Answers
1.You are transporting a 33-year-old male who was involved in
a motor vehicle crash. You have addressed all immediate and
potentially life-threatening conditions and have stabilized his
condition with the appropriate treatment.
With an estimated time of arrival at the hospital of 20 minutes,
you should:
A) reassess his condition in 5 minutes
B) repeat your secondary assessment
C) take his vital signs in 15 minutes
D) arrange for an ALS rendezvous
Answer: A) reassess his condition in 5 minutes
Ch 12 Patient Assessment for Shock pg 499
2.Common side effects of nitroglycerin include all of the following
except:
A. hypotension
B. bradycardia
C. hypertension
,D. severe headache:
Answer: C. hypertension
ch 16 Emergency Medical Care for Chest Pain or Discomfort pg 648
3.You are assessing a 49-year-old man who complains of chest
pressure that began the night before. He is conscious, but
anxious, and tells you he has
a history of angina and hypertension. After applying high-flow
oxygen, you expose his chest to auscultate his lungs and note
that he has a nitroglycerin patch on his right upper chest. His
skin is cool and pale, his blood pressure is 78/50 mm Hg, and his
pulse is 110 beats/min and irregular. You should
Choose one answer.
A. remove the nitroglycerin patch, place him in a supine
position and elevate his lower extremities, and prepare for
immediate transport.
B. immediately remove the nitroglycerin patch, apply the
AED in case he develops cardiac arrest, and transport to the
closest hospital.
C. move the nitroglycerin patch to the other side of his chest in
case you need to apply the AED, keep him warm, and transport
without delay.
D. ask him if the nitroglycerin patch he is wearing has improved
, his chest pressure, complete your secondary assessment, and
transport promptly.: Answer: A. remove the nitroglycerin patch,
place him in a supine position and elevate his lower extremities, and
prepare for immediate transport.
ch 16 pathophysiology - pg 641
- remove nitro because it can worsen the hypotension; elevate LE so
blood doesn't pool
4.You are assessing a 49-year-old man who, according to his
wife, experienced a sudden, severe headache and then passed
out. He is unresponsive and has slow, irregular breathing. His
blood pressure is 190/94 mm Hg and his pulse rate is 50
beats/min. His wife tells you that he has hypertension and
diabetes.
He has MOST likely experienced:
A) a ruptured cerebral artery *****
B) an occluded cerebral artery
C) acute hypoglycemia
D) a complex partial seizure
Answer: A) a ruptured cerebral artery
chapter 17 stoke pg 679