EMT Flashcards Chapter 2

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Questions and Answers

While assisting an advanced life support (ALS) ambulance crew, you are accidentally stuck with an IV needle. You should:

Discontinue patient care and seek medical attention.

Report the incident to your supervisor after the call. (correct)

Get immunized against hepatitis as soon as possible.

Immerse your wound in an alcohol-based solution.

When the patient asks you if her husband is all right after the crash, you should:

Avoid answering her questions and focus on her injuries.

Tell her that he is being resuscitated by other EMTs.

Immediately tell her of his death so that she may grieve.

Let clergy or hospital staff relay the bad news if possible. (correct)

You are transporting a patient with a positive tuberculosis (TB) skin test. You should:

Remain at least 3 feet away from the patient and apply a surgical mask on him.

Apply a nonrebreathing mask on the patient and a high-efficiency particulate air (HEPA) respirator on yourself. (correct)

Apply a sterile surgical mask on yourself and a HEPA respirator on the patient.

Apply a nasal cannula on the patient and a sterile surgical mask on yourself.

Prescription glasses do not provide adequate eye protection because they:

Offer little or no side protection. Signup and view all the answers

The MOST effective way to preserve your own body heat in cold, wet weather is to:

Wear at least three layers of clothing. Signup and view all the answers

At the scene of a domestic violence situation, your MOST appropriate action should be to:

Seek a safe place and request law enforcement assistance. Signup and view all the answers

As an EMT, it is important to remember that the signs and symptoms of cumulative stress:

May not be obvious or present all the time. Signup and view all the answers

Which of the following statements regarding a patient with a behavioral crisis is correct?

A quiet patient is not as likely to attack you as one who is screaming. Signup and view all the answers

Which of the following scenarios MOST accurately depicts a posttraumatic stress disorder (PTSD) reaction?

An EMT becomes distracted at the scene of a motor vehicle crash involving the same type of car in which a child was previously killed. Signup and view all the answers

A positive TB skin test indicates that:

You have been exposed to the disease. Signup and view all the answers

Vector-borne transmission of an infectious organism occurs via:

Animals or insects. Signup and view all the answers

When caring for a terminal cancer patient with a valid do not resuscitate (DNR) order, you should:

Make her comfortable and provide emotional support. Signup and view all the answers

The hepatitis B vaccine program addresses all of the following issues, EXCEPT:

Family history of hepatitis. Signup and view all the answers

Which of the following statements regarding HIV is correct?

There is no vaccine against HIV infection. Signup and view all the answers

The compliance monitoring component of an infection control plan should:

Ensure that employees understand what they should do and why it is important. Signup and view all the answers

The situation at a major building collapse is MOST effectively managed by:

Requesting a CISM team to provide on-scene peer support. Signup and view all the answers

Upon arriving at the scene of a motor vehicle crash, after parking the ambulance at a safe distance, you and your partner should:

Put on high-visibility safety vests. Signup and view all the answers

As you approach the scene of a crash involving a large tanker truck, you should:

Maintain a safe distance and try to read the placard with binoculars. Signup and view all the answers

Gloves, a mask, eye protection, and a face shield should be used:

When performing endotracheal intubation. Signup and view all the answers

Which of the following is the MOST significant factor in determining if a person will become ill from certain germs?

Immunity Signup and view all the answers

Which of the following statements is MOST consistent with the bargaining phase of the grieving process?

"I will be compliant with all my medications if I can just see my grandson graduate." Signup and view all the answers

If you use a waterless handwashing substitute in the field, it is important to:

Wash your hands with soap and water at the hospital. Signup and view all the answers

If it is not possible to adequately clean your ambulance at the hospital following a call, you should:

Clean the ambulance at your station in a designated area that is well ventilated. Signup and view all the answers

If you are exposed to a patient's blood or other bodily fluid, your first action should be:

Transfer care of your patient to another EMS provider. Signup and view all the answers

As you enter a residence where a family member becomes verbally abusive, you should:

Retreat and notify law enforcement personnel. Signup and view all the answers

At the scene of an automobile crash with downed power lines, you should:

Mark off a danger zone around the downed lines. Signup and view all the answers

If a person is partially immune to a particular disease, he or she:

May develop illness from germs that lie dormant from the initial infection. Signup and view all the answers

Determination of exposure is an important component of an infection control plan because it:

Defines who is at risk for contact with blood and body fluids and which tasks pose a risk of exposure. Signup and view all the answers

Your partner, a veteran EMT who seems unusually agitated during a call, you should:

Discreetly report your suspicions to your supervisor. Signup and view all the answers

Which of the following statements regarding the hepatitis B vaccine is correct?

OSHA requires that your employer offer you the vaccine free of charge. Signup and view all the answers

Study Notes

Incident Response and Reporting

If accidentally stuck with an IV needle, report the incident to a supervisor after completing patient care.
In a case of domestic violence, prioritize safety by requesting law enforcement assistance rather than entering the situation directly.

Patient Communication and Emotional Support

Informed communication is crucial; if a patient inquires about a deceased spouse, delegate communication of the news to clergy or hospital staff if possible.
Provide emotional support and comfort to terminally ill patients under DNR orders.

Equipment and Personal Protection

Use a nonrebreathing mask for patients with a history of tuberculosis while employing a HEPA respirator for personal protection.
Standard prescription glasses do not provide adequate eye protection due to insufficient side coverage.

Environmental Safety and Health

To retain body heat in cold conditions, wear at least three layers of clothing.
Approach the scene of hazardous incidents, such as chemical spills, by maintaining a safe distance and assessing the situation without rushing in.

Psychological Health and Stress Management

Signs of cumulative stress may not be immediately apparent and can be intermittent over time, affecting EMT performance.
Engage peer support through a Critical Incident Stress Management (CISM) team during prolonged emergency situations to maintain focus.

Infectious Disease Awareness

A positive TB skin test indicates prior exposure to the disease, not active infection.
Vector-borne transmission of infections typically occurs via animals or insects.

Legal and Compliance Duties

OSHA mandates that employers provide the hepatitis B vaccine at no cost to employees.
Compliance monitoring in infection control should ensure staff understanding of risks and procedures tied to bodily fluid exposure.

Behavioral Cues in Patients

A calm, quiet patient may be less likely to exhibit violent behavior than one showing agitation; assess for underlying issues like depression, which is linked to violence.

Response to Aggressive Situations

In aggressive situations involving family members of patients, retreat and notify law enforcement rather than confronting them directly.

Hygiene Practices

After using a waterless hand sanitizing substitute, wash hands with soap and water upon reaching the hospital to ensure thorough cleaning.
If unable to clean an ambulance adequately post-call, do so in a well-ventilated designated area at your station.

Handling Exposure Incidents

After exposure to blood or bodily fluids, the first action should be to transfer patient care to another EMS provider before seeking medical attention.

Understanding Immune Response

Individuals partially immune to a disease may still develop illness from dormant pathogens, emphasizing the need for ongoing vigilance.
Proper exposure determination is essential in infection control, defining who is at risk and the relevant tasks that pose exposure risks.

Substance Use and Reporting

If a partner exhibits concerning behavior and signs of intoxication, discreetly report your suspicions to a supervisor to address potential risks.

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Description

Test your knowledge with these EMT flashcards from Chapter 2. Each card presents a scenario requiring critical thinking and appropriate responses in emergency medical situations. Perfect for preparing for exams or refreshing your skills in emergency care.