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Exam 22: Toxicologic Emergencies

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Question 21

Multiple Choice

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The EMT's first priority when managing a patient that has been exposed to a poisonous substance is:

A) identify the poison.
B) induce vomiting.
C) perform a primary assessment.
D) administer activated charcoal.

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Question 22

Multiple Choice

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A confused female patient states that she was intoxicated and accidentally drank a glass of household bleach. When transporting this patient, which of the following complications would you continually assess for?

A) Vomiting
B) Chest pain
C) Headache
D) Diaphoresis

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Question 23

Multiple Choice

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This is the third day that a patient is in withdrawal from alcohol. If called to care for this patient, the EMT would recognize the need for:

You have been called for a 41-year-old female who is confused. Her husband states that she is an alcoholic who has been in and out of rehab for the past five years. Assessment reveals her airway to be open and breathing adequate. Her pulse is regular and strong. Which of the following findings would cause the EMT to classify and treat this patient as a high priority?

An alert and oriented 5-year-old child drank some ammonia that was placed in a cup. He is very scared and complaining of abdominal pain, and he states that he has not vomited. Assessment shows ammonia around and in his mouth as well as on his breath. He has an open airway and is breathing adequately. His pulse and skin show no abnormalities. Appropriate care for this patient would include:

You have been called for a young female who overdosed on several drugs. Which of the following is it most essential that the EMT perform while caring for this patient?

For which of the following patients is a "talk down" indicated?

You believe that a male patient has ingested bath salts. Given the nature of this drug, what sign or symptom would help confirm this suspicion?

You have been called for an alcoholic patient experiencing a medical emergency. On scene, a home health nurse informs you that the patient is experiencing delirium tremens. As an EMT, you recognize which of the following?

A 44-year-old male who works at a petroleum-refining plant inhaled a significant amount of hydrocarbon fumes and now is complaining of a headache with associated dizziness and nausea, as well as mild shortness of breath. He is alert and oriented and there are no life threats to his airway, breathing, or circulation. Which of the following would be most appropriate in his care?

You are called to an alcoholic crisis center to transport a patient experiencing delirium tremens. When assessing the patient, which signs or symptoms would the EMT associate with this condition?

You have been called to a party by friends of a 14-year-old female with a decreased level of consciousness. On scene, the partygoers state that they were "huffing" when she suddenly complained of a headache and then passed out. In reference to the term "huffing," you would recognize this as:

Which of the following patients would the EMT recognize as a drug abuser?

For which of the following patients would activated charcoal be indicated?

Medical command has ordered you to administer activated charcoal to a patient who ingested a large amount of poison. When looking in your medical kit, which of the following medications would you prepare and administer?

You are transporting a patient who overdosed on medications from a community emergency department (ED) to a large medical center for continued care. In the ED, the patient received two doses of activated charcoal. When performing your reassessment of the patient, which of the following findings would be most concerning?

While he is changing the battery on a truck, acid from the battery splashed into a 66-year-old male's right eye. He complains of burning pain to his right eye and he is having a hard time keeping it open. He is alert and oriented and has no problems with his airway, breathing, or circulation. Your next action would be to:

You are suspicious of food poisoning in a 51-year-old male with nausea, vomiting, diarrhea, and fever. He is alert and oriented with no life threats to his airway, breathing, or circulation. His vital signs are: pulse 124, respirations 20, blood pressure 198/98, and SpO₂ 93% on room air. He states a history of COPD and hypertension, for which he did not take his medications today. In this situation, which of the following would be appropriate?

Which of the following represents the greatest risk related to the ingestion of cyanide?

You are responding to a drug-related emergency. While en route, the dispatcher informs you that the patient has overdosed on an unspecified narcotic. Which of the following statements made to your partner indicates an understanding of overdoses with narcotic drugs?