Chapter 7: Field Assessment Flashcards

0
Q

What statement best describes proper history-taking technique in the assessment of a major trauma patient?

A

complete a rapid history by using the SAMPLE acronym

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1
Q

What is the sequence of steps when assessing a major trauma patient?

A

primary, reconsider MOI, secondary, vitals, history

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2
Q

evaluation of the pelvis in the rapid trauma assessment includes pressing on the symphysis pubis in which direction?

A

posteriorly

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3
Q

special emphasis should be placed on what during your rapid secondary assessment?

A

areas suggested by the chief complaint

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4
Q

what best describes why a focused history is important in responsive medical patients?

A

it helps to formulate a field diagnosis

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5
Q

what may indicate either a cardiac tamponade or a tension pneumothorax?

A

distended neck veins

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6
Q

the careful, thorough process of eliciting a patient’s history and conducting a physical exam is known as the:

A

secondary assessment

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7
Q

reassessment should include:

A

assess effects of interventions, check vitals, assess skin condition, check airway patency

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8
Q

a patient is complaining of abdominal pain, nausea, and vomiting. What will provide you most immediately with useful information?

A

asking about the presence of coffee-grounds emesis

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9
Q

one of the best ways to minimize patient anxiety during a physical exam is to:

A

use a calm, professional approach

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10
Q

trending vital signs is best accomplished by:

A

taking multiple sets of vitals

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11
Q

Your patient remains unresponsive after a painful stimulus is applied. The family reports that the patient was found unconscious in bed after complaining of a terrible headache. What is the correct sequence of actions for you to take?

A

primary, rapid secondary, brief history from the family, vital signs

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12
Q

after the primary assessment of an unresponsive medical patient with stable vitals, what position should they be placed in?

A

lateral recumbent

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13
Q

rebound tenderness in the abdomen is a sign of potential:

A

peritoneal irritation

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14
Q

After considering the information you have collected, you determine the most likely cause of your patient’s condition. This step in the critical decision-making process is called:

A

interpreting the data

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15
Q

the first step in critical thinking is to:

A

form a concept

16
Q

using knowledge and experience to diagnose patients and plan their treatment is called clinical:

A

judgment

17
Q

critical thinking is a thought process used to:

A

analyze and evaluate

18
Q

paramedics treat patients with the same techniques as other clinicians, except that they:

A

perform these procedures in uncontrollable and unpredictable environments

19
Q

what characteristic is most similar between the prehospital setting and other medical care environments?

A

the need to establish an airway early in patient care

20
Q

with your field diagnosis in mind, you develop a treatment plan for your patient. This is part of the critical decision-making process called:

A

applying principles

21
Q

what is the correct sequence of steps in critical decision-making?

A

forming a concept, interpreting the data, applying the principles, evaluating results, reflecting on the incident