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JBL EMT Final Exam Verified Questions And Answers ||Just Out!!!

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JBL EMT Final Exam Verified Questions And Answers ||Just Out!!!

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JBL EMT Final Exam Verified Questions And Answers ||Just
Out!!!


When treating a patient with chest pain, pressure, or
discomfort, you should first:


A: request an ALS ambulance response to the scene.
B: assess the blood pressure and give nitroglycerin.
C: place the patient in a position of comfort.
D: administer supplemental oxygen. - ANSWER-C: place the
patient in a position of comfort.


Reason:


An important aspect of treating a patient with chest pain,
pressure, or discomfort is to ensure that the patient is in a
comfortable position. Most of the time, the patient will already
be in this position upon your arrival. A position of comfort will
aid in minimizing anxiety, which in turn decreases cardiac
oxygen consumption and demand. After ensuring that the
patient is in a comfortable position, administer supplemental
oxygen in a concentration sufficient to maintain an SpO2 of
greater than 94%. Following your assessment, if you feel that

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ALS support is needed, you should request it. If the patient has
prescribed, unexpired nitroglycerin; the systolic blood pressure
is greater than 100 mm Hg; and the patient has not taken the
maximum of three doses, you should contact medical control to
obtain permission to assist the patient in taking the
nitroglycerin.


The myocardium receives its blood supply from the coronary
arteries that branch directly from the:


A: right ventricle.
B: vena cava.
C: aorta.
D: left atrium. - ANSWER-C: aorta.


Reason:


The aorta, which is the largest artery in the human body,
originates immediately from the left ventricle where it branches
into the coronary arteries. This allows the myocardium to
receive blood that has the highest concentration of oxygen. The
superior and inferior venae cavae return oxygen-poor blood
from the systemic circulation back to the right atrium, where it

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is pumped into the right ventricle. The left atrium receives
freshly oxygenated blood from the lungs.


Prevention of cardiac arrest in infants and small children should
focus primarily on:


A: providing immediate transport.
B: keeping the child warm.
C: avoiding upsetting the child.
D: ensuring adequate ventilation. - ANSWER-D: ensuring
adequate ventilation.


Reason:


The most common cause of cardiac arrest in infants and
children is failure of the respiratory system. Their hearts
generally are healthy, and they rarely go into ventricular
fibrillation (V-Fib). The key to preventing cardiac arrest in the
majority of infants and children is to ensure adequate
ventilation and oxygenation.


A conscious and alert 92-year-old woman with chest pain is
refusing EMS treatment and transport to the hospital. Her

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family insists that you transport her. This situation is MOST
appropriately managed by:


A: advising the patient of the risks of refusing care.
B: transporting the patient as the family wishes.
C: transporting the patient as you explain your actions.
D: obtaining a signed refusal from a family member. - ANSWER-
A: advising the patient of the risks of refusing care.


Reason:


Just because the patient is 92 years old does not mean that she
does not have decision-making capacity and cannot make an
informed decision. In cases where any patient refuses care,
after determining that the patient has decision-making capacity
(ie, is of legal age, is not impaired by drugs or alcohol), you
must inform the patient of the potential risks of refusing care,
namely death. If the patient is aware of and willing to accept
the potential consequences of his or her refusal, a refusal of
treatment and/or transport form should be signed by the
patient. A non-biased witness (ie, law enforcement officer,
emergency medical responder [EMR]) should also sign the
refusal form.

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