SOLVED

31) You are dispatched to an extended-care facility for a “sick person.” On arrival, you speak with the staff who tells you that Ms. Johnson “just started acting differently and is slow to respond.” Your assessment reveals that she is febrile and has vomited. When you move her to the cot, you notice a stage 3 ulcer on her buttock. What could you assume from her condition? A) This is most probably due to abuse. Report the facility to the appropriate authorities. B) This is an acute illness requiring rapid intervention. C) The signs could be masking a more serious issue, like a cardiac event. D) She is probably suffering from sepsis due to infection of the ulcer. She probably needs an IV and supportive care from you, but antibiotics and wound care will be needed for recovery. 32) How many patients receive paid professional home health care each year? A) 500,000 B) 8 million C) 20 million D) 2 million 33) Which of the following could be used for vascular access if necessary? A) An arterial line B) A PEG tube C) a urostomy D) A PICC line 34) You arrive at a nursing facility for a “respiratory distress” call. The frantic nurse says that a patient cannot breathe. You find a 72-year-old woman who has a feeding tube visible from her mouth. She cannot speak and is having trouble breathing. Your partner asks how long the tube has been in place, and the nurse says it was just placed by the visiting doctor about 10 minutes ago. The doctor has left the building. What is your best course of action? A) Place the patient on a nonrebreather mask and prepare to transport. B) Have the patient cough to dislodge the tube. C) Intubate the patient with the tube in place. D) Gently remove the tube and assess lung sounds. 35) Which of the following is NOT a stage of grieving? A) Sadness B) Acceptance C) Denial D) Anger 36) You have arrived on the scene of a “sick person” call. A man meets you and says his wife won’t stop crying and is acting hysterical. She gave birth to their daughter three weeks ago. She presents crying in a chair. The husband also states that she does not want to take care of the baby. She appears to be in no apparent need of emergency care. What is the best course of action? A) Explain to the woman that she needs to get herself together and take care of the baby or you will call child protective services. B) Take the woman to the ER so she can get a prescription for antidepressants. C) Tell the husband there is nothing EMS can do and that he needs to call the family doctor. D) Suggest to the husband that she could be suffering from postpartum depression and that he should contact his wife’s OB/GYN for guidance. 37) You have been called to a home for “severe respiratory distress.” You arrive to find a hysterical young woman who says she had been asked to “watch her nephew for a little while when his mother went out.” He has a tracheostomy, and she says he is having a hard time breathing. She has no idea how to care for him because the mother left no instructions. You assess the child and find a nearly totally mucus-plugged trach tube. What should you do? A) Place the child on O2 via a trach mask. Do not attempt to suction, because doing so may force more mucus into the lungs. Transport immediately. B) Call for orders to suction the trach tube. C) Suction the tube and, if available, replace it with a clean, unobstructed one. Give the young woman guidance as to basic trach care. D) Call the police and tell them the child has been put in a dangerous situation. Place the