Bystanders called 911 for a female patient who was screaming obscenities in a store parking lot. On arrival you find the patient to be sitting in the middle of the parking lot muttering incomprehensible phrases. After conducting the primary assessment and finding no immediate life-threatening conditions, you move her to the ambulance. Additional assessment findings include abrasions to her arm

and urinary and fecal incontinence. She also has a bottle of Prozac in her pocket. You reference Prozac in your medication book and find it to be used to treat depression. With this information, how will you treat this patient?

A) Assist her in taking one dose of Prozac.
B) Arrange for transport to the halfway home where she lives.
C) Consider supplemental oxygen and transport on her left side.
D) Transport to the psychiatric hospital where she has been a patient.


C

Health Professions

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The therapist notices that the tidal volume of a mechanically ventilated patient is greater during inspiration than during exhalation. Which of the following conditions is likely the cause of this situation? I. The patient has a bronchopleural fistula. II. The patient has developed retained secretions. III. The ventilator's in-line nebulizer has been turned on. IV. The ventilator's humidifier has

been overfilled with sterile water. A. I only B. I, III only C. III, IV only D. I, III, IV only

Health Professions

In which of the following scenarios is the EHR functioning in an order management capacity, as described by the IOM?

A) When a physician types the prescribed dose of a particular medication into a patient's electronic health record, the system generates a warning stating that this dose is dangerously high and may have been entered incorrectly. B) Whenever a particular drug is recalled, a practice's electronic records system generates a list of all patients who are taking this medication so they can be immediately notified of the recall. C) After a patient undergoes laboratory testing to determine his serum cholesterol levels, the electronic health records system automatically emails him a copy of the test results. D) Each week, a hospital's electronic health records system transmits information regarding all new cases of reportable diseases to the county health department.

Health Professions

A patient known to have an AV pacemaker has been brought to the emergency department of the hospital where you work. The patient is pale, is having difficulty breathing, and is barely conscious. At the physician's request, you perform an immediate ECG. A portion of the tracing is shown here. What may be causing the patient's signs and symptoms? 

A. The pacemaker is oversensing, so it is generating impulses at a slower rate than it should, resulting in a slow heart rate and low cardiac output. B. The pacemaker has stopped functioning, and the patient is in cardiac arrest. C. The pacemaker is sending too many impulses, and the patient's heart cannot respond quickly enough. D. The pacemaker is functioning, but the patient's heart is not depolarizing after every impulse, leading to low cardiac output.

Health Professions

What entity is responsible for making recommendations regarding infection control practices that include all areas of personal protective equipment, sharps containers, and disinfecting equipment that is carried on an ambulance?

A) Centers for Disease Control and Prevention B) United States Department of Transportation C) National Highway Traffic Safety Administration D) Occupational Safety and Health Administration

Health Professions