Chapter A study guide Flashcards
which body system is responsible for the regulation of a person’s breathing?
Brain
You have transferred care of a 21-year-old woman who overdosed on an unknown drug. For the patient, which best describes who is permitted access to the prehospital care report (PCR)
The health care provider assuming care of patient
A patient with a stoma and tracheostomy tube is responsive to painful stimuli. He has shallow respirations and is breathing at a rate of 6 times per minute. He has cyanosis of the fingertips and a weak, rapid radial pulse. Which strategy should be used in providing respiratory care to this patient?
Attach the bag-valve-mask device directly to tracheostomy tube
which statement accurately describes the concept of body mechanics
Body mechanics refers to methods that promote using your body in the safest and most efficient way when moving objects or patients
A 46-year-old man who is conscious and has the capacity to make a rational decision is refusing treatment despite crushing chest pain and shortness of breath. He states that the hospital will not do anything for him and he does not want you to treat or transport him. The EMT should recognize that the
patient has right to refuse treatment.
Your coworkers would like to purchase a scoop (orthopedic) stretcher with some grant money. Before the purchase can be authorized, you have been asked to inform the purchasing committee of how this piece of equipment will benefit the service as well as enhance patient care. Your response would be:
Good for confined spaces
Which statement shows that the EMT has a good understanding of her role and responsibilities related to being an EMT?
my safety comes first and then the patient
Which oxygen administration systems will provide the patient with the greatest amount of oxygen?
non-breather mask at 15 LPM
A patient with diabetes has an elevated blood sugar (545 mg/dL) and, based on your assessment of his condition, will require an injection of insulin. Your EMT partner also has diabetes and administers insulin injections to himself throughout the day as needed. Although the Scope of Practice lists nothing about EMTs giving insulin, your partner administers the insulin injection to the patient. The patient’s blood sugar comes down and her condition improves. Given this information, which statement is true?
Partner violated scope of practice
You have been asked to sit on your service’s quality improvement (QI) committee. As a knowledgeable EMT, you recognize that in this role you will be involved in projects that are primarily designed to:
Develop ways in which the delivery of emergency care can be improved
In preparing the schedule, you have been instructed to pair EMTs in a way that decreases the chance of injury when lifting and moving patients. Given this directive, who would make the best partner for a tall and very strong EMT
A tall and very strong EMT
What role does the federal communication commission (FCC) play in EMS
FCC establishes and enforces regulations related to the use of radio operations
Which patient may be treated under the guideline of implied consent?
Implied
An obese patient cannot ambulate and must be carried down several flights of stairs. Carrying the patient alone exceeds your physical capabilities; however, your partner is very strong and physically fit. Which statement, made by you, indicates the best means to safely lift and move the patient as well as minimize the likelihood of either of you suffering an injury?
We will call for assistance
Which phrase best illustrates the EMT using the summary technique of therapeutic communication with a patient experiencing depression
From your story it seems that you have been depressed for several weeks now
Which statement indicates that the EMT has an accurate understanding of the bronchioles?
Small passages located in the lower airway that have smooth muscle surrounding them.
You have been dispatched to a residence for an 88-year-old female who is in and out of consciousness. The family provides you with a valid “Do Not Resuscitate” (DNR) order. Assessment of the patient shows her to be very confused with a low blood pressure and low oxygen level. Which action would be appropriate given the situation?
Amisnter supplemental oxygen
You have been called to a home for an alert and oriented female with terminal lung cancer. At the home, the daughter, who has her mother’s durable power of attorney, states that she wants her mother transported to the hospital. The patient, who is alert and oriented, does not want to go. Which statement indicates that the EMT is acting both appropriately and legally in this conflict?
I know that you are the durable power of attorney, but your mother is alert and oriented so we cannot legally take her against her will.
What action best indicates that informed consent has been obtained?
patient agrees to oxygen therapy after being told it may decrease chest pain but may dry nose causing discomfort
You have been called for a 2-year-old female with an arm injury. The child presents with deformity and bruising to her left forearm. When asked, the mother states that the child fell from the bed, but the father states that his daughter fell down the stairs. Given the inconsistent stories, you are suspicious of child abuse. Which narrative would be most appropriate when documenting this situation?
patient fell off bed injuring left arm per mother. pt fell down stairs injuring left arm per father
You are doing CPR on a male patient who is unresponsive, not breathing, and pulseless. Emergency Medical Responders (EMRs) were on scene first and applied the AED, which did not deliver a shock to the patient. The patient’s wife is crying and asks how her husband is doing. Your response would be:
Right now he is not breathing and his heart rate is not beating, but we are doing everything we can.
When using your portable radio, you must push the “press to talk” button and wait one second before speaking. This is essential to effective communication because your EMS system uses:
repeaters
Which statement regarding a PCR is accurate?
aside from providing a record of the care given the PCR may also be used for education
A male EMT was discussing a patient’s medical condition with a female EMT from a different service. The woman then repeated this information to others, which eventually made its way back to the patient. Regarding issues of confidentiality, which of the statements would be is true?
violated HIPPA
You have been called for a patient who has overdosed on drugs and alcohol. The patient is responsive to painful stimuli, has shallow respirations and is breathing at a rate of 8 times per minute, but exhibits no cyanosis. What is the priority treatment?
Inadequate breathing start PPV with supplemental oxygen
Which patient is appropriately positioned for transport?
Alert 67 year old women with nausea in sitting position
If a patient with chest pain takes a daily aspirin, your medical director wants the EMT to contact an emergency department physician first before administering additional aspirin. The act of contacting the emergency department physician by phone or radio for permission to administer additional aspirin is an example of:
Online medical direction
What is an effective way to improve communication with patients from most cultures?
Maintain eye contact
