Question

1. your patient who is lying supine on the floor is vomiting forcefully. you cannot keep up the vomiting while suctioning the airway with a rigid catheter. which beneficial treatment have the rescuers neglected to exercise?

a) rolling the patient into the left lateral recumbent position
b) applying light anterior pressure on the cricoid cartilage
c) increasing the suction pore to maximum strength
d) using a soft suction catheter instead of rigid one.

1. after a call for a motorcycle crash, a co - worker asks you to defend your reason for ignoring an obviously broken leg on the victim. which of the following would be the best justification you could provide for ignoring the broken leg.

a) there were multiple patients on the scene
b) there is very little you can do to care for a leg injury
c) the patient has a problem protecting his own airway.
d) the patient refused treatment of the injured leg.

1. you are dispatched to an adult patient who fell hanging decorations. they have an apparent head injury, both lower extremities appear to be angulated, and has vomited several times. what is your highest priority for this patient?

a) covering their head wound
b) update als transport
c) protecting the airway
d)stabilizing their leg.

1. during reassessment, you find the patient’s radial pulse to be absent. the carotid pulse is still present. both were present during initial assessment. this change most likely indicates a/an:

a) onset of hypovolemia
b) drop in blood pressure
c) increased bleeding in the brain
d) undiscovered injury to the forearm

1. what does the letter l in sample represent?

a) level of consciousness
b) level of blood glucose test
c) last oral intake
d) list of medications

1. which of the following terms represents the pressure generated by the left ventricle during a contraction?

a) diastolic
b) systolic
c) hypertrophic
d) palpation

Explanation:

1. Rolling the patient into the left lateral recumbent position helps prevent aspiration during vomiting.
2. Airway protection takes precedence over a limb - injury, so the best justification is that the patient has a problem protecting his own airway.
3. Protecting the airway is the highest priority when a patient has vomited and has potential for airway compromise.
4. Absence of radial pulse while carotid pulse is present may indicate a drop in blood pressure as the body shunts blood to vital organs.
5. In SAMPLE, L stands for Last oral intake.
6. Systolic pressure is the pressure generated by the left ventricle during contraction.

Answer:

1. A. Rolling the patient into the left lateral recumbent position
2. C. The patient has a problem protecting his own airway.
3. C. Protecting the airway
4. B. Drop in blood pressure
5. C. Last oral intake
6. B. Systolic