You are assessing an elderly patient with a decreased level of consciousness. Your assessment reveals the patient to have a patent airway, labored respirations, and weak, rapid pulses. The skin is pale, cool, and cyanotic in the extremities. You also observe diaphoresis and a delayed capillary refill. Vital signs for this patient are: heart rate of 136 bpm, blood pressure of 66/40 mmHg, and

respirations 40 and shallow. Auscultation of the lungs reveals profound crackles located throughout each lung. His temperature is 99°F. There is obvious JVD and pedal edema. Additionally, family states that the patient has an extensive cardiac and diabetic history. Based on this information you should suspect what kind of shock?

A) Hypotensive
B) Distributive
C) Hypovolemic
D) Cardiogenic

Answer: D

Health Professions

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An ambulance with two EMTs arrives in front of a house for an unknown medical emergency. On scene, bystanders report that a female patient was beaten by her husband in the driveway and then dragged back into the house. They state that the patient appeared unconscious and was bleeding from the head. Which action would the EMTs perform next?

A) Do not enter the scene until it has been controlled by law enforcement B) Quietly enter the home and quickly move the patient to the ambulance C) Remove the husband from the house, then provide emergency care to the wife D) Enter the home to protect the patient while waiting for the police to arrive

Health Professions

Which of the following is an OSHA guideline for disposal of medical waste material?

A. Dispose of chemicals in a glass or metal container. B. Dispose of sharp objects in a glass container. C. Do not flush any chemicals down the drain. D. Do not incinerate medical wastes. E. Licensed medical waste handlers are not necessary for medical offices.

Health Professions