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29 Cards in this Set

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A 20-year-old male was pulled from cold water by his friends. The length of his submersion is not known and was not witnessed. You perform a primary assessment and determine that the patient is apneic and has a slow, weak pulse. You should:
provide rescue breathing, remove wet clothing, immobilize his spine, keep him warm, and transport carefully
A frostbitten foot can be identified by the presence of:
mottling and blisters.
All of the following terms are used to describe a cold body part that is not frozen, EXCEPT:
frostbite.
Covering a patient's _________ will significantly minimize radiation heat loss.
head
Common signs and symptoms of heat exhaustion include all of the following, EXCEPT:
hot, dry skin.
In contrast to the brown recluse spider, the black widow spider:
is large and has a red-orange hourglass mark on its abdomen.
Hypothermia occurs when the core body temperature falls below:
95°F (35°C).
Hypothermia can worsen internal bleeding secondary to:
???????
The body's natural cooling mechanism, in which sweat is converted to a gas, is called:
evaporation.
The MOST prominent symptom of decompression sickness is:
abdominal or joint pain.
The diving reflex may allow a person to survive extended periods of submersion in cold water secondary to:
bradycardia and a slowing of the metabolic rate.
You are transporting a 28-year-old man with a frostbitten foot. The patient's vital signs are stable and he denies any other injuries or symptoms. The weather is treacherous and your transport time to the hospital is approximately 45 minutes. During transport, you should:
protect the affected part from further injury.
You are dispatched to a residence for a young female who is sick. The patient complains of a rash to her lower extremities and truncal area. Your assessment reveals a small, painful blister on her inner thigh. As your partner is taking the patient's vital signs, she states that she and her family returned from a camping trip two days ago. On the basis of this patient's presentation, you should suspect:
Lyme disease.
You receive a call to a residence for a sick patient. Upon your arrival, you find the patient, a 53-year-old diabetic male, lying down on his front porch. His wife tells you that he had been mowing the lawn in the heat for the past 3 hours. The patient is confused and has hot, moist skin. His pulse is weak and thready, and his blood pressure is 90/50 mm Hg. In addition to administering 100% oxygen, you should:
load him into the ambulance and begin rapid cooling interventions
You respond to a local lake where a diver complains of difficulty breathing that occurred immediately after rapidly ascending from a depth of approximately 30′. On assessment, you note that he has cyanosis around his lips and has pink froth coming from his nose and mouth. You should:
suction his mouth and nose, apply high-flow oxygen, position him on his left side with his head down, and contact medical control regarding transport to a recompression facility.
You and your partner are standing by at a large social event at a river resort when a frantic woman tells you that she found a young male floating face-down in the water. Nobody claims to have witnessed the event. After you and your partner enter the water and reach the patient, you should:
move him as a unit to a supine position.
Which of the following would be the LEAST likely to occur in a patient with a core body temperature of between 89°F (32°C) and 92°F (33°C)?
tachycardia
To assess a patient's general temperature, pull back on your glove and place the back of your hand on his or her skin at the:
abdomen
The venom of a black widow spider is toxic to the
nervous system.
Which of the following is an early sign of pit viper envenomation?
local swelling and ecchymosis
Your assessment of a 23-year-old female reveals a core body temperature of 93.4°F (34°C). She is conscious, answers your questions appropriately, is shivering, and complains of nausea. Her skin is cold and pale, her muscles appear rigid, and her respirations are rapid. In addition to monitoring her ABCs, administering oxygen, and turning up the heat in the back of the ambulance, you should:
place heat packs to her groin, axillae, and behind her neck; cover her with warm blankets; and avoid rough handling
You are dispatched to a local high school track and field event for a 16-year-old male who fainted. The outside temperature is approximately 95°F (35°C) with high humidity. Upon your arrival, the patient is conscious, alert, and complains of nausea and a headache. His skin is cool, clammy, and pale. You should:
move him into the cooled ambulance.
The two MOST efficient ways for the body to eliminate excess heat are:
sweating and dilation of skin blood vessels.
The transfer of heat to circulating air, such as when cool air moves across the body's surface, is called:
convection.
To obtain the MOST accurate reading of a patient's core body temperature, you should place a special hypothermia thermometer:
into the patient's rectum.
When the body loses sweat, it also loses:
electrolytes.
Which of the following MOST accurately describes hyperthermia?
The body is exposed to more heat than it can lose.
Shivering is a mechanism in which the body generates heat by:
increasing the metabolic rate.
Rough handling of a hypothermic patient with a pulse may cause:
ventricular fibrillation.