SOLVED

1) What is the primary reason paramedics should be interested and diligent in becoming familiar with common home health care equipment items and the underlying need for them? A) A general knowledge can be vital to the health of the patient. B) Most jurisdictions are requiring paramedics to become “expanded scope.” C) Paramedics are required to know how to operate all home health care equipment. D) There is no reason for a paramedic to know about such devices. 2) Which of the following is an important point to remember regarding patients with home respiratory care and their response to emergency medications? A) You always need to double your dose if they are on the same drug at home. B) They may be on experimental drugs that could interact badly with common emergency medications. C) They may be using high doses of medications, such as albuterol, and your normal standing dose may not be as effective. D) There is nothing significant to keep in mind. 3) What is/are common blockage(s) of a gastrostomy tube? A) Liquid feeding products/pill fragments B) Gallstones C) Feces D) Chewed food 4) Approximately how many patients with respiratory problems are discharged from the hospital to home health care settings each year in the United States? A) 125,000 B) 1 million C) 630,000 D) 50,000 5) You have been dispatched for a medical alarm in a residence. On arrival, you speak with a home health worker who says she was unaware that the alarm went off. You ensure that the patient needs no assistance. While you look around the room, you notice an IV pump of a type you have never seen before. What prudent action could you take? A) Don’t worry about it, because you probably won’t ever come back. B) Ask the aide to give you a brief introduction to the pump. You never know when that information may be useful. C) Ask the aide what kind of pump it is. When she tells you, act like you knew already. D) Start familiarizing yourself with the pump by playing with the buttons. 6) Which of the following is the most important factor to consider when assessing the chronically ill home-bound patient? A) Deviation from baseline condition B) Access to home health care C) Mental status D) Mobility 7) Which of the following would NOT indicate the potential for a urinary tract infection? A) Polyuria B) Tea-colored urine C) Foul-smelling urine D) Cloudy urine 8) What is the term for the skin’s ability to return to its normal appearance after being subjected to pressure? A) Skin turgor B) Elasticity C) Skin lesion D) Epidermal stretch 9) You are on the scene of a motor-vehicle crash involving a van that carries patients to and from dialysis. The van has rolled over and, during the crash, the patient in the rear of the van sustained a nearly severed right arm. The patient is conscious, pale, and diaphoretic. He has an A/V shunt in the unaffected arm. Bleeding has been controlled to the best it can be and immobilization is complete. What is your most prudent action regarding IV access? A) Cannulate the shunt; the patient is obviously decompensating due to blood loss. B) Look for other sites for venipuncture. C) Now that the bleeding is controlled, there should be no need to access the shunt and risk its contamination. D) Call for a supervisor to make the decision to cannulate the shunt. 10) You are called to the home of a 75-year-old patient in end-stage lung cancer. A 24-hour home hospice health care provider is on scene and states she called because the patient is experiencing increasing dyspnea. The patient is on home oxygen at 4 liters per minute. The patient has a signed DNR order that specifies no intubation, CPR, or medications. Your assessment brings you to conclude that this patient is in acute CHF. What would be the best course of action in this situation? A) Ignore the DNR because the patient is not in cardiac arrest. B) Call your medical control and consult. C) Give the home health care provider a nonrebreather mask and have her sign a release. D) Explain to the patient that the need for immediate care is indicated and that simple measures could ease the dyspnea. 1