority needs to be increased

Question 8

Reassessment - Step 4 - Check Interventions

Accepted Answer

This is going to be your time to check your work. Whatever interventions you initially you are checking. \ \ When you do this, you want to take a "fresh approach" to it. You want to ensure that your interventions that you made are actually improving your patients condition from when you first started patient care, but you also want to double check your patients condition and see if the interventions are working, or if you need to take any other interventions to assist the patient enroute to the hospital

Question 9

Reassessment - Step 4 - Check Interventions ALWAYS DO THE FOLLOWING

Accepted Answer

ALWAYS DO THE FOLLOWING IN YOUR INTERVENTION CHECKS: 1. Ensure adequacy of O2 delivery and artificial ventilation 2. Ensure the management of any bleeding is effective. Did your gauze packing stop the bleed? Do you need to add more to it? If it is a puncture, do you need to feed the gauze in TO the wound? Things such as this 3. Ensure adequacy of other interventions \ \ \ \ Just remember that situations change

Question 10

Which of the following best describes the purpose of repeating the primary assessment? 1. To conduct a rapid trauma assessment 2. To take the patient's past medical hx 3. To recheck for ongoing life-threatening problems 4. To obtain a hx of the present illness

Accepted Answer

3. To recheck for ongoing life-threatening problems The other 3 choices are components of the secondary assessment, and a rapid trauma assessment would only be performed for seriously injured patients, not all patients

Question 11

A​ 6-year-old male has fallen on his outstretched​ arm, causing a possible fracture. His vital signs have remained essentially the same throughout transport. How would you describe his​ condition? 1. Deteriorating 2. Not possible to determine 3. Returning to normal 4. Unchanged

Accepted Answer

4. Unchanged

Question 12

Which of the following is true of a trauma patient with a significant mechanism of​ injury? 1. The​ patient's condition should be reassessed every 5​ minutes, because the patient can be considered unstable. 2. The​ patient's vital signs are likely impossible to determine with any certainty due to the significance of the mechanism of injury. 3. The​ patient's trending vital signs should be assumed to remain in line with the baseline vital signs. 4. The patient should be considered to be in stable condition and does not require reassessment.

Accepted Answer

1. The​ patient's condition should be reassessed every 5​ minutes, because the patient can be considered unstable.

Question 13

Which of the following actions should be performed for a patient who has been shot in the chest and for whom you have performed a primary and secondary​ assessment? 1. Reassess the patient every 15 minutes and anytime there is a change in condition. 2. Regardless of the​ patient's condition, reassess the patient only at​ 5-minute intervals. 3. Reassess the patient every 5 minutes and anytime there is a change in condition. 4. Reassess the patient once after 15​ minutes; if vital signs are​ unchanged, additional reassessment is unnecessary.

Accepted Answer

3. Reassess the patient every 5 minutes and anytime there is a change in condition.

Question 14

A​ 22-year-old female was found severely hyperventilating and was visibly upset. Her initial vital signs were P​ 130, R​ 40, BP​ 190/100. With coaching and compassionate​ care, she has calmed down. Her repeat vital signs are P​ 100, R​ 28, BP​ 160/88. Which of the following would best describe this trend in vital​ signs? 1. Deteriorating 2. Unable to determine 3. Unchanged 4. Returning to normal

Accepted Answer

4. Returning to normal

Question 15

You have taken several sets of vital signs for a​ patient, whose respiratory rate has changed from 24 with shallow breaths to 20 with full​ breaths, and whose skin has remained pale and dry. You would consider this​ patient's condition to​ be: 1. Deteriorating 2. Returning to normal 3. Undetermined 4. Remaining unchanged

Accepted Answer

2. Returning to normal

Question 16

Determining a​ patient's stability: 1. is necessary for responsive patients 2. is primarily a question of determining 3. helps indicate the frequency with which the patient must be reassessed 4. is entirely dependent on taking the patient's VS

Accepted Answer

3. helps indicate the frequency with which the patient must be reassessed

Question 17

While en route to the​ hospital, your​ 67-year-old male patient with chest pain breaks out in a sweat and becomes very pale. He clutches his chest. You should​ next: 1. Administer the patient's nitro 2. reassess 3. administer O2 4. call for ALS

Accepted Answer

2. reassess

Question 18

​________ is reassessing and recording findings of the reassessment so they can be compared to earlier findings. 1. Averaging 2. Analysis 3. Trending 4. Critical Thinking

Accepted Answer

3. Trending

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CH 16 Reassessment Flashcards

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