Question

assessment review
answer the following questions pertaining to the assessment of the types of emergencies discussed in this chapter.

1. in the scene size - up for a patient(s) who you think may be susceptible to shock, your initial step is to:

a. ensure scene safety
b. splint all potential fractures first
c. ask the patient if he or she has an epipen
d. immediately obtain a patient history

1. during the primary assessment of a patient in shock, you should:

a. treat any immediate life threats
b. obtain a sample history
c. get a complete set of vital signs
d. inform medical control of the situation

1. you have completed your primary assessment of an embarrassed patient who fainted after seeing a coworker injure himself. your next step should be:

a. a rapid secondary assessment
b. to obtain a medical history
c. a detailed physical examination
d. a reassessment

1. interventions for the treatment of shock should include:

a. giving the patient something to drink
b. maintaining normal body temperature
c. withholding high - flow oxygen
d. delaying transport to splint fractures

1. you are transporting an unstable patient who you feel is going into shock. how often do you recheck his vital signs?

a. every 3 minutes
b. every 10 minutes
c. every 5 minutes
d. every 15 minutes

Explanation:

1. In emergency medical care, scene safety is always the first priority. So for a patient who may be susceptible to shock, ensuring scene safety (A) is the initial step.
2. During the primary assessment, treating immediate life - threats (A) is the key. Obtaining a SAMPLE history (B) and getting a complete set of vital signs (C) are part of secondary assessment. Informing medical control (D) is usually done after initial assessment and treatment.
3. After the primary assessment, for a patient who fainted (a non - life - threatening but still concerning situation), a rapid secondary assessment (A) is appropriate. Obtaining a medical history (B) is part of the secondary assessment but not the immediate next step. A detailed physical examination (C) may be too time - consuming at this stage. Reassessment (D) is done later.
4. Maintaining normal body temperature (B) is an important intervention in shock treatment. Giving the patient something to drink (A) is contraindicated as it may cause aspiration. Withholding high - flow oxygen (C) is wrong as oxygen is often needed. Delaying transport to splint fractures (D) is incorrect as transport should not be delayed for non - life - threatening fractures in a shock patient.
5. For an unstable patient going into shock, vital signs should be rechecked every 5 minutes (C). Checking every 3 minutes (A) may be too frequent and not necessary for most cases. 10 minutes (B) and 15 minutes (D) are too long intervals for an unstable patient.

Answer:

1. A. ensure scene safety
2. A. treat any immediate life threats
3. A. a rapid secondary assessment
4. B. maintaining normal body temperature
5. C. Every 5 minutes