Blog

ou and your AEMT partner are dispatched along with a BLS engine company for a motor vehicle accident. You have a 6 minute response time. Law enforcement is on scene controlling traffic. You arrive to find a car crashed into a tree off the side of a rural highway. The fire department has already cut the power to the vehicle and stabilized it with wooden chalks. You and your partner find the patient sitting in the driver seat. The patient is alert to self, but not time, place, or event. The patient reports chest pain and difficulty breathing. Your patient had pale, cool, clammy skin, and a strong rapid radial pulse. While the fire department is working on extrication you obtain vitals; Your partner has placed the patient on oxygen via a NRB. The fire department successfully opens the drivers door and you are able extricate the patient from the vehicle. After extricating the patient from the vehicle you take a quick look inside the drivers compartment. You observe significant damage to the steering column and a spider web like crack in the windshield. In the ambulance you begin your secondary assessment. You find that both clavicles are fractured and significant crepitation on the ribs. The patient denied any head, neck, or back pain and no abnormalities were noted on palpation. Your patient begins to have rapid, irregular respirations, jugular vein distention, the patient’s lung sounds are equal, clear, and bilateral. You reobtain vitals and are as follows; You have identified that the patient is suffering from cardiac tamponade. Select 3 treatments that are indicated?

You and your EMT partner are dispatched for a male who was shot multiple times. You have a 3 minute response time. Law enforcement advises the scene is secure. You arrive to find a patient lying in a puddle of blood. The patient is spraying blood from a wound just proximal to the right knee, has blood rapidly oozing from the right shoulder, and blood bubbling out of a wound to the chest. The patient had rapid shallow breathing.   Your partner begins assisting ventilations with a BVM. Put the other treatments in order of what needs to be done first;

You and your EMT partner are dispatched for a male who was shot multiple times. You have a 3 minute response time. Law enforcement advises the scene is secure. You arrive to find a patient lying in a puddle of blood. The patient is spraying blood from a wound just proximal to the right knee, has blood rapidly oozing from the right shoulder, and blood bubbling out of a wound to the chest. The patient had rapid shallow breathing.   Your partner begins assisting ventilations with a BVM, and you place the tourniquet, pack the shoulder, and place a chest seal on the patient’s chest wound. You and your partner lift the patient onto the stretcher as your supervisor arrives on scene to drive you to the hospital. During transport your partner continues to assist ventilations, you obtain vitals and observe the following; You have identified that the patient is experiencing a tension pneumothorax. What two treatments could you provide to relieve the tension pneumothorax?

You and your AEMT partner are dispatched along with a BLS engine company for a motor vehicle accident. You have a 6 minute response time. Law enforcement is on scene controlling traffic. You arrive to find a car crashed into a tree off the side of a rural highway. The fire department has already cut the power to the vehicle and stabilized it with wooden chalks. You and your partner find the patient sitting in the driver seat. The patient is alert to self, but not time, place, or event. The patient reports chest pain and difficulty breathing. Your patient had pale, cool, clammy skin, and a strong rapid radial pulse. While the fire department is working on extrication you obtain vitals; What treatment do you want to provide until the patient is extricated?

You and your AEMT partner are dispatched for a 33 year old male who was assaulted with a base ball bat. You have a 6 minute response time. Law enforcement is on scene and advises the scene is secure. You find the patient lying supine unconscious with rapid, shallow, irregular, and sonorous breathing. The patient has decorticate posturing and doesn’t respond to any form of stimuli. Select the 4 most appropriate actions to manage the airway;

A labor nurse is caring for a patient with gestational diabetes mellitus (GDM) managed with blood sugar monitoring, diet and exercise. The nurse knows that newborns born to patients with GDM are at an increased risk for which of the following complications? Select all that apply

Which nursing action is contraindicated for a client diagnosed with placenta previa?

You are monitoring a 26-week pregnant woman’s fetal heart rate (FHR) during a nonstress test (NST). The baseline FHR is 145–155 bpm. Over 20 minutes, the FHR accelerates to 165 bpm six times, each lasting 10 to 15 seconds. How should you interpret these findings?

Chandra is a 42-year-old G1 P0 at 35 weeks gestation, sent to labor and delivery for evaluation after a blood pressure reading of 160/95 mm Hg during a routine prenatal visit. Her previous blood pressures were within normal limits during the first and second trimesters. What additional assessment data should the nurse prioritize collecting at this time?

Piper is being seen for her 12 week routine prenatal appointment. She is a 19 year old, G1P0 who asks the nurse, “What’s the big deal with unpasteurized milk in pregnancy? I see so many people on social media promoting raw milk. Is it safe during pregnancy?”What is the nurse’s best response?