SOLVED

21) Which of the followingallows much more oxygen to be stored in the home setting? A) A liquid oxygen system B) High-volume oxygen concentrator C) A liquid nitrogen-oxygen system D) An “M” tank or larger 22) What might you notice before entering a residence that would lead you to assume that a home health care situation might exist? A) A “No Smoking, Oxygen in Use” sign B) A wheelchair ramp C) A vehicle in the driveway that appears to be used for convalescent transport D) All of the above 23) Which of the following devices does NOT deliver nutrients to the chronically ill patient? A) Groshong catheter B) PEG tube C) NG tube D) Jejunal tube 24) Which of the following best describes the difference between cellulitis and sepsis? A) Cellulitis and sepsis are virtually the same and are often used interchangeably. B) Sepsis involves only the connective tissue while cellulitis is systemic. C) Sepsis can lead to cellulitis but not the other way around. D) Cellulitis is the inflammation of cellular or connective tissue whereas sepsis is systemic. 25) Which of the following interventions would NOT be appropriate when treating a hypotensive patient due to postpartum bleeding? A) Massaging the uterus B) Administration of medication such as Pitocin C) MAST D) Fluid administration 26) When you arrive on the scene of an incident in which a home health care provider is present, which of the following is the best way to deal with the situation? A) Tell the individual that your certification overrides the individual’s and that you are in charge now. B) Respect the person’s position, use the person’s information accordingly, and request the person’s help should the need arise. C) Let the person talk to a member of the crew not involved in patient care to keep the person busy and out of the way. D) Ascertain the person’s certification level. If the person is not an RN, ignore the person and ask the person to stand back. 27) You have arrived at the home of an elderly male who called 911 for pain in his penis. He has a Foley catheter in place. He is supposed to have a home health aide visiting him daily, but, although it is 1500 hours, she has not yet visited today. You visualize the catheter and bag and note that the Foley bag is full of urine, so much so that it appears to be pulling the tube taut. What could you do to remedy this situation? A) Call the home health care service and ask why they can’t manage their employees better. B) Access the drain, drain the urine into a container, and see if doing so relieves the discomfort. C) Any procedure involving a Foley requires special training. Transport to the ER. D) Remove the Foley catheter. 28) Which of the following best describes a tracheostomy? A) An opening from the esophagus to the trachea B) A temporary opening made from the posterior neck through the trachea C) A surgical opening from the anterior neck into the trachea D) An opening made by incision from the larynx through the neck 29) Which of the following best describes a dialysis shunt? A) Cannulation of a vein, such as the A/C, under fluoroscopy B) An implanted device requiring a special needle for access C) A surgically implanted catheter in the subclavian vein D) A loop connecting an artery and a vein 30) Many patients with neuromuscular degenerative diseases receive chronic respiratory support at home. Ultimately, what step may you as a paramedic have to take immediately, regardless of the type of respiratory support available in the patient’s home? A) Alter dosages of medications already in use to achieve a better effect. B) Intubate and ventilate. C) Call the patient’s physician and get orders not addressed by your protocols. D) Rapidly become familiar with unfamiliar equipment.