Mod 3 68w Exam Questions with correct Answers

Scene Size-Up - Answer- steps taken when approaching the scene of an emergency call: checking scene safety, taking standard precautions, noting the mechanism of injury or nature of the patient's illness, determining the number of patients, and deciding what, if any, additional resources to call for. (SNNAC) Danger Zone - Answer- the area around the wreckage of a vehicle collision or other incident within which special safety precautions should be taken. Mechanism of Injury - Answer- a force or forces that may have caused injury. Penetrating Trauma - Answer- injury caused by an object that passes through the skin or other body tissues. Blunt-force trauma - Answer- injury caused by a blow that does not penetrate the skin or other body tissues index of suspicion - Answer- awareness that there may be injuries - based on mechanism of injury nature of the illness - Answer- what is medically wrong with a patient Primary Assessment - Answer- the first element in a patient assessment; steps taken for the purpose of discovering and dealing with any life-threatening problems. The six parts of primary assessments are: 1) forming a general impressing 2) assessing mental status 3) assessing airway 4) assessing breathing 5) assessing circulation 6) determining the priority of the patient for treatment and transport Interventions - Answer- actions taken to correct or manage a patient's problems General Impression - Answer- impression of the patient's condition that is formed on first approaching the patient, based on the patient's environment, chief complaint, and appearance. Chief Complaint - Answer- in emergency medicine, the reason EMS was called, usually in the patient's own words. Levine's Sign - Answer- Clutching the chest Mental Status - Answer- level of responsiveness (AVPU) AVPU - Answer- a memory aid for classifying a patient's level of responsiveness or mental status. Alert, Verbal, Pain, Unresponsive. ABCs - Answer- Airway, Breathing, Circulation Priority - Answer- the decision regarding the need for immediate transport of the patient versus further assessment and care at the scene High Priority Conditions - Answer- Poor general impression, unresponsive, responsive but not following commands, difficulty breathing, shock, complicated childbirth, chest pain consistent with cardiac problems, uncontrolled bleeding, severe pain anywhere Vital Signs - Answer- outwards signs of what is going on inside the body, including respiration; pulse; skin color/temperature/condition/(capillary refill time in children); pupils; blood pressure Pulse - Answer- the rhythmic beats felt as the heart pumps blood through the arteries pulse rate - Answer- the number of pulse beats per minute (30 x 2) tachycardia - Answer- a rapids pulse; any pulse rate above 100 beats per minute bradycardia - Answer- a slow pulse; any pulse rate below 60 beats per minute pulse quality - Answer- the rhythm (regular or irregular) and force (strong or weak) of the pulses Radial Pulse - Answer- the pulse felt at the wrist Brachial Pulse - Answer- the pulse felt in the upper arm Carotid Pulse - Answer- the pulse felt along the large carotid artery on either side of the neck Respiration - Answer- the act of breathing in and breathing out respiratory rate - Answer- the number of breaths taken in one minute respiratory quality - Answer- normal or abnormal (shallow, labored, or noisy) character of breathing respiratory rhythm - Answer- the regular or irregular spacing of breaths Shallow Breathing - Answer- only slight movement of the chest or abdomen Labored breathing - Answer- increase in the word of breathing, use of accessory muscles, nasal flaring, and retractions (pulling in) above collar bone/between ribs. Stridor possible. Noisy Breathing - Answer- obstructed breathing - never good Skin Color - Answer- best place to asses in adults is nail beds, inside of the cheek, inside of lower eyelids Skin - Answer- Color, temperature, and condition provide valuable information about Pt's circulation Pink Skin - Answer- normal in light-skinned pts. Pale Skin - Answer- Constricted blood vessels possibly resulting from blood loss, shock, hypotension (low bp), emotional distress Cyanotic (blue-gray) - Answer- Lack of o