Ch. 46 Flashcards
You are called to care for an elderly man with chest pain, but you have difficulty understanding him. His wife tells you that he has Bell’s palsy, which causes paralysis of facial nerves. This is an example of:
A) physical abuse.
B) an articulation disorder.
C) a language disorder.
D) a fluency disorder.
B) an articulation disorder.
Page Ref: 1013-1014
Which of the following would demonstrate empathy for a patient?
A) Advising an alcoholic that he must quit drinking if he hopes to get better
B) Talking to a COPD patient about the dangers of smoking cigarettes
C) Telling a patient that it would be less expensive to take a cab to the hospital
D) During a cold snap, trying to locate a jacket for a homeless man
D) During a cold snap, trying to locate a jacket for a homeless man
Page Ref: 1015-1016
You are mentoring a new EMT. Which of the following could help your protégée understand the importance of treating a patient empathetically?
A) Taking him to an Assisted Living facility and introducing him to some of your regular patients
B) Explaining to him the various ways you can get a patient to give you a refusal
C) Showing him different ways that he can get another unit to take the calls on skid row
D) Spending time showing him how to operate the airway equipment on the ambulance
A) Taking him to an Assisted Living facility and introducing him to some of your regular patients
Page Ref: 1015-1016
Of the following patients, which would NOT be considered a patient with special challenges?
A) A terminally ill patient
B) A burn patient
C) A dialysis patient
D) A brain injured patient
B) A burn patient
Page Ref: 1014, 1022, 1024
Which of the following is a concern when caring for bariatric patients?
A) They often require medical equipment for day-to-day living.
B) They usually live in nursing homes or other medical facilities.
C) They require higher concentrations of oxygen.
D) Supine positioning can lead to respiratory difficulty.
D) Supine positioning can lead to respiratory difficulty.
Page Ref: 1015
Which of the following would a COPD patient use at home?
A) Mechanical ventilator
B) CPAP or BiPAP
C) Apnea monitor
D) Vascular access device
B) CPAP or BiPAP
Page Ref: 1020
Which of the following would be typical for a patient in hospice care?
A) As death nears, the patient is weaned from pain medications.
B) The patient and family have regular visits from a social worker.
C) The patient is transported to the hospital for weekly evaluation.
D) Pain medications are used to keep the patient sedated.
B) The patient and family have regular visits from a social worker.
Page Ref: 1024
Which of the following techniques will improve communication with a deaf patient?
A) Speak normally while looking directly at the patient.
B) Exaggerate the pronunciation of your words.
C) Speak slowly and move your lips carefully.
D) Raise you voice somewhat and speak more slowly.
A) Speak normally while looking directly at the patient.
Page Ref: 1013
Which of the following patients would benefit from using a CPAP machine?
A) A patient with liver failure
B) A patient with sleep apnea
C) A paralyzed patient
D) A dialysis patient
B) A patient with sleep apnea
Page Ref: 1020
Which of the following is another term for an articulation disorder?
A) Dysrhythmias
B) Dysphasia
C) Dysphoria
D) Dysarthria
D) Dysarthria
Page Ref: 1013
Which of the following is an example of an implanted venous access port?
A) Broviac
B) MediPort
C) Hickman
D) Groshong
B) MediPort
Page Ref: 1022
Which of the following is TRUE regarding home oxygen equipment?
A) An oxygen concentrator can deliver up to 95 percent oxygen.
B) Liquid oxygen lasts much longer than compressed gas.
C) They can be complicated and require frequent servicing.
D) They are connected to a dehumidifier and oxygen cylinder.
B) Liquid oxygen lasts much longer than compressed gas.
Page Ref: 1019
All of the following lead to an over accumulation of CSF in the brain EXCEPT:
A) increased acidity of CSF.
B) overproduction of CSF.
C) poor reabsorption of CSF.
D) inadequate flow of CSF.
A) increased acidity of CSF.
Page Ref: 1023-1024
What is the MOST common complication associated with a tracheostomy tube?
A) Air leakage around the cuff
B) Tube dislodgement
C) Mucus obstructing the tube
D) Infection at the stoma
C) Mucus obstructing the tube
Page Ref: 1020
Which of the following is TRUE regarding ostomy bags?
A) They divert urine from the patient’s urinary bladder.
B) A common complication is a urinary tract infection.
C) They collect feces directly from the patient’s colon.
D) They collect excess CSF from an intraventricular shunt.
C) They collect feces directly from the patient’s colon.
Page Ref: 1023
Emergencies involving a patient with a tracheostomy tube generally results from which of the following?
A) The tube fails or ruptures, or the tube becomes dislodged.
B) The tube splits from excess airway pressures or becomes occluded.
C) The tube becomes plugged with mucus, or the tube becomes dislodged.
D) The tube softens, or becomes occluded with foreign material.
C) The tube becomes plugged with mucus, or the tube becomes dislodged.
Page Ref: 1020
Which of the following devices can be used to suction stomach contents?
A) NG or OG tube
B) CPAP or BiPAP
C) Hickman tube
D) AV shunt
A) NG or OG tube
Page Ref: 1022
A tube that is surgically inserted through the abdominal wall, directly into the stomach is called a(n):
A) J tube.
B) G tube.
C) OG tube.
D) NG tube.
B) G tube.
Page Ref: 1022
You are called to a long-term care facility for a patient with altered mental status and a fever. The staff reports that the patient has an indwelling catheter and he has been passing dark colored urine. He is hypotensive with an O2 saturation of 87 percent. You should suspect:
A) life-threatening sepsis.
B) a severe spinal infection.
C) a blocked intraventricular shunt.
D) a contaminated ostomy bag
A) life-threatening sepsis.
Page Ref: 1023
All of the following may require the use of an ostomy bag as a result of medical conditions EXCEPT:
A) diverticulitis.
B) colon cancer.
C) Crohn’s disease.
D) hydrocephalus.
D) hydrocephalus.
Page Ref: 1023
Which of the following would be MOST appropriate when providing care for a blind patient?
A) Interview the family members to collect information about the patient’s problem.
B) Do not touch the patient without first letting him know what you are going to do.
C) Speak softly to the service dog so he will know you are not a threat to his owner.
D) Determine if the patient is also deaf and check to see if he has his hearing aid in.
B) Do not touch the patient without first letting him know what you are going to do.
Page Ref: 1013
Orogastric tubes are:
A) slightly smaller than a nasogastric tube.
B) inserted through the nose.
C) inserted through the mouth.
D) slightly shorter than a nasogastric tube.
C) inserted through the mouth.
Page Ref: 1022
Speech impairment chiefly occurs because of four reasons: articulation disorders, voice production disorders, language disorders, and:
A) fluency disorders.
B) mentation processing disorders.
C) neurovascular disorders.
D) glossal function disorders.
A) fluency disorders.
Page Ref: 1013-1014
Which of the following is NOT one of the problems commonly encountered by a patient who is paralyzed?
A) Respiratory infections
B) Urinary tract infections
C) Blocked intraventricular shunts
D) Pressure sores
C) Blocked intraventricular shunts
Page Ref: 1014-1015
A hollow tube that is surgically placed in a ventricle of the brain extending to the abdomen is called a(n):
A) ostomy tube.
B) ventriculostomy shunt.
C) central venous catheter.
D) tracheostomy tube.
B) ventriculostomy shunt.
Page Ref: 1023-1024
Which of the following would be an example of psychological abuse?
A) Berating an elderly patient for incontinence
B) Sedating a patient to keep him quiet
C) Restraining a patient to prevent his wandering
D) Distributing sexually explicit photos of a patient
A) Berating an elderly patient for incontinence
Page Ref: 1016
You are called for an elderly woman who fell. She called 911 saying she hurt her head when she fell. When you arrive, her husband tells you that she is fine and doesn’t need you. You can see her in the background and she appears to be bleeding from a head wound and is crying. You should suspect:
A) psychological abuse.
B) she is not really injured.
C) domestic abuse.
D) sexual abuse.
C) domestic abuse.
Page Ref: 1016-1018
A young man convinces his grandmother to take out a home equity line of credit to loan him $50,000 even though she lives on social security. He invested the money in a business that soon went bankrupt. Now, the bank is foreclosing on grandma and she has nowhere to go. This is an example of:
A) neglect.
B) financial abuse.
C) domestic abuse.
D) psychological abuse.
B) financial abuse.
Page Ref: 1017-1018
You are called for an elderly man who “is not acting right.” The man’s son says that they were just leaving for a short vacation but grandpa is sick and needs to go to the hospital. During your assessment, you notice numerous bed sores on the patient’s backside and bruises on his arms and legs. Other than his physical condition, he appears to be okay. You should:
A) tell the son that you know he is trying to dump his father so he can leave on vacation.
B) ask the son about the bruises on grandpa and how they got there.
C) package the patient for transport to the hospital and notify the staff that you suspect abuse.
D) treat the patient’s bedsores and turn him so they won’t get any worse.
C) package the patient for transport to the hospital and notify the staff that you suspect abuse.
Page Ref: 1018
Among the following, who is the MOST likely to be the abuser of a child?
A) The child’s kindergarten teacher
B) A babysitter who sits regularly
C) A brother or sister of the child
D) Someone he knows and trusts
D) Someone he knows and trusts
Page Ref: 1017
You are on-scene with a two-year-old girl. Which of the following would MOST likely indicate neglect or abuse?
A) She cries as you attempt to assess her.
B) She is dirty and has bad breath.
C) She has bruises on her legs and torso.
D) She is wearing a dirty diaper.
C) She has bruises on her legs and torso.
Page Ref: 1017-1018
You suspect that the bruising to the face of an 88-year-old woman is the result of abuse by her caregiver. On-scene, which one of the following is MOST appropriate?
A) Call law enforcement and wait with the patient for them to arrive.
B) Apply ice to the bruise and transport the patient to the ED.
C) Inconspicuously investigate the house for additional clues.
D) Confront the caregiver about your suspicion.
B) Apply ice to the bruise and transport the patient to the ED.
Page Ref: 1018
The most common complication associated with urinary catheters is the development of:
A) urinary tract infections.
B) subdural bleeding.
C) occlusion.
D) sepsis.
A) urinary tract infections.
Page Ref: 1023
If the feeding tube is surgically inserted into the stomach, it is called a(n):
A) jejunal tube.
B) gastric tube.
C) AV graft.
D) AV fistula.
B) gastric tube.
Page Ref: 1022
