1.
In caring for the patient suffering a severe allergic reaction, you must obtain permission from medical direction to
Correct Answer
C. Help the patient administer his epinepHrine auto-injector
Explanation
In caring for a patient suffering a severe allergic reaction, it is important to help the patient administer his epinephrine auto-injector. Epinephrine is a medication that can quickly reverse the symptoms of an allergic reaction and can be life-saving in severe cases. However, it is crucial to obtain permission from medical direction before administering any medication. This ensures that the appropriate dosage and administration technique are followed and that there are no contraindications or potential risks for the patient.
2.
Your patient is a conscious 2-year-old male. He has ingested a small quantity of bleach. You may see which of the following signs
Correct Answer
D. Chemical burns around the mouth
Explanation
When a 2-year-old ingests bleach, it can cause chemical burns around the mouth. This is because bleach is a corrosive substance that can cause damage to the tissues it comes into contact with. The burns may appear as redness, swelling, or blisters around the mouth area. Other signs such as dilated pupils, hot dry skin, or bright red skin on the child's extremities may not be directly related to bleach ingestion and could indicate other conditions or reactions.
3.
Your patient is a conscious 16-year-old female who has ingested an unknown number of sleeping pills. You should ask all of the following questions EXCEPT
Correct Answer
A. "Who gave you the pills?"
Explanation
The question "Who gave you the pills?" is not relevant in this situation because the focus should be on assessing the patient's condition and providing appropriate medical care. It is more important to ask about the symptoms, the amount and duration of pill ingestion, and any previous attempts at treatment. The source of the pills can be addressed later, if necessary, but it is not a priority in the immediate management of the patient.
4.
Your patient has splashed dry cleaning fluid into his eyes. What treatment should you provide first
Correct Answer
A. Irrigate eyes with clean water
Explanation
The correct answer is to irrigate the eyes with clean water. This is the first step in treating a chemical splash to the eyes. Irrigating the eyes with clean water helps to flush out the chemical and minimize its effects. It is important to use clean water to avoid introducing any additional contaminants into the eyes.
5.
A 6 year old female has splashed liquid ammonia into her eyes. Irrigation of her eyes should be continued for how many minutes?
Correct Answer
D. 20
Explanation
When a person splashes liquid ammonia into their eyes, it is important to immediately irrigate the eyes to flush out the chemical and minimize damage. The recommended duration for irrigation is typically 15-20 minutes. In this case, the correct answer is 20 minutes, as it is the maximum duration that should be followed to ensure thorough flushing of the ammonia from the eyes.
6.
According to friends, a 17 year old male patient has attempted suicide by ingesting sleeping pills and alcohol. His respiration's are 9. You should first
Correct Answer
D. Give oxygen by BVM
Explanation
The patient's low respiratory rate of 9 suggests that he is not getting enough oxygen. Giving oxygen by BVM (Bag Valve Mask) would provide immediate support and help improve his oxygen levels. Activated charcoal and syrup of ipecac are used in cases of poisoning, but they are not the priority in this situation.
7.
Which of the following is a trade name for activated charcoal
Correct Answer
D. Actidose
Explanation
Actidose is a trade name for activated charcoal. Activated charcoal is commonly used in emergency medicine to treat certain types of poisoning or overdose. It works by adsorbing toxins and chemicals in the stomach and intestines, preventing their absorption into the bloodstream. Actidose is a specific brand of activated charcoal that is available in different formulations, such as Actidose-Aqua and Actidose with Sorbitol.
8.
What is the recommended dose of activated charcoal for a 5-year-old child
Correct Answer
B. 1 gram activated charcoal/kg of body weight
Explanation
The recommended dose of activated charcoal for a 5-year-old child is 1 gram per kilogram of body weight. This means that the child should receive 1 gram of activated charcoal for every kilogram they weigh. This dosage is based on the child's body weight and is a standard recommendation for administering activated charcoal in cases of poisoning or overdose.
9.
A 20-year-old patient appears dazed and seems to have lost contact with reality. The mucous membranes of his nose and mouth are swollen. He complains of a "funny numb feeling" inside his head. This patient is exhibiting signs and symptoms of drug abuse, most likely from
Correct Answer
B. Volatile chemicals
Explanation
The patient's symptoms of appearing dazed, lost contact with reality, swollen mucous membranes, and complaining of a "funny numb feeling" inside his head are consistent with the effects of volatile chemicals. Volatile chemicals are substances that can produce psychoactive effects when inhaled or ingested. These substances can cause hallucinations, altered perception of reality, and physical symptoms such as swelling.