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Chapter 46

Multiple Choice

Multiple Choice

This activity contains 10 questions.

	Upon arriving at the home of a chronic home care patient, the paramedic should:   not treat the patient if a home care provider is on the way. assume the home care provider has less training than you. respectfully get a report from home care providers on the scene. ask any home care providers to leave the scene. none of the above

	An autoimmune response to a viral infection that damages the myelin sheath covering peripheral nerves, causing rapid loss of motor function is:   multiple sclerosis. cerebral palsy. myasthenia gravis. Guillain-Barré syndrome. cystic fibrosis.

	You are called to the residence of a home care patient with a history of myasthenia gravis. What type of respiratory assistance device might you expect to find?   ventilator heart/lung machine IV pump colostomy bag urinary bag

	Cardiac decompensation is a medical emergency that can complicate the home management of the chronic care patient. Which of the following would NOT be a potential cause of cardiac decompensation in the chronic care patient?   congestive heart failure acute myocardial infarction sepsis All of the above may cause cardiac decompensation in the chronic care patient. None of the above may cause cardiac decompensation in the chronic care patient.

	Common causes of acutely altered mental status in the chronic care patient include all except:   altered electrolytes or blood chemistry. Alzheimer's disease. stroke. sepsis. both C and D

	You examine your chronic care patient and find an ulcer that extends into the muscle. Infection and necrosis is present and there is a foul smelling drainage. This is a ____ pressure sore.   Stage 1 Stage 2 Stage 3 Stage 4 either Stage 3 or Stage 4

	You are called to the scene of a patient with trouble breathing. Which of the following might clue you about another possible problem?   a trail of oxygen tubing that leads into the bedroom a sharps container on the kitchen counter oxygen equipment in the living room All of these should be clues to the chronic nature of the patient's respiratory status. None of these are a clue to another possible problem.

	Which of the following chronic diseases will NOT be treated with home respiratory therapy?   COPD chronic bronchitis cystic fibrosis myasthenia gravis Only C and D can be treated with home respiratory support.

	Which of the following complications would NOT alert you to the possibility of an infection from a urinary device?   leakage around the device foul smelling urine altered urine color fever All of the above are signs of an infection.

	Which of the following units would NOT be a usual treatment of COPD in the home setting?   Negative pressure ventilator BiPAP machine PEEP machine All of these are appropriate for treatment of the COPD patient. None of these are appropriate for treatment of the COPD patient.

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