CHAP 29 PRETEST AND POSTTEST (do homework on pearson)

Which statement is true of the rapid​ head-to-toe assessment?

Any patient with critical finding in the primary assessment is a candidate for a rapid secondary assessment.

During​ transport, you are reassessing your unresponsive medical​ patient, and you notice that her blood pressure​ (BP) has increased from​ 108/62 to​ 120/78, her pulse has dropped from 70 to​ 62, and her respirations are becoming​ irregular; how often should you​ reassess?

Every 5 minutes

The​ pain, discomfort, or dysfunction that caused your patient to request help is known as the​ patient's:

chief complaint

During your reassessment of the pediatric patient with​ asthma, what would you expect the respiratory rate to do if the medications you administered are having the desired​ effect?

Normalize

Changes in your​ patient's condition are determined​ by:

reassessment.

What is the final step in the critical thinking​ process?

Reflect on the incident

Your primary assessment of a major trauma victim should conclude​ with:

assigning a transport priority.

After gathering information for the critical thinking​ process, your next step is​ to:

form a concept regarding the scene and the​ patient's problem.

What is the appropriate assessment order for a trauma patient with stable vitals and a broken left radius following a skateboard​ accident?

Primary​ assessment, focused secondary assessment

You are transporting a stable medical patient to the emergency department​ (ED) located 30 minutes​ away; how often should a reassessment be conducted if the patient remains​ stable?

Every 15 minutes

Your general impression and assessment of the​ patient's condition during your primary assessment will determine whether the patient requires rapid transport. Rapid transport is required in the case​ of:

absent peripheral pulses.

While performing a rapid secondary​ assessment, why should the paramedic not focus solely on the complaints the patient​ has?

Because the pain the patient is experiencing may not correlate with the most critical injury

​Semi-Fowler's position​ is:

sitting up at 45 degrees.

The first stage of every emergency call is​ the:

scene​ size-up.

What is bruising over the flank areas resulting from abdominal hemorrhage​ called?

Grey​ Turner's sign

A primary assessment followed by a rapid trauma assessment should be conducted on​ all:

trauma patients with a significant mechanism of injury​ (MOI).

What is a patient who has sustained a significant mechanism of​ injury, or has an altered mental status from the incident​ called?

A major trauma victim

You are dispatched to the residence of a​ 51-year-old diabetic who is unresponsive. On​ arrival, the family informs you that she had taken her insulin that morning and was coming down to​ eat; but after repeated attempts calling up to​ her, her daughter went upstairs and found her unconscious. Her vitals​ are: pulse​ 90, respirations 22 and​ irregular, and BP​ 138/78 mmHg. You start her on​ oxygen, test her​ glucose, and initiate an intravenous​ (IV) line. You determine her blood glucose level is 42​ mg/dL. After administering​ D-50 and​ transporting, you repeat her vitals and blood glucose level and get pulse of​ 86, respirations of 12 and​ irregular, BP of​ 192/94 mmHg, and a blood glucose level​ (BGL) of 98​ mg/dL. However, there is no change in the level of consciousness. What would your next action​ be?

Increase your transport priority and repeat your assessment in 5​ minutes; closely monitor airway.

During your primary assessment the first​ contact, you would have with the patient is​ to:

establishing manual cervical spine motion restriction​ (stabilize c-spine).

When evaluating a minor trauma patient you​ should:

suspect other injuries.

The patient history provides the most important diagnostic information for​ the:

responsive medical patient.

​Generally, what does the secondary assessment​ entail?

A full set of vital​ signs, a focused​ history, and physical exam

You are reassessing a​ 64-year-old female who was initially complaining of abdominal pain. As you perform your​ reassessment, you note that the pain appears to now be localized to the left lower quadrant. Which cause would you NOT consider to be a potential​ problem?

Dysmenorrhea

You are dispatched to the residence of a​ 51-year-old diabetic who is unresponsive. On​ arrival, the family informs you that she had taken her insulin that morning and was coming down to​ eat; after repeated attempts calling up to​ her, her daughter went upstairs and found her unconscious. Her vitals​ are: pulse​ 90/min, respirations 22 and​ irregular, BP​ 138/78 mmHg. You start her on​ oxygen, test her​ glucose, and initiate an intravenous​ (IV) line. You determine the blood glucose level is 42​ mg/dL. After administering​ D-50 and​ transporting, you repeat her vitals and blood glucose level and get pulse of​ 86, respirations of 12 and​ irregular, BP of​ 192/94 mmHg, and blood glucose level of 98​ mg/dL, but there is no change in the level of consciousness. You arrive at the emergency department and transfer the patient to their care.​ Afterward, you discuss your field diagnosis and care plan with the ED physician. What is this important aspect of clinical decision​ making?

Reflecting on the case

For a paramedic to be highly effective in the​ field, it is most important that he have​ excellent:

critical thinking skills.

During the secondary assessment of a medical patient who is alert and​ oriented, complaining of nausea and​ vomiting, when should you perform a modified secondary assessment of the​ abdomen?

After completing the​ Onset, Provocation/Palliation,​ Quality, Region/Radiation,​ Severity, Time​ (OPQRST) on the chief complaint

The critical thinking process increases your experience and judgment​ through:

patient contacts.

What is the appropriate assessment order for an elderly trauma patient who presents with a blood pressure of​ 90/68, a heart rate of​ 110/min, and labored respirations following an auto​ accident?

Primary​ assessment, rapid secondary assessment