Podcast
Questions and Answers
In contrast to conductive hearing loss, sensorineural hearing loss is caused by:
In contrast to conductive hearing loss, sensorineural hearing loss is caused by:
- Eardrum perforation
- Barotrauma
- Nerve damage (correct)
- Earwax accumulation
Which of the following statements regarding hearing aids is correct?
Which of the following statements regarding hearing aids is correct?
- Hearing aids cannot restore hearing to normal levels. (correct)
- A whistling sound indicates correct hearing aid placement.
- Over time, hearing aids can restore normal hearing.
- In-the-canal hearing aids fit in the outer part of the ear.
Which of the following statements regarding cerebral palsy is correct?
Which of the following statements regarding cerebral palsy is correct?
- A key clinical feature of cerebral palsy is paralysis of the respiratory muscles, which confines the patient to a ventilator.
- Conditions such as brain injury at birth, postpartum infections, and fetal hypoxia can cause cerebral palsy. (correct)
- Most cases of cerebral palsy develop within the first 10 years of life and are typically caused by meningitis.
In contrast to an automated implanted cardioverter/defibrillator, an internal cardiac pacemaker:
In contrast to an automated implanted cardioverter/defibrillator, an internal cardiac pacemaker:
The tip of a central venous catheter rests in the:
The tip of a central venous catheter rests in the:
Which of the following statements regarding gastrostomy (gastric) tubes is correct?
Which of the following statements regarding gastrostomy (gastric) tubes is correct?
Vagal nerve stimulators may be an alternative treatment to medication for patients with:
Vagal nerve stimulators may be an alternative treatment to medication for patients with:
What should EMTs do if they find bleeding from the tubing attached to a malfunctioning central venous catheter?
What should EMTs do if they find bleeding from the tubing attached to a malfunctioning central venous catheter?
For an apneic 2-month-old male, what should you do when he is conscious and active with adequate vital signs?
For an apneic 2-month-old male, what should you do when he is conscious and active with adequate vital signs?
Which of the following is a developmental disorder characterized by impairment of social interaction?
Which of the following is a developmental disorder characterized by impairment of social interaction?
Known risk factors for Down syndrome include:
Known risk factors for Down syndrome include:
The Emergency Medical Treatment and Active Labor Act (EMTALA) states that:
The Emergency Medical Treatment and Active Labor Act (EMTALA) states that:
Which of the following may be difficult to perform on a patient with Down syndrome?
Which of the following may be difficult to perform on a patient with Down syndrome?
Most patients with this disease also have hydrocephalus.
Most patients with this disease also have hydrocephalus.
What does the DOPE mnemonic help you to recognize?
What does the DOPE mnemonic help you to recognize?
What device is placed directly into the stomach to feed patients?
What device is placed directly into the stomach to feed patients?
What do vagal nerve stimulators do?
What do vagal nerve stimulators do?
An important part of the assessment process for a patient with special needs is to:
An important part of the assessment process for a patient with special needs is to:
What improves a patient's quality of life shortly before death?
What improves a patient's quality of life shortly before death?
When caring for a patient who is visually impaired, it is important to:
When caring for a patient who is visually impaired, it is important to:
Under what circumstances is a left ventricular assist device used?
Under what circumstances is a left ventricular assist device used?
Down syndrome is a genetic defect that occurs as the result of:
Down syndrome is a genetic defect that occurs as the result of:
Down syndrome patients are at an increased risk for medical complications. Which of the following is NOT one of those potential complications?
Down syndrome patients are at an increased risk for medical complications. Which of the following is NOT one of those potential complications?
A 70-year-old male complains of shortness of breath. During your assessment, you note that he has bilateral hearing aids. When you ask him questions related to his chief complaint, he does not answer you. You can hear a whistling sound coming from his hearing aids. You should:
A 70-year-old male complains of shortness of breath. During your assessment, you note that he has bilateral hearing aids. When you ask him questions related to his chief complaint, he does not answer you. You can hear a whistling sound coming from his hearing aids. You should:
Which of the following statements regarding interaction with the caregiver of a child or adult with special health care needs is correct?
Which of the following statements regarding interaction with the caregiver of a child or adult with special health care needs is correct?
A surgical procedure that creates an opening between the intestine and the surface of the body that allows for elimination of waste products is called a(n):
A surgical procedure that creates an opening between the intestine and the surface of the body that allows for elimination of waste products is called a(n):
A person is said to be obese when he or she is ________ over his or her ideal weight.
A person is said to be obese when he or she is ________ over his or her ideal weight.
Which of the following statements regarding patients with intellectual disabilities is correct?
Which of the following statements regarding patients with intellectual disabilities is correct?
The purpose of a ventricular peritoneum shunt is to:
The purpose of a ventricular peritoneum shunt is to:
Cerebral palsy is characterized by poorly controlled ________ movement.
Cerebral palsy is characterized by poorly controlled ________ movement.
Which of the following statements regarding autism is correct?
Which of the following statements regarding autism is correct?
Which of the following would be the MOST practical method of communicating with a hearing-impaired patient until his or her hearing aids can be located?
Which of the following would be the MOST practical method of communicating with a hearing-impaired patient until his or her hearing aids can be located?
Spina bifida is defined as:
Spina bifida is defined as:
A ventricular atrium shunt drains excess fluid from the ventricles of the brain into the:
A ventricular atrium shunt drains excess fluid from the ventricles of the brain into the:
Which of the following conditions would MOST likely be encountered in a patient with cerebral palsy?
Which of the following conditions would MOST likely be encountered in a patient with cerebral palsy?
Which of the following statements is NOT true regarding the care of a patient with cerebral palsy?
Which of the following statements is NOT true regarding the care of a patient with cerebral palsy?
According to the 'E' in the DOPE mnemonic, which of the following actions should you perform to troubleshoot inadequate ventilation in a patient with a tracheostomy tube?
According to the 'E' in the DOPE mnemonic, which of the following actions should you perform to troubleshoot inadequate ventilation in a patient with a tracheostomy tube?
You are assessing a 440-lb man who complains of shortness of breath and lower back pain. The patient is conscious and alert, his blood pressure is 148/98 mm Hg, and his heart rate is 120 beats/min. Your MOST immediate action should be to:
You are assessing a 440-lb man who complains of shortness of breath and lower back pain. The patient is conscious and alert, his blood pressure is 148/98 mm Hg, and his heart rate is 120 beats/min. Your MOST immediate action should be to:
Which of the following statements is NOT true regarding patients with autism?
Which of the following statements is NOT true regarding patients with autism?
Because a tracheostomy tube bypasses the nose and mouth:
Because a tracheostomy tube bypasses the nose and mouth:
A 13-year-old child is on a home ventilator. The parents called because the mechanical ventilator is malfunctioning and the child has increasing respiratory distress. You should:
A 13-year-old child is on a home ventilator. The parents called because the mechanical ventilator is malfunctioning and the child has increasing respiratory distress. You should:
When caring for a patient with a previous head injury, you should:
When caring for a patient with a previous head injury, you should:
A tube from the brain to the abdomen that drains excessive cerebrospinal fluid is called a:
A tube from the brain to the abdomen that drains excessive cerebrospinal fluid is called a:
Because hearing-impaired patients typically have more difficulty hearing high-frequency sounds, it is important for you to:
Because hearing-impaired patients typically have more difficulty hearing high-frequency sounds, it is important for you to:
By placing one hand on your head and the other hand over your abdomen, you are asking a hearing-impaired patient if he or she:
By placing one hand on your head and the other hand over your abdomen, you are asking a hearing-impaired patient if he or she:
Cerebral palsy is a condition that results from damage or injury to the:
Cerebral palsy is a condition that results from damage or injury to the:
EMTs are dispatched for a fall. The patient, a 16-year-old female with Down syndrome, is experiencing difficulty walking and says that her fingers 'feel like needles.' The EMTs should suspect:
EMTs are dispatched for a fall. The patient, a 16-year-old female with Down syndrome, is experiencing difficulty walking and says that her fingers 'feel like needles.' The EMTs should suspect:
General care for a patient with a tracheostomy tube includes all of the following, EXCEPT:
General care for a patient with a tracheostomy tube includes all of the following, EXCEPT:
General techniques for communicating with hearing-impaired patients include:
General techniques for communicating with hearing-impaired patients include:
When assessing or providing care to a patient with an intellectual disability, you should:
When assessing or providing care to a patient with an intellectual disability, you should:
When caring for patients with cerebral palsy, it is important to remember that:
When caring for patients with cerebral palsy, it is important to remember that:
When enlisting the help of an interpreter who signs, it is important for you to ask the interpreter to:
When enlisting the help of an interpreter who signs, it is important for you to ask the interpreter to:
When interacting with an intellectually disabled patient, the best approach is to:
When interacting with an intellectually disabled patient, the best approach is to:
Common complications associated with central venous catheters include all of the following, EXCEPT:
Common complications associated with central venous catheters include all of the following, EXCEPT:
Autism is defined as a:
Autism is defined as a:
Common associated conditions in patients with spina bifida include all of the following, EXCEPT:
Common associated conditions in patients with spina bifida include all of the following, EXCEPT:
Characteristic anatomic features of Down syndrome include:
Characteristic anatomic features of Down syndrome include:
Flashcards
Autism
Autism
A developmental disorder marked by impaired social interaction.
Down Syndrome
Down Syndrome
Genetic condition caused by an extra copy of chromosome 21.
Down Syndrome Risk Factor
Down Syndrome Risk Factor
Increased maternal age.
Spina Bifida
Spina Bifida
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EMTALA
EMTALA
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Intubation Difficulties
Intubation Difficulties
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Patient Assessment
Patient Assessment
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Communication Strategies
Communication Strategies
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Gastrostomy Tube
Gastrostomy Tube
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Vagal Nerve Stimulator
Vagal Nerve Stimulator
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Cerebral Palsy
Cerebral Palsy
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Visual Impairment Care
Visual Impairment Care
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Hearing Impairment Care
Hearing Impairment Care
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Comfort Care
Comfort Care
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Intellectual Disability Disease Susceptibility
Intellectual Disability Disease Susceptibility
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Obesity Classification
Obesity Classification
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Central Venous Catheter Monitoring
Central Venous Catheter Monitoring
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Anxiety Signs
Anxiety Signs
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Heart/Respiratory Function Assessment (Concerns)
Heart/Respiratory Function Assessment (Concerns)
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Interpreter Role
Interpreter Role
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Intellectual Disability Rapport
Intellectual Disability Rapport
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Hearing Aid Limitations
Hearing Aid Limitations
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Cerebral Palsy Diagnosis Context
Cerebral Palsy Diagnosis Context
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Tracheostomy Malfunction Response
Tracheostomy Malfunction Response
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Heart Rate Regulation System
Heart Rate Regulation System
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Central Venous Catheter Tip Location
Central Venous Catheter Tip Location
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Gastrostomy Tube Aspiration Risk
Gastrostomy Tube Aspiration Risk
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Gastrostomy Tube Suture
Gastrostomy Tube Suture
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Vagal Nerve Stimulator Use
Vagal Nerve Stimulator Use
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Catheter Malfunction Response (Bleeding)
Catheter Malfunction Response (Bleeding)
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Study Notes
Developmental Disorders and Genetic Conditions
- Autism is a developmental disorder characterized by impaired social interaction.
- Down syndrome results from a triplication of chromosome 21, leading to cognitive and physical challenges.
- Risk factors for Down syndrome include increased maternal age.
- Spina bifida is a birth defect caused by the incomplete closure of the spinal column and is commonly associated with hydrocephalus.
Emergency Medical Treatment Regulations
- EMTALA mandates that all patients must be treated regardless of their ability to pay for care.
Patient Care Challenges
- Intubation may be particularly difficult for patients with Down syndrome.
- Assessing a patient with special needs involves interacting with the caregiver, who is vital for understanding the patient's condition.
- Communication strategies include explaining procedures to intellectually disabled patients and ensuring they feel comfortable and reassured.
Medical Devices and Support
- Gastrostomy tubes are inserted directly into the stomach for feeding patients unable to eat by mouth.
- Vagal nerve stimulators help control seizures and can serve as alternative treatments to medication.
- Patients with cerebral palsy often have poorly controlled body movement and may also experience seizure disorders.
Care Best Practices
- For patients who are visually impaired, verbal communication about their environment is crucial.
- For hearing-impaired patients, using a lower pitch voice and writing down questions can facilitate communication.
- Comfort care significantly improves the quality of life for patients nearing death.
Special Health Considerations
- Patients with intellectual disabilities are susceptible to the same diseases as others, and care should be tailored to their understanding level.
- In a patient with obesity, a classification of obese is made when their weight exceeds 30% over the ideal body weight.
- Frequent monitoring for complications associated with central venous catheters is essential, while avoiding actions that could worsen the patient's condition.
Patient Assessment Techniques
- Look for signs of anxiety in patients with previous head injuries and provide reassurance.
- Assess heart and respiratory functions carefully in patients with body mass concerns, ensuring they are positioned comfortably during care.
Communication Tools
- When using an interpreter, it's important that they report precisely what the patient communicates without adding personal commentary.
- Establishing a rapport with intellectually disabled patients may involve patience and more direct interaction as opposed to relying on family input.
Recognizing Care Nuances
- Hearing aids do not restore hearing to normal levels and can be affected by factors like battery life.
- Diagnoses of conditions, such as cerebral palsy, can be influenced by events like brain injury at birth, highlighting the importance of historical context in medical evaluations.
- In emergencies involving a malfunctioning tracheostomy setup, immediate disconnecting and alternative support measures should be implemented to ensure patient safety.### Heart Rate Regulation
- A system regulates heart rate when it drops below a predetermined threshold.
Central Venous Catheter
- The tip of a central venous catheter is positioned in the vena cava.
Gastrostomy Tubes
- Gastrostomy tubes pose an aspiration risk for patients despite being inserted into the stomach, not the small intestine.
- Most gastrostomy tubes are typically temporary and are not sutured.
Vagal Nerve Stimulator
- Vagal nerve stimulators can serve as an alternative treatment for patients with chronic seizure disorders.
Response to Catheter Malfunction
- In the event of a malfunctioning central venous catheter causing bleeding, applying direct pressure to the tubing is the appropriate response.
Infant Apnea Monitoring
- For an apneic 2-month-old infant with a history of apnea, transport the child to the hospital while bringing the apnea monitor, despite stable vital signs.
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Description
This quiz focuses on understanding various developmental disorders and their risk factors, particularly autism and Down syndrome. Use these flashcards to test your knowledge on patients with special challenges and the related medical definitions. Perfect for students and professionals in healthcare fields.
