Test 4 Flashcards

1
Q

What power output do most portable radios​ have?

A

1-5 watts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which of the following is true of the prehospital care​ report?

A

serves administrative functions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

For calls for assistance during scene​ size-up, carry:

A

a portable radio.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which of the following would generally lead to poor communication with a patient in the prehospital​ environment?

A

Choosing the most soothing answer to any question

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

the event that a patient refuses care or​ transport, you will have to make notes​ on:

A

the​ patient’s capacity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

While reviewing a written PCR for your QI​ committee, you come across a word that was misspelled. There was a single line drawn through​ it, and the correctly spelled word was next to it. Characterize how well the EMT corrected this mistake.

A

The EMT forgot to initial the mistake after striking out the wrong word and writing in the correct one.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The narrative section or sections of a prehospital care​ report, compared with the​ fill-in or​ check-box sections,​ are:

A

less structured.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Which of the following should be used instead of​ “yes” over the​ radio?

A

Affirmative”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

You document that a patient was administered​ oxygen, which you know did not happen. The failure to administer oxygen​ is:

A

an error of omission.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When speaking during a radio​ transmission, you​ should:

A

Use “we” instead of​ “I.”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The patient denying respiratory difficulty is an example​ of:

A

a pertinent negative.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Written documentation​ should:

A

avoid radio codes and nonstandard abbreviations.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which of the following is typically NOT included in the patient information section of the minimum data​ set?

A

Breath sounds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

One of the EMTs at the station has been cited by the medical director for his​ sloppy, incomplete, and sometimes inaccurate patient care documentation. What is the most important reason documentation must be clear and​ accurate?

A

Poor communication can lead to misunderstanding and medical errors.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

If a base station​ fails, then:

A

it is likely that a backup will be put into service.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

You have just transported a patient to the emergency department at your local hospital. What additional information that is not typically included in the radio report should be shared with the ED​ staff?

A

Additional vital signs that were taken in route

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Which of the following statements is true of geriatric​ patients?

A

They will have difficulty eliminating medications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Which of the following steps must be completed before a prescription medication is administered to a​ patient?

A

Confirm the medication belongs to the patient.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Which of the following shows the best documentation of a dose of nitroglycerin that was given to a​ patient?

A

Nitro 0.4 mg spray was administered sublingual at 1730 hrs with relief of chest​ pain.”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Which of the following must be included on your PCR after administration of a medication to your​ patient?

A

The effects of the drug

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

An example of a suspension administered by EMTs​ is:

A

Activated charcoal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Your patient is having chest​ pain, and has a bottle of prescribed nitroglycerin.​ However, the expiration date has worn off the​ bottle, and the patient does not know how old the medication is. What is your best course of​ action?

A

Contact medical direction for advice.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Your patient has taken an unknown quantity of amitriptyline. Which class of medication is​ this?

A

Antidepressant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

The route describes how the medication is actually given to or taken by the patient. Which of the following is true of medication​ routes?

A

The route that is chosen controls how fast the medication is absorbed by the body.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Which of the following is an antidysrhythmic​ agent?

A

Calan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Your​ 44-year-old patient has a decreased level of​ consciousness, respiratory​ distress, and shallow breathing. You should​ immediately:

A

assist ventilations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

A patient with COPD may present with elements of both pulmonary emphysema​ and:

A

chronic bronchitis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Normal breathing​ is:

A

regular under most circumstances.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

To ensure that the most medication is absorbed when the EMT is assisting the patient with an​ inhaler, the EMT should try to encourage the patient​ to:

A

hold the medicine in the​ patient’s lungs as long as possible.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

A​ 17-year-old female complains of respiratory distress. When you listen to her​ chest, you hear​ high-pitched, almost musical sounds in her lower airways on expiration. These sounds would best be described​ as:

A

wheezes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Which of the following occurs during​ inhalation?

A

The diaphragm​ lowers, and the ribs move upward and outward.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

It is characteristic for a CPAP device to blow​ air:

A

continuously.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

A​ 77-year-old female is in obvious respiratory distress. She is breathing rapidly and has an oxygen saturation of​ 89%. She has a history of COPD. Why should she be placed on supplemental oxygen despite having​ COPD?

A

The​ patient’s hypoxia outweighs the risks of oxygen therapy.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

You respond to a​ 7-year-old patient presenting with symptoms of productive cough containing blood and large amounts of​ mucus; fatigue;​ nausea; and abdominal pain. The patient appears to be breathing adequately but nonetheless is experiencing respiratory distress from the onset of the coughing. What should you do to treat this​ patient?

A

Speak to the​ patient’s parent or guardian

35
Q

Which of the following is the least dangerous potential risk or side effect of administering​ CPAP?

A

Dry cornea

36
Q

Which of the following is a good sign in adults with respiratory distress but an ominous sign in infants and​ children

A

Decrease in pulse

37
Q

What is a limitation of a nonrebreather​ mask?

A

It requires adequate breathing to pull oxygen into the lungs.

38
Q

Which of the following would be considered a chronic obstructive pulmonary​ disease?

A

Chronic bronchitis

39
Q

Administer oxygen to a pediatric patient and transport as quickly as possible if the patient​ begins:

A

wheezing or grunting.

40
Q

At what rate per minute should you ventilate an adult patient who is not​ breathing?

A

10-12

41
Q

A​ 4-year-old patient presents with respiratory distress and just developed a significant drop in heart rate. You should​ first

A

assist ventilations with supplemental oxygen.

42
Q

A​ 65-year-old male complains of chest pain that started about 45 minutes ago and is radiating up to his jaw. He feels nauseous and has very little energy. His vitals are respirations of​ 24, pulse of​ 110, and BP of​ 88/60. What would make you decide to transport this​ patient?

A

The low blood pressure reading

43
Q

Which of the following best describes the pain associated with acute coronary​ syndrome?

A

The pain may be chest​ pressure, mild​ discomfort, or not present at all.

44
Q

Administer oxygen to your chest pain patient to maintain an oxygen saturation level​ of:

A

at least​ 94%.

45
Q

Conditions that narrow or block the arteries of the heart are​ called:

A

coronary artery disease.

46
Q

You suspect that your patient is experiencing acute coronary syndrome. Your hospital destination should be determined​ by:

A

local protocols.

47
Q

Which of the following refers to chest pain that occurs when blood supply to the heart is reduced and a portion of the heart muscle is not receiving enough​ oxygen?

A

Angina pectoris

48
Q

A study into the effects of disease on blood composition would focus​ on:

A

red and white blood​ cells, platelets, and plasma.

49
Q

base station

A

a two-way radio, such as hospital or dispatch center.

50
Q

Cell phone

A

phone that transmits through the air instead of over wires, so the phone can be transported and used over a wide area.

51
Q

an abbreviated form of the PCR that an EMS crew can leave at the hospital when there is not enough time to complete the PCR before leaving.

A

drop report (or transfer report)

52
Q

Mobile radio

A

in the vehicle.

53
Q

Portable radio

A

A handheld/ on the EMT

54
Q

a device that picks up signals from lower-power radio units, such as mobile and portable radios, and retransmits them at a higher power.

A

repeater

55
Q

process of sending and receiving data wirelessly.

A

Telemetry

56
Q

the unit of measurement of the output power of a radio.

A

Watt

57
Q

medication used to reduce the clotting ability of blood to prevent and treat clots associated with myocardial infarction.

A

Aspirin

58
Q

a device attached to the end of a syringe that atomizes medication (turns it into very fine droplets).

A

atomizer

59
Q

signs or circumstances under which it is not appropriate and may be harmful to administer a drug to a patient.

A

contraindications

60
Q

referring to a route of medication administration that uses the gastrointestinal tract, such as swallowing a pill.

A

enteral

61
Q

drug that helps to constrict the blood vessels and relax passages of the airway. It may be used to counter a severe allergic reaction.

A

epinephrine

62
Q

specific signs or circumstances under which it is appropriate to administer a drug to a patient.

A

indications

63
Q

a spray device with a mouthpiece that contains an aerosol form of a medication that a patient can spray into the airway.

A

Inhaler

64
Q

an antidote for narcotic overdoses.

A

naloxone

65
Q

a drug that helps to dilate the coronary vessels that supply the heart muscle with blood.

A

nitroglycerin

66
Q

a form of glucose (a kind of sugar) given by mouth to treat an awake patient (who is able to swallow) with an altered mental status and a history of diabetes.

A

Oral glucose

67
Q

referring to a route of medication administration that does not use the gastrointestinal tract, such as an intravenous medication.

A

parenteral

68
Q

the study of the effects of medications on the body.

A

pharmacodynamics

69
Q

the study of drugs, their sources, their characteristics, and their effects.

A

pharmacology

70
Q

any action of a drug other than the desired action.

A

Side effect

71
Q

effect an effect of a medication in addition to its desired effect that may be potentially harmful to the patient.

A

untoward

72
Q

a form of noninvasive positive pressure ventilation
(NPPV) consisting of a mask and a means of blowing oxygen or air into the mask to prevent airway collapse or to help alleviate difficulty breathing.

A

(CPAP)

73
Q

any symptoms related to lack of oxygen (ischemia) in the heart muscle.

A

(ACS)

74
Q

myocardium dies as a result of occlusion

A

(AMI)

75
Q

the dilation, or ballooning, of a weakened section of the wall of an artery.

A

aneurysm

76
Q

blockage of a vessel by a clot or foreign material brought to the site by the blood current.

A

embolism

77
Q

blockage, as of an artery, by fatty deposits.

A

occlusion

78
Q

a clot formed of blood and plaque attached to the inner wall of an artery or vein.

A

thrombus

79
Q

accumulation of fluid in the feet or ankles.

A

pedal edema

80
Q

accumulation of fluid in the lungs.

A

Pulmonary edema

81
Q

adult breathing

A

12 to 20 breaths/minute

82
Q

school-age child breathing

A
  • 18 to 30 breaths/minute
83
Q

infant breathing

A
  • 30 to 60 breaths/minute