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Exam (elaborations)

JB LEARNING PARAMEDIC QUESTIONS part 2

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JB LEARNING PARAMEDIC QUESTIONS part 2 Which of the following would MOST likely allow you to reach the status of entry-level competence? a) functioning for at least 2 years in the field b) Passing the state or national paramedic exam c) interning with an experienced preceptor d) studying didactic material at least 2 hours per week - ANSWER c) interning with an experienced preceptor which of the following is NOT a major component of the hematologic system? a) bone marrow b) liver c) spleen d) pancreas - ANSWER d) pancreas You are dispatched to a grocery store for a woman with severe abdominal pain. When you arrive, you find the patient lying on her side in the manager's office. She is confused, is diaphoretic, and appears to be bleeding from her vagina. Her blood pressure is low, and her pulse and respiratory rates are elevated. You should: a) administer 100% oxygen, elevate her legs to 12 to 18 inches, keep her warm, establish vascular access and give a 500-mL fluid bolus, reassess her blood pressure, and transport at once with continuous monitoring en route to the hospital b) immediately place her in supine position, firmly massage her uterine fundus to control the bleeding, establish two large-bore IV lines and run them wide open, transport at once, and apply high-flow oxygen en route to the hospital c) apply high-flow oxygen, visually inspect her vagina and cover it with sterile dressings, keep her warm, begin transport, establish at least one large-bore IV en route, and administer enough crystalloid fluid to maintain radial pulses d) assist her ventilations with a bag-mask, carefully place a trauma dressing inside her vagina to control the bleeding, begin rapid transport, establish two large-bore IV lines en route, and administer 20-mL/kg fluid boluses as needed. - ANSWER c) apply high-flow oxygen, visually inspect her vagina and cover it with sterile dressings, keep her warm, begin transport, establish at least one large-bore IV en route, and administer enough crystalloid fluid to maintain radial pulses Common signs of impending respiratory failure in infants and children include: a) abdominal breathing and a pulse rate less than 120 beats per minute b) marked agitation and tachycardia with ectopic ventricular complexes c) tachypnea and hypernea with nasal flaring and prominent retractions d) a falling oxygen saturation despite high-flow oxygen administration - ANSWER d) a falling oxygen saturation despite high-flow oxygen administration


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