Ch31 Practice Questions Pt.2 Flashcards
The vital signs of elderly patients with excessive internal or external bleeding may not provide an indication of shock:
A) if these patients are taking beta-blockers or calcium channel blockers.
B) because the hearts of elderly patients pump less due to inactivity.
C) because elderly patients have the ability to compensate for bleeding.
D) if these patients are taking blood thinners.
The vital signs of elderly patients with excessive internal or external bleeding may not provide an indication of shock:
A) if these patients are taking beta-blockers or calcium channel blockers.
B) because the hearts of elderly patients pump less due to inactivity.
C) because elderly patients have the ability to compensate for bleeding.
D) if these patients are taking blood thinners.
Ans: A
Complexity: Moderate Ahead: Medication Use in the Elderly Subject: Chapter 31 Title: Geriatric Emergencies Feedback: 725-726 Objective: 31-3
Compared to younger patients, trauma in geriatric patients results in:
A) less-serious injuries due to the slower pace in older patients.
B) a higher mortality rate.
C) more bleeding.
D) more fractures of the extremities.
Compared to younger patients, trauma in geriatric patients results in:
A) less-serious injuries due to the slower pace in older patients.
B) a higher mortality rate.
C) more bleeding.
D) more fractures of the extremities.
Ans: B
Complexity: Easy Ahead: Trauma Considerations in Elderly Patients Subject: Chapter 31 Title: Geriatric Emergencies Feedback: 726 Objective: 31-5
Correcting a life-threatening condition such as external bleeding in elderly patients can be more problematic because:
A) the skin of elderly patients does not rebound as quickly as it does in younger patients.
B) the veins of elderly patients have weaker walls than those in younger patients.
C) elderly patients may be on Lasix.
D) many elder patients are taking warfarin or other blood thinners.
Correcting a life-threatening condition such as external bleeding in elderly patients can be more problematic because:
A) the skin of elderly patients does not rebound as quickly as it does in younger patients.
B) the veins of elderly patients have weaker walls than those in younger patients.
C) elderly patients may be on Lasix.
D) many elder patients are taking warfarin or other blood thinners.
Ans: D
Complexity: Moderate Ahead: Trauma Considerations in Elderly Patients Subject: Chapter 31 Title: Geriatric Emergencies Feedback: 726 Objective: 31-6
Which of the following statements about traumatic injuries in the elderly is true?
A) Motor-vehicle collisions are responsible for over 75 percent of deaths.
B) Head injuries are easier to detect in the elderly than in younger adults.
C) Hyperthermia is an early sign of trauma.
D) Injuries are most commonly caused by falls.
Which of the following statements about traumatic injuries in the elderly is true?
A) Motor-vehicle collisions are responsible for over 75 percent of deaths.
B) Head injuries are easier to detect in the elderly than in younger adults.
C) Hyperthermia is an early sign of trauma.
D) Injuries are most commonly caused by falls.
Ans: D
Complexity: Easy Ahead: Trauma Considerations in Elderly Patients Subject: Chapter 31 Title: Geriatric Emergencies Feedback: 726-727 Objective: 31-5
Falls result in ____% of all deaths in the geriatric population.
A) 5
B) 12
C) 40
D) 72
Falls result in \_\_\_\_% of all deaths in the geriatric population. A) 5 B) 12 C) 40 D) 72
Ans: B
Complexity: Easy Ahead: Trauma Considerations in Elderly Patients Subject: Chapter 31 Title: Geriatric Emergencies Feedback: 727 Objective: 31-5
Which of the following conditions must OEC technicians consider when evaluating hypotensive geriatric patients with altered mental status who show no signs of external bleeding, chest injury, or abdominal trauma?
A) A hip or pelvic fracture
B) A tib/fib fracture
C) A genetic hypotensive condition
D) Dehydration
Which of the following conditions must OEC technicians consider when evaluating hypotensive geriatric patients with altered mental status who show no signs of external bleeding, chest injury, or abdominal trauma? A) A hip or pelvic fracture B) A tib/fib fracture C) A genetic hypotensive condition D) Dehydration
Ans: A
Complexity: Moderate Ahead: Trauma Considerations in Elderly Patients Subject: Chapter 31 Title: Geriatric Emergencies Feedback: 727 Objective: 31-5
An elderly woman has fallen down three steps and is complaining of back pain. After you perform a primary assessment, which of the following questions should you ask to elicit the next important piece of information?
A) “Did you become dizzy before you fell?”
B) “Why didn’t you use the ramp on the other side?”
C) “Do you have a history of high blood pressure?”
D) “Who is your family doctor?”
An elderly woman has fallen down three steps and is complaining of back pain. After you perform a primary assessment, which of the following questions should you ask to elicit the next important piece of information?
A) “Did you become dizzy before you fell?”
B) “Why didn’t you use the ramp on the other side?”
C) “Do you have a history of high blood pressure?”
D) “Who is your family doctor?”
Ans: A
Complexity: Easy Ahead: Trauma Considerations in Elderly Patients Subject: Chapter 31 Title: Geriatric Emergencies Feedback: 727 Objective: 31-5
Compared to younger individuals, geriatric patients who fall have a higher incidence of fractures to the _____ region of the spine.
A) C4–C5
B) T1–T2
C) L1–L2
D) C1–C2
Compared to younger individuals, geriatric patients who fall have a higher incidence of fractures to the \_\_\_\_\_ region of the spine. A) C4–C5 B) T1–T2 C) L1–L2 D) C1–C2
Ans: D
Complexity: Moderate Ahead: Trauma Considerations in Elderly Patients Subject: Chapter 31 Title: Geriatric Emergencies Feedback: 728 Objective: 31-5
Which of the following statements concerning insulin pumps is false?
A) They have an external on/off button.
B) They are implanted in the patient’s chest.
C) They supply insulin via a catheter.
D) They are commonly found on a patient’s belt.
Which of the following statements concerning insulin pumps is false?
A) They have an external on/off button.
B) They are implanted in the patient’s chest.
C) They supply insulin via a catheter.
D) They are commonly found on a patient’s belt.
Ans: B
Complexity: Easy Ahead: Additional Considerations Subject: Chapter 31 Title: Geriatric Emergencies Feedback: 729 Objective: 31-3
An advance directive is a:
A) court order directing prehospital providers to administer care.
B) directive provided by medical control.
C) protocol directed by a paramedic on scene.
D) legal document that provides medical direction for life-saving efforts.
An advance directive is a:
A) court order directing prehospital providers to administer care.
B) directive provided by medical control.
C) protocol directed by a paramedic on scene.
D) legal document that provides medical direction for life-saving efforts.
Ans: D
Complexity: Easy Ahead: Additional Considerations Subject: Chapter 31 Title: Geriatric Emergencies Feedback: 729 Objective: 31-6
A hearing-impaired patient wearing a hearing aid is having a great deal of difficulty hearing your questions. Which of the following actions should you take first?
A) Ensure that their hearing aid is turned on.
B) Increase the pitch of your voice.
C) Write your questions on paper.
D) Position yourself in front of the patient and shout.
A hearing-impaired patient wearing a hearing aid is having a great deal of difficulty hearing your questions. Which of the following actions should you take first?
A) Ensure that their hearing aid is turned on.
B) Increase the pitch of your voice.
C) Write your questions on paper.
D) Position yourself in front of the patient and shout.
Ans: A
Complexity: Easy Ahead: Additional Considerations Subject: Chapter 31 Title: Geriatric Emergencies Feedback: 729-730 Objective: 31-2
When communicating with a geriatric patient, OEC technicians should:
A) use layman’s terms.
B) use medical terms to describe their findings and treatment plan.
C) use anatomical pictures and point to the affected areas as they explain.
D) touch the patient as they explain the patient’s medical issues and affected body areas.
When communicating with a geriatric patient, OEC technicians should:
A) use layman’s terms.
B) use medical terms to describe their findings and treatment plan.
C) use anatomical pictures and point to the affected areas as they explain.
D) touch the patient as they explain the patient’s medical issues and affected body areas.
Ans: A
Complexity: Easy Ahead: Additional Considerations Subject: Chapter 31 Title: Geriatric Emergencies Feedback: 730 Objective: 31-2
Which of the following strategies is best for OEC technicians for communicating with a geriatric patient who has diminished eyesight?
A) Write your questions in large print on paper.
B) Increase both the pitch and the volume of your voice.
C) Stand in front of the patient and talk calmly.
D) Obtain needed information from family members.
Which of the following strategies is best for OEC technicians for communicating with a geriatric patient who has diminished eyesight?
A) Write your questions in large print on paper.
B) Increase both the pitch and the volume of your voice.
C) Stand in front of the patient and talk calmly.
D) Obtain needed information from family members.
Ans: C
Complexity: Easy Ahead: Additional Considerations Subject: Chapter 31 Title: Geriatric Emergencies Feedback: 730 Objective: 31-2
An effective way to interview a geriatric patient is to:
A) keep repeating your question if the patient is slow to respond.
B) use good listening skills.
C) write your questions down on paper and show them to the patient.
D) offer possible responses to assist the patient before she answers.
An effective way to interview a geriatric patient is to:
A) keep repeating your question if the patient is slow to respond.
B) use good listening skills.
C) write your questions down on paper and show them to the patient.
D) offer possible responses to assist the patient before she answers.
Ans: B
Complexity: Easy Ahead: Additional Considerations Subject: Chapter 31 Title: Geriatric Emergencies Feedback: 730 Objective: 31-2
An elderly trauma patient may struggle with mental clarity, so OEC technicians should try not to:
A) ask about private matters.
B) ask open-ended questions.
C) enlist the help of family in assessment.
D) look for evidence of abuse.
An elderly trauma patient may struggle with mental clarity, so OEC technicians should try not to:
A) ask about private matters.
B) ask open-ended questions.
C) enlist the help of family in assessment.
D) look for evidence of abuse.
Ans: B
Complexity: Easy Ahead: Assessment of the Geriatric Patient Subject: Chapter 31 Title: Geriatric Emergencies Feedback: 730 Objective: 31-2
You and your partner respond to the lodge to aid an elderly woman who is not feeling well. When you perform a secondary assessment:
A) you and your partner should take turns asking the patient questions.
B) you and your partner should ignore the patient and ask the family for information.
C) you should stand to the patient’s side and raise your voice so the patient can hear you.
D) only one of you should ask the patient questions to avoid confusion.
You and your partner respond to the lodge to aid an elderly woman who is not feeling well. When you perform a secondary assessment:
A) you and your partner should take turns asking the patient questions.
B) you and your partner should ignore the patient and ask the family for information.
C) you should stand to the patient’s side and raise your voice so the patient can hear you.
D) only one of you should ask the patient questions to avoid confusion.
Ans: D
Complexity: Easy Ahead: Assessment of the Geriatric Patient Subject: Chapter 31 Title: Geriatric Emergencies Feedback: 730 Objective: 31-2
You have been called to an unknown medical emergency. On scene, you are presented with an 84-year-old patient who is confused and does not obey commands. Which of the following action would be most useful in determining the patient’s normal mental status?
A) Examine the patient’s pupils.
B) Question the patient’s family members.
C) Identify the patient’s medications.
D) Check the patient’s vital signs.
You have been called to an unknown medical emergency. On scene, you are presented with an 84-year-old patient who is confused and does not obey commands. Which of the following action would be most useful in determining the patient’s normal mental status?
A) Examine the patient’s pupils.
B) Question the patient’s family members.
C) Identify the patient’s medications.
D) Check the patient’s vital signs.
Ans: B
Complexity: Easy Ahead: Assessment of the Geriatric Patient Subject: Chapter 31 Title: Geriatric Emergencies Feedback: 731 Objective: 31-3
When taking the pulse of an elderly patient, it is recommended that OEC technicians:
A) divert the patient’s attention with conversation.
B) repeat and document the pulse rate every 2 minutes.
C) take the pulse on both sides and compare the two rates.
D) use electronic devices only to obtain the pulse.
When taking the pulse of an elderly patient, it is recommended that OEC technicians:
A) divert the patient’s attention with conversation.
B) repeat and document the pulse rate every 2 minutes.
C) take the pulse on both sides and compare the two rates.
D) use electronic devices only to obtain the pulse.
Ans: C
Complexity: Moderate Ahead: Assessment of the Geriatric Patient Subject: Chapter 31 Title: Geriatric Emergencies Feedback: 731 Objective: 31-6
You have been called by the caregiver of a 91-year-old woman with dementia. The patient is complaining of a possible fracture to her upper left arm. As you talk to the caregiver and note various bruises on the patient’s body, you become suspicious of elder abuse. Which of the following actions is most appropriate at this time?
A) Contact the police to report your suspicion.
B) Confront the caregiver regarding the bruises on the patient’s body.
C) Ask the patient if she is being abused.
D) Treat the patient for a possible broken arm.
You have been called by the caregiver of a 91-year-old woman with dementia. The patient is complaining of a possible fracture to her upper left arm. As you talk to the caregiver and note various bruises on the patient’s body, you become suspicious of elder abuse. Which of the following actions is most appropriate at this time?
A) Contact the police to report your suspicion.
B) Confront the caregiver regarding the bruises on the patient’s body.
C) Ask the patient if she is being abused.
D) Treat the patient for a possible broken arm.
Ans: D
Complexity: Moderate Ahead: Elder Abuse Subject: Chapter 31 Title: Geriatric Emergencies Feedback: 732 Objective: 31-6
