A drowsy 72-year-old female complains of difficulty breathing. Her respiratory rate is 50, and her SpO2 is 89% on room air. You should suspect:
Answer(s): C
A very high respiratory rate with hypoxia and altered mental status indicates the body is no longer able to maintain adequate oxygenation and ventilation, which is characteristic of respiratory failure.
Which of the following is a potential complication of positive pressure ventilation?
Positive pressure ventilation increases intrathoracic pressure, which can reduce venous return to the heart and lead to decreased cardiac output, resulting in hypotension.
A 4-year-old female has trouble breathing. Her respiratory rate is 40 and you hear grunting. She has a weak pulse and only responds to painful stimuli. You should suspect:
Answer(s): A
The presence of altered mental status, weak pulse, and signs of severe breathing effort such as grunting indicates that the patient is no longer able to maintain adequate oxygenation and ventilation, consistent with respiratory failure.
Which of the following actions are steps for inserting a nasopharyngeal airway? (Choose two.)
Answer(s): D,E
The nasopharyngeal airway should be inserted into the larger nostril to reduce resistance and risk of trauma, and the distal tip must be lubricated to allow smooth insertion and minimize injury.
A 25-year-old patient had ingested an unknown quantity of a household cleaner one hour earlier. The patient has swelling around the mouth and stridor. Which of the following actions should the EMT prioritize? (Choose two.)
Answer(s): A,C
The patient shows signs of airway involvement with stridor and swelling, so the priority is to maintain airway patency and ensure adequate oxygenation to prevent hypoxemia.
A 3-year-old patient has drooling and stridor. The vital signs are BP 82/40, P 132, R 34, SpO2 94%, and T 102.4°F (39.1°C). Which of the following interventions should the EMT perform?
Answer(s): D
Drooling, stridor, and fever suggest epiglottitis, where airway manipulation can worsen obstruction. Humidified oxygen supports breathing while avoiding agitation of the airway.
A 24-year-old patient is in respiratory distress after being stung by a bee. What initial management action should the EMT take for this patient?
Answer(s): B
The first step in patient care is to perform a primary survey to assess and manage immediate life threats before initiating specific treatments.
An 11-month-old patient has difficulty breathing. Which of the following findings would indicate respiratory failure to the EMT?
Bradycardia in an infant is a late and ominous sign of respiratory failure, indicating inadequate oxygenation and impending cardiovascular collapse.
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question # 142: data governance is not one of the deliverables in the document and content management context diagram.
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