Ems 202 Ch. 39

Front 1

An 85-year-old male with a history of heart attacks has called 911 for chest pain. He states that the pain started two hours ago when he was at rest, sitting on his porch. When asked, he states that it feels similar to his last heart attack, only this time he is also dizzy. The primary assessment indicates no life threats and the Emergency Medical Responder on scene reports the following vital signs: pulse 92, respirations 18, blood pressure 88/52, and SpO2 at 93% on room air. The patient has nitroglycerin, but has not taken it yet (you have a standing order to administer nitroglycerin without calling medical direction). After applying oxygen, you should:

Back 1

Perform the secondary exam

Front 2

You have been called for a conscious and alert 83-year-old male complaining of a fever for three days. He has a history of peripheral vascular disease. When assessing the patient's circulation, you have a difficult time feeling his radial pulse. Which one of the following should you do next?

Back 2

Palpate the carotid pulse

Front 3

You have been called for a 91-year-old female who fell. Since your assessment reveals bruises to her body in various stages of healing and inconsistencies in information related to the fall from her family, you are suspicious of geriatric abuse. Your best action would be to:

Back 3

quietly transport and inform the emergency department physician.

Front 4

Which one of the following is the fundamental dangerous Associated with a Pulmonary embolism?

Back 4

Hypoxia

Front 5

An 83-year-old man has fallen down five stairs to the floor below. he hit his head and is complaining of a headache. when getting a history from this patient, which one of the following questions that follow should you ask first?

Back 5

What caused you to fall

Front 6

You have been summoned for a diabetic patient with altered mental status. which one of the following signs would cause you to suspect that the patient is suffering from hyperosmolar hyperglycaemic nonketotic syndrome (HHNS)?

Back 6

Complaint of thirst and dry mouth

Front 7

You have been called to the side of a confused geriatric patient complaining of abdominal pain. prior to palpating the patients abdomen, the EMT must first:

Back 7

Inform the patient that you will be pressing on her abdomen

Front 8

A 77-year-old male got out of bed, became dizzy, and fell onto the floor, hitting the right side of his face. You find him sitting on the floor with his wife next to him. His wife states that he did not lose consciousness and that this has happened several times over the past few days, ever since the doctor put him on a new blood pressure medication. Presently, the patient is alert and oriented and complaining of dizziness and a headache. He has a history of coronary artery disease, emphysema, and hypertension. Which one of the following should you do first?

Back 8

Take manual in line spinal stabilisation

Front 9

You have just arrived by the side of a nonverbal patient with snoring respirations. The caregiver states that they were eating lunch when she suddenly collapsed face first onto the table. She also states that she has a history of a stroke, high blood pressure, and colon cancer. Which one of the following is the EMT's priority for this patient?

Back 9

Open and look into the patient's mouth

Front 10

Which one of the following statements about traumatic injuries and the elderly is true?

Back 10

Injuries are most common caused by falls

Front 11

You have been called to a nursing home for a​ 91-year-old female with pneumonia. The patient is to be transported to a local hospital for further treatment. When​ asked, the staff confirms and then produces the​ patient's Do Not Resuscitate​ (DNR) order. The​ patient's airway is​ patent, respirations​ labored, and skin​ warm, with an intact radial pulse. The vital signs are pulse​ 124, respirations​ 20, blood pressure​ 104/58, SpO2 at​ 91%, and temperature​ 101.2°F. The patient also complains of chest pain and has a cough. Given this​ situation, the focus of your care should be

Back 11

Adequate oxygenation

Front 12

You have been asked to deliver a talk about EMS and the geriatric population. which of the following points would you emphasise in your presentation?

Back 12

Many Of the elderly have a combination of different diseases in Various stages

Front 13

A patient complaining of nausea and vomiting has called 911. when Obtaining a past medical history the patient informs you that he suffered a transient isometric attack (TIA) two months ago. Based on this, what should the EMT expect to find?

Back 13

The absence of any neurological defects

Front 14

A patient complaining of nausea and vomiting has called 911. when Obtaining a past medical history the patient informs you that he suffered a transient isometric attack (TIA) two months ago. Based on this, what should the EMT expect to find?

Back 14

The absence of any neurological defects

Front 15

A patient with kyphosis has fallen and is complaining of numbness in both arms. regarding Immobilisation, you should:

Back 15

Please pillows in voids between the patient and the long board

Front 16

A new EMT asks you why the elderly are at a higher risk for developing​ pneumonia, as compared to those of a younger age. You inform him that the elderly are more susceptible to respiratory infections because of​ a(n):

Back 16

Decreased cough reflex

Front 17

An​ 84-year-old male complains of generalized weakness and an ache in his left shoulder. He also reports mild shortness of​ breath, but has clear lung sounds and an SpO2 of​ 93%. When​ asked, he claims that the discomfort started after getting out of bed 2 hours ago. He denies any known injury to his shoulder or back. He has a history of coronary artery​ disease, hypertension,​ TIA, and irritable bowel syndrome. Family members state that he has early dementia. There are no obvious life threats and his vital signs are normal for his age. The appropriate treatment for this patient would include

Back 17

Provide oxygen and treat as a cardiac patient

Front 18

Silent heart attack

Back 18

The patient had little to no chest pain or discomfort

Front 19

When assessing a 91-year-old female who fell, which of the following assessment findings would cause the greatest concern by the EMT?

Back 19

Sudden onset of confusion

Front 20

You are preparing to transport 86-year-old female complaining of altered mental status and nausea and vomiting. which one of the following measures would best decrease the chance of patient getting aspiration pneumonia?

Back 20

Transport in a semi Fowlers position