EMR Exam 2 Review

Suctioning of an adult patient’s mouth is limited to 15 seconds at a time because:

• prolonged suctioning often causes soft-tissue damage.

• oxygen is being removed from the patient as well as secretions.

• most suction devices automatically turn off after 15 seconds.

• any patient who needs suctioning also needs rescue breathing. 

A patient with ___________ may appear to be in respiratory arrest, even though he or she is breathing.

• hypothermia

• a massive stroke

• severe blood loss

• vomitus in the mouth

You have just pulled your neighbor’s 3-year-old daughter from a swimming pool. The child’s father does not know how long she was submerged in the water. Your assessment reveals that the child is unresponsive, is not breathing, and has a weak pulse. You should:

• perform up to five abdominal thrusts to force water from the child’s lungs.

• leave the child with her father, call 9-1-1, and then return to initiate care.

• perform rescue breathing for 2 minutes and then activate the EMS system.

• tell the father to activate the EMS system as you initiate rescue breathing.

A car screeches up to your station shortly before you hear a frantic knock at the door. When you answer the door, a young woman tells you that her father is choking. The patient, a 60-year-old man, is clutching his throat. You ask him if he is choking, but he does not respond to your question. You should:

• repeat your question and wait for him to respond.

• stand behind the man and deliver abdominal thrusts.

• look in the man’s mouth and try to visualize the object.

• lay the man on the ground and begin chest compressions.

The most immediate threat associated with gastric distention is:

• increased risk of vomiting.

• decreased ability to ventilate.

• increased ventilation volume.

• a severe upper airway obstruction.

With assessment-based care, treatment rendered to the patient is based on:

• scene size-up findings.

• the patient’s symptoms.

• past medical history findings.

• the patient’s current medications.

Scene hazards that are not visible to emergency responders include:

• spilled gasoline.

• ice on the road.

• poisonous fumes.

• unstable surfaces.

When assessing the MOI of a vehicle that struck a utility pole, you notice that the vehicle’s steering wheel is bent. You should:

• conclude that the air bag deployed.

• suspect injuries to the patient’s chest.

• be the most suspicious for head injuries.

• check the patient for extremity injuries first

A patient is said to be alert if he or she:

• is confused but is able to tell you the approximate time.

• is able to answer questions accurately and appropriately.

• has not experienced any significant illnesses or injuries.

• reacts to a loud stimulus, such as when you raise your voice

During your assessment of an unresponsive young female who overdosed on an unknown type of drug, you note that her pupils are constricted. Which of the following types of drugs should you suspect?

• Narcotic

• Marijuana

• Barbiturate

• Amphetamine