Chapter 13 Flashcards
When assessing a sick or injured patient which of these indicates the appropriate order in which the assessment should occur ?
scene size up, primary assessment, secondary assessment
You have been dispatched to a residence for an 89- year-old female patient with a nonspecific complaint. When Assessing this patient, what should you do first to develop an initial impression regarding emergency?
Determine whether the complaint is medical or trauma related
Which of these statements made by the EMT indicates that he has appropriately initiated the first phase of patient assessment?
“The scene appears to be free of hazards”
You arrive at the scene of a fall, where a 42 year old woman fell backward off a stepladder while cleaning her kitchen windows. She is seated on the floor and complains of pain to her ankle. She tells you “If I had just gotten to work instead of using vacation time, this would have never happened!” Based on the information thus far, what can you conclude?
The patient is alert with an open airway
You have been dispatched to an apartment for an elderly male complaining of shortness of breath. When do you start the process of forming a general impression about this patient?
As you and your partner approach him.
The EMT shows he understands the importance and reason for forming a general impression when she states
“Forming a general impression provides me with a rough idea of the patient’s overall status
You have been called for an adult patient who suffered a seizure. He is sitting on the floor, and looks at you as you enter the room. When questioned, he knows his name but cannot remember the date, what happened, or where he is. This patients mental status can be described as:
alert but confused.
An emergency medical responder informs you that a 59-year-old female patient is responsive to verbal stimuli. What would be the most accurate representation of this status?
Her eyes are closed, but she will open them if asked
A 36-year-old patient who has overdosed on an unknown drug presents in a seemingly unresponsive state as you walk into the room. Given this what should you do first?
Assess the patients mental status.
which of these patients would be classified as unresponsive?
a 46- year-old male who does not respond when his fingers are pinched.
You are assessing a 4-year-old patient whose panicked mother states that she cannot wake him. The child is breathing but his eyes are closed. TO best determine the child’s mental status you should first:
Say loudly, “Open your eyes!”
An EMT is assessing a 9-month-old infant who is “not acting right” per his mother. Assessment reveals the child to be extremely irritable, crying weakly, and resistant to being touched by the EMT. Which description best describes this patients mental status?
alert
You are by the side of a patient who complains of shortness of breath and has a history of heart problems, including congestive heart failure (CHF). When assessing the airway. When assessing the airway, which of these observations best indicates that it is still patent?
The patient easily tells you that she is having chest pain
As you arrive by the side of a 64-year-old unresponsive female patient, you hear snoring respirations. Your immediate action would be to:
Perform a manual jaw-thrust maneuver.
On scene, you find a 91-year-old female patient who fell down two steps after complaining of a severe headache. She is unresponsive with gurgling respirations. Which instruction should you immediately give your partner after manual spinal motion restriction is applied?
“Get the suction out and clear out her airway.”
