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Outdoor Emergency Care > Ch11 Practice Questions > Flashcards

Ch11 Practice Questions Flashcards

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1
Q

When assessing a patient with a possible stroke, the OEC technician should first work on:

A) identifying risk factors for stroke.
B) determining if there is a family history of stroke.
C) recognizing the signs of a stroke.
D) determining the type of stroke.

A

When assessing a patient with a possible stroke, the OEC technician should first work on:
A) identifying risk factors for stroke.
B) determining if there is a family history of stroke.
C) recognizing the signs of a stroke.
D) determining the type of stroke.

Ans: C

Complexity: Easy
Ahead: Chapter Overview 
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 240
Objective: 11-5
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2
Q

Glucose:

A) assists the pancreas in the manufacture of insulin.

B) is an energy source for brain cells and other cells in the body.

C) is an essential building block for body tissues such as muscle and bone.

D) allows the body to use insulin.

A

Glucose:
A) assists the pancreas in the manufacture of insulin.
B) is an energy source for brain cells and other cells in the body.
C) is an essential building block for body tissues such as muscle and bone.
D) allows the body to use insulin.

Ans: B

Complexity: Easy
Ahead: Chapter Overview  
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 240
Objective: 11-4
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3
Q

In the mnemonic AEIOU-TIPS, the A stands for:

A) ADHD and alcohol.
B) alcohol and acidosis.
C) acidosis and anemia.
D) abscess and acidosis.

A 
In the mnemonic AEIOU-TIPS, the A stands for:
A) ADHD and alcohol.
B) alcohol and acidosis.
C) acidosis and anemia.
D) abscess and acidosis.

Ans: B

Complexity: Moderate
Ahead: Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 242
Objective: 11-2
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4
Q

In the mnemonic AEIOU-TIPS, the E stands for:

A) epilepsy, environment, and electrolyte imbalance.
B) edema, electrolyte imbalance, and endocarditis.
C) epilepsy, echovirus, and environment.
D) electrolyte imbalance, environment, and echovirus.

A

In the mnemonic AEIOU-TIPS, the E stands for:
A) epilepsy, environment, and electrolyte imbalance.
B) edema, electrolyte imbalance, and endocarditis.
C) epilepsy, echovirus, and environment.
D) electrolyte imbalance, environment, and echovirus.

Ans: A

Complexity: Moderate
Ahead: Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 242
Objective: 11-2
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5
Q

The signs and symptoms of a transient ischemic attack (TIA):

A) are temporary and resolve within 24 hours.
B) can persist for a few days before they resolve.
C) are mild but permanent.
D) are severe and permanent.

A

The signs and symptoms of a transient ischemic attack (TIA):
A) are temporary and resolve within 24 hours.
B) can persist for a few days before they resolve.
C) are mild but permanent.
D) are severe and permanent.

Ans: A

Complexity: Moderate
Ahead: Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 243
Objective: 11-2
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6
Q

In the mnemonic AEIOU-TIPS, the O stands for:

A) osteosarcoma and oxygen.
B) oxygen and overdose.
C) overdose and oliguria.
D) overdose and otitis.

A 
In the mnemonic AEIOU-TIPS, the O stands for:
A) osteosarcoma and oxygen.
B) oxygen and overdose.
C) overdose and oliguria.
D) overdose and otitis.

Ans: B

Complexity: Moderate
Ahead: Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 243
Objective: 11-2
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7
Q

In the mnemonic AEIOU-TIPS, the U stands for:

A) urticarial.
B) usher syndrome.
C) ulcers.
D) uremia (kidney failure).

A 
In the mnemonic AEIOU-TIPS, the U stands for:
A) urticarial.
B) usher syndrome.
C) ulcers.
D) uremia (kidney failure).

Ans: D

Complexity: Moderate
Ahead: Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 243
Objective: 11-2
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8
Q

In the mnemonic AEIOU-TIPS, the T stands for:

A) thyroiditis and thrombophlebitis.
B) trauma and tumors.
C) thrombophlebitis and tinnitus.
D) trauma and thrombophlebitis.

A 
In the mnemonic AEIOU-TIPS, the T stands for:
A) thyroiditis and thrombophlebitis.
B) trauma and tumors.
C) thrombophlebitis and tinnitus.
D) trauma and thrombophlebitis.

Ans: B

Complexity: Moderate
Ahead: Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 243
Objective: 11-2
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9
Q

In the mnemonic AEIOU-TIPS, the first and second I stand for:

A) insomnia and intestine.
B) impetigo and injury.
C) interstitial cystitis and iodine.
D) insulin and infection.

A 
In the mnemonic AEIOU-TIPS, the first and second I stand for:
A) insomnia and intestine.
B) impetigo and injury.
C) interstitial cystitis and iodine.
D) insulin and infection.

Ans: D

Complexity: Moderate
Ahead: Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 242-243
Objective: 11-2
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10
Q

In the mnemonic AEIOU-TIPS, the P stands for:

A) parathyroid disorders and Parkinson’s disease.
B) parathyroid disorders and psychiatric conditions.
C) Parkinson’s disease and peripheral nerve disorder.
D) poisoning and psychiatric conditions.

A

In the mnemonic AEIOU-TIPS, the P stands for:
A) parathyroid disorders and Parkinson’s disease.
B) parathyroid disorders and psychiatric conditions.
C) Parkinson’s disease and peripheral nerve disorder.
D) poisoning and psychiatric conditions.

Ans: D

Complexity: Moderate
Ahead: Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 243 
Objective: 11-2
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11
Q

In the mnemonic AEIOU-TIPS, the S stands for:

A) steroids, seizure, and sinusitis.

B) seizure, stroke, and syncope.

C) Sjogren’s syndrome, seizure, and sinusitis.

D) sickle cell anemia, Sjogren’s syndrome, and steroids.

A

In the mnemonic AEIOU-TIPS, the S stands for:
A) steroids, seizure, and sinusitis.
B) seizure, stroke, and syncope.
C) Sjogren’s syndrome, seizure, and sinusitis.
D) sickle cell anemia, Sjogren’s syndrome, and steroids.

Ans: B

Complexity: Moderate
Ahead: Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 244 
Objective: 11-2
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12
Q

Which of the following statements concerning the causation of seizures is correct?

A) A seizure occurs when the heart beats irregularly, causing a decreased amount of oxygen-rich blood to reach the brain.

B) All seizures are caused by epilepsy, a term that describes a problem somewhere in the body.

C) A seizure condition is a muscle problem that causes the arms and legs to jerk.

D) A seizure occurs when there is an electrical disturbance in the brain.

A

Which of the following statements concerning the causation of seizures is correct?
A) A seizure occurs when the heart beats irregularly, causing a decreased amount of oxygen-rich blood to reach the brain.
B) All seizures are caused by epilepsy, a term that describes a problem somewhere in the body.
C) A seizure condition is a muscle problem that causes the arms and legs to jerk.
D) A seizure occurs when there is an electrical disturbance in the brain.

Ans: D

Complexity: Easy 
Ahead: Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 244
Objective: 11-4
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13
Q

You are called to the lodge to assess a 3-year-old boy. The parents state that their son was playing with his brother and “blanked out” and “stared off into space” for several seconds. They deny any convulsing-like movement. Based on this description, you would suspect what type of seizure?

A) A febrile seizure
B) A simple partial seizure
C) A grand mal seizure
D) An absence (petit mal) seizure

A 
You are called to the lodge to assess a 3-year-old boy. The parents state that their son was playing with his brother and “blanked out” and “stared off into space” for several seconds. They deny any convulsing-like movement. Based on this description, you would suspect what type of seizure? 
A) A febrile seizure
B) A simple partial seizure
C) A grand mal seizure
D) An absence (petit mal) seizure

Ans: D

Complexity: Moderate
Ahead: Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 245
Objective: 11-4
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14
Q

You have been called to the lodge for a behavioral emergency. When you arrive, you find a male in his forties sitting up against a wall. He is confused and incontinent. Bystanders state that he suddenly fell to the ground and was grunting and shaking. From this description, what should you suspect first that the man has had?

A) A generalized seizure
B) A diabetic reaction
C) An absence seizure
D) A syncopal episode

A 
You have been called to the lodge for a behavioral emergency. When you arrive, you find a male in his forties sitting up against a wall. He is confused and incontinent. Bystanders state that he suddenly fell to the ground and was grunting and shaking. From this description, what should you suspect first that the man has had?
A) A generalized seizure
B) A diabetic reaction
C) An absence seizure
D) A syncopal episode

Ans: A

Complexity: Easy 
Ahead: Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 245
Objective: 11-4
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15
Q

Some patients experience a premonition indicating a seizure is about to happen known as a(n):

A) syncopal stage.
B) aura.
C) colonic phase.
D) postictal state.

A 
Some patients experience a premonition indicating a seizure is about to happen known as a(n):
A) syncopal stage.
B) aura.
C) colonic phase.
D) postictal state.

Ans: B

Complexity: Easy
Ahead: Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 245
Objective: 11-4
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16
Q

Which of the following statements indicates that the speaker understands the danger posed by status epilepticus?

A) “Status epilepticus is an extremely dangerous condition because the patient can go into shock from blood loss.”

B) “Patients who do not have a history of seizures are at greater risk for status epilepticus.”

C) “The longer the seizure continues, the greater the likelihood of permanent brain damage.”

D) “Status epilepticus indicates that the patient’s medications have reached toxic levels in the body.”

A

Which of the following statements indicates that the speaker understands the danger posed by status epilepticus?
A) “Status epilepticus is an extremely dangerous condition because the patient can go into shock from blood loss.”
B) “Patients who do not have a history of seizures are at greater risk for status epilepticus.”
C) “The longer the seizure continues, the greater the likelihood of permanent brain damage.”
D) “Status epilepticus indicates that the patient’s medications have reached toxic levels in the body.”

Ans: C

Complexity: Easy 
Ahead: Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 245
Objective: 11-4
17
Q

The primary problem in Type II diabetes is that:

A) sugars cannot be easily digested in the stomach and small intestine.

B) cells exhibit resistance to insulin preventing glucose from entering the cells.

C) insufficient insulin is produced.

D) too much insulin is produced.

A

The primary problem in Type II diabetes is that:
A) sugars cannot be easily digested in the stomach and small intestine.
B) cells exhibit resistance to insulin preventing glucose from entering the cells.
C) insufficient insulin is produced.
D) too much insulin is produced.

Ans: B

Complexity: Easy 
Ahead: Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 248
Objective: 11-4
18
Q

Which of the following actions may result in hypoglycemia in a diabetes patient?

A) Failure to take insulin or an oral diabetes medication

B) Lack of exercise

C) Missing a meal when the patient has taken their insulin

D) Overeating

A

Which of the following actions may result in hypoglycemia in a diabetes patient?
A) Failure to take insulin or an oral diabetes medication
B) Lack of exercise
C) Missing a meal when the patient has taken their insulin
D) Overeating

Ans: C

Complexity: Easy
Ahead: Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 248
Objective: 11-4
19
Q

Hyperglycemia:

A) has a more gradual onset than hypoglycemia.

B) is preceded by an aura, such as hallucinations or detecting unusual odors.

C) has a more rapid onset than hypoglycemia.

D) is more easily treated in prehospital environments than is hypoglycemia.

A

Hyperglycemia:
A) has a more gradual onset than hypoglycemia.
B) is preceded by an aura, such as hallucinations or detecting unusual odors.
C) has a more rapid onset than hypoglycemia.
D) is more easily treated in prehospital environments than is hypoglycemia.

Ans: A

Complexity: Easy 
Ahead: Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 248
Objective: 11-4
20
Q

Which of the following events best describes an ischemic stroke?

A) An artery in the brain has ruptured.

B) Blood has collected throughout the brain tissue.

C) A heart attack has occurred at the same time as a stroke.

D) A blood clot has obstructed a blood vessel in the brain.

A

Which of the following events best describes an ischemic stroke?
A) An artery in the brain has ruptured.
B) Blood has collected throughout the brain tissue.
C) A heart attack has occurred at the same time as a stroke.
D) A blood clot has obstructed a blood vessel in the brain.

Ans: D

Complexity: Easy 
Ahead: Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 249
Objective: 11-4
21
Q

Which of the following statements indicates that the speaker understands hemorrhagic strokes?

A) “They occur when clots form in blood vessels in the brain.”

B) “They occur when a blood vessel in the brain ruptures.”

C) “Their signs and symptoms generally resolve within 24 hours.”

D) “They can sometimes be treated by clot-destroying medications.”

A

Which of the following statements indicates that the speaker understands hemorrhagic strokes?
A) “They occur when clots form in blood vessels in the brain.”
B) “They occur when a blood vessel in the brain ruptures.”
C) “Their signs and symptoms generally resolve within 24 hours.”
D) “They can sometimes be treated by clot-destroying medications.”

Ans: B

Complexity: Easy 
Ahead: Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 249
Objective: 11-4
22
Q

Which of the following questions is critical for establishing a window of treatment for a patient who is weak and dizzy and may have suffered a stroke?

A) “Does your father have a history of heart problems or stroke?”

B) “What time did the weakness and dizziness start?”

C) “What medications do you take?”

D) “Do you have any pain in your arms or legs?”

A

Which of the following questions is critical for establishing a window of treatment for a patient who is weak and dizzy and may have suffered a stroke?
A) “Does your father have a history of heart problems or stroke?”
B) “What time did the weakness and dizziness start?”
C) “What medications do you take?”
D) “Do you have any pain in your arms or legs?”

Ans: B

Complexity: Easy
Ahead: Patient Assessment for Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 250
Objective: 11-6
23
Q

After a delayed response, you arrive in the lodge and find a 62-year-old female is still seizing. Which one of the following should you do first?

A) Assess her airway and breathing.

B) Determine if she has a seizure history.

C) Ascertain the duration of the seizure.

D) Move her to the aid room for further assessment and then transport her to the hospital.

A

After a delayed response, you arrive in the lodge and find a 62-year-old female is still seizing. Which one of the following should you do first?
A) Assess her airway and breathing.
B) Determine if she has a seizure history.
C) Ascertain the duration of the seizure.
D) Move her to the aid room for further assessment and then transport her to the hospital.

Ans: A

Complexity: Easy 
Ahead: Patient Assessment for Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 250 
Objective: 11-4
24
Q

When performing a secondary assessment on a confused patient, which of the following signs is most suggestive of a seizure?

A) Right sided facial droop
B) A bitten tongue
C) Pinpoint pupils
D) A slow heart rate

A 
When performing a secondary assessment on a confused patient, which of the following signs is most suggestive of a seizure?
A) Right sided facial droop
B) A bitten tongue
C) Pinpoint pupils
D) A slow heart rate

Ans: B

Complexity: Moderate 
Ahead: Patient Assessment for Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 250
Objective: 11-4
25
Q

You have assessed a patient and found a patent airway, adequate breathing, and a strong radial pulse. The patient is having no difficulty speaking and no facial droop but exhibits a slight left arm drift. You should interpret these findings as:

A) not suggestive of a stroke.

B) suggestive of a stroke only if the patient’s blood pressure is also elevated.

C) suggestive of a stroke only if the patient’s pupils are not equal.

D) suggestive that a stroke may be occurring.

A

You have assessed a patient and found a patent airway, adequate breathing, and a strong radial pulse. The patient is having no difficulty speaking and no facial droop but exhibits a slight left arm drift. You should interpret these findings as:
A) not suggestive of a stroke.
B) suggestive of a stroke only if the patient’s blood pressure is also elevated.
C) suggestive of a stroke only if the patient’s pupils are not equal.
D) suggestive that a stroke may be occurring.

Ans: D

Complexity: Moderate
Ahead: Patient Assessment for Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 251
Objective: 11-6
26
Q

Which of the following statements shows that the speaker has an accurate understanding of assessment findings related to stroke?

A) “For a stroke to be suspected, both arms must be equally weak.”

B) “If one arm is weak, a stroke should be suspected.”

C) “A stroke should be suspected only when one arm is paralyzed, not just weak.”

D) “If one arm is weak, stroke should be suspected only if the patient’s blood pressure is also elevated.”

A

Which of the following statements shows that the speaker has an accurate understanding of assessment findings related to stroke?
A) “For a stroke to be suspected, both arms must be equally weak.”
B) “If one arm is weak, a stroke should be suspected.”
C) “A stroke should be suspected only when one arm is paralyzed, not just weak.”
D) “If one arm is weak, stroke should be suspected only if the patient’s blood pressure is also elevated.”

Ans: B

Complexity: Moderate
Ahead: Patient Assessment for Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 251
Objective: 11-6
27
Q

You have been called for a 63-year-old woman with slurred speech and right arm weakness. On arrival, the patient informs you that the slurred speech and weakness have resolved. Since your assessment reveals no deficits, you would tell the patient:

A) “It would be best to start taking one baby aspirin every day; this will decrease the chance of this happening again.”

B) “Sometimes seizures present this way; call your doctor in the morning to schedule an appointment.”

C) “If this happens again, wait 10 minutes to see if you are okay. If the symptoms don’t go away, call 911.”

D) “You really need to be evaluated in the hospital. You could be having a stroke.”

A

You have been called for a 63-year-old woman with slurred speech and right arm weakness. On arrival, the patient informs you that the slurred speech and weakness have resolved. Since your assessment reveals no deficits, you would tell the patient:
A) “It would be best to start taking one baby aspirin every day; this will decrease the chance of this happening again.”
B) “Sometimes seizures present this way; call your doctor in the morning to schedule an appointment.”
C) “If this happens again, wait 10 minutes to see if you are okay. If the symptoms don’t go away, call 911.”
D) “You really need to be evaluated in the hospital. You could be having a stroke.”

Ans: D

Complexity: Easy 
Ahead: Patient Assessment for Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 251
Objective: 11-6
28
Q

Which of the following instructions to a possible stroke patient describes the proper procedure for assessing an arm drift?

A) “Hold your arms up over your head for 20 seconds.”

B) “Grab my fingers with both of your hands and squeeze as hard as you can.”

C) “Raise your hands above your head and close your eyes.”

D) “Hold your arms straight out in front of you with your palms facing up with your eyes closed.”

A

Which of the following instructions to a possible stroke patient describes the proper procedure for assessing an arm drift?
A) “Hold your arms up over your head for 20 seconds.”
B) “Grab my fingers with both of your hands and squeeze as hard as you can.”
C) “Raise your hands above your head and close your eyes.”
D) “Hold your arms straight out in front of you with your palms facing up with your eyes closed.”

Ans: D

Complexity: Moderate
Ahead: Patient Assessment for Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 252
Objective: 11-6
29
Q

Which letter in FAST-ED involves the eyes?

A) F
B) S
C) E
D) D

A 
Which letter in FAST-ED involves the eyes?
A) F
B) S
C) E
D) D

Ans: C

Complexity: Moderate
Ahead: Patient Assessment for Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 252
Objective: 11-6
30
Q

Your assessment reveals a drooling 48-year-old male to have gurgling speech and left arm paralysis. Which of the following would be your priority?

A) Suction the patient’s airway.
B) Protect the patient’s left arm.
C) Determine the patient’s risk factors for stroke.
D) Monitor the patient’s blood pressure.

A

Your assessment reveals a drooling 48-year-old male to have gurgling speech and left arm paralysis. Which of the following would be your priority?
A) Suction the patient’s airway.
B) Protect the patient’s left arm.
C) Determine the patient’s risk factors for stroke.
D) Monitor the patient’s blood pressure.

Ans: A

Complexity: Easy
Ahead: Management of Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 253 
Objective: 11-6
31
Q

You have been called for a seizure emergency. You find an adult female actively seizing with a bystander attempting to place a spoon between her teeth. The bystander tells you that he is trying to keep the person from biting her tongue. Which one of the following would be an appropriate response?

A) Tell the bystander to continue trying to get the spoon in place.

B) Ask the bystander to discontinue his efforts and then turn the patient onto her side to facilitate the drainage of oral secretions.

C) Instruct the bystander to restrain the patient while you put the spoon in place.

D) Tell the bystander that a padded tongue blade works better.

A

You have been called for a seizure emergency. You find an adult female actively seizing with a bystander attempting to place a spoon between her teeth. The bystander tells you that he is trying to keep the person from biting her tongue. Which one of the following would be an appropriate response?
A) Tell the bystander to continue trying to get the spoon in place.
B) Ask the bystander to discontinue his efforts and then turn the patient onto her side to facilitate the drainage of oral secretions.
C) Instruct the bystander to restrain the patient while you put the spoon in place.
D) Tell the bystander that a padded tongue blade works better.

Ans: B

Complexity: Easy 
Ahead: Management of Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 255
Objective: 11-4
32
Q

A young boy tells you that his twin brother suffers from seizures and asks what he can do if he sees his brother convulsing. You should give him which one of the following instructions?

A) “Move any moveable objects and furniture away from him.”

B) “Hold him firmly against the floor until he stops seizing or until the EMTs arrive.”

C) “Insert a spoon into his mouth to keep him from swallowing his tongue.”

D) “Call EMS only if the seizure lasts more than 10 minutes or he loses control of his bladder.” “When he quits seizing, give him sugar so his blood sugar is OK.”

A

A young boy tells you that his twin brother suffers from seizures and asks what he can do if he sees his brother convulsing. You should give him which one of the following instructions?
A) “Move any moveable objects and furniture away from him.”
B) “Hold him firmly against the floor until he stops seizing or until the EMTs arrive.”
C) “Insert a spoon into his mouth to keep him from swallowing his tongue.”
D) “Call EMS only if the seizure lasts more than 10 minutes or he loses control of his bladder.” “When he quits seizing, give him sugar so his blood sugar is OK.”

Ans: A

Complexity: Easy
Ahead: Management of Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 255
Objective: 11-4
33
Q

As a general rule, a seizing patient should be transported in what position?

A) Supine
B) Sitting upright
C) On their side
D) Supine with legs elevated

A 
As a general rule, a seizing patient should be transported in what position?
A) Supine
B) Sitting upright
C) On their side
D) Supine with legs elevated

Ans: C

Complexity: Easy
Ahead: Management of Altered Mental Status
Subject: Chapter 11
Title: Altered Mental Status
Feedback: 255
Objective: 11-4

Outdoor Emergency Care (68 decks)

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