Chapter 11



Handout 11-1 Student’s Name _________________________Chapter 11: Obtaining a Medical History and Vital Signs--QuizCircle the letter of the best answer to each multiple-choice question. 1.A finding that is relayed from the patient but that cannot be observed or measured is a(n):a.sign. b.suspicion of cause. c.symptom.d.objective discovery. 2.The “P” in SAMPLE history stands for:a.past medical history. b.pharmaceuticals used. c.present illnesses. d.primary complaint. 3.Taking multiple vital signs over time is referred to as: a.repetitive evaluation. b.trending. c.baseline shifting. d.redundancy. 4.Which of the following senses is usually NOT used when assessing vital signs?a.Sightb.Hearing c.Touch d.Smell 5.________ is the adequate supply of well-oxygenated blood to all parts of the body.a.Circulation b.Refilling c.Perfusiond.Trending 6.Finding a radial pulse in an infant is difficult, so a ________ pulse is more commonly taken.a.femoral b.brachial c. carotid d.pedal 7.Cyanosis is a sign of:a.liver disease. b.distress. c.high fever.d.severe hypoxia. 8.A capillary refill test is considered to be most accurate when used with which age group?a.Under 6 years b.Adolescents c.Elderly, over 60 yearsd.Middle age, between 30 and 50 years9.The process of comparing multiple sets of vital signs from the same patient over time is called:a.measuring.b.trending.c.estimating.d.guessing.10.The normal pupil reaction to a penlight is to: a.get larger. b.remain the same size.c.get smaller.d.fluctuate. ?2012 by Pearson Education, Inc.EMR 9Handout 11-2 Student’s Name _________________________The Call: Signs of IllnessRead the scenario and answer the questions that follow.You are finishing morning chores at the firehouse when the dispatcher announces a call on the PA system: “Squad 1, report of a 73-year-old female having difficulty breathing at the Twin Oaks Senior Center. An ALS ambulance has been dispatched with an ETA of 15 minutes. The time is now 0915 hours.”You arrive at the scene in five minutes and find your patient sitting on the edge of her bed, leaning forward. She is very pale. When you ask her name, she seems to be able to answer you only in a whisper. You perform an initial assessment and decide to administer oxygen to the patient. As you do so, your partner takes her vital signs. He finds that her respiratory rate is 32 breaths per minute, with increased effort to breathe. Her pulse rate is 100 beats per minute. Are these vital signs normal? Explain your answer.While your partner continues to monitor the patient’s vital signs, you radio your assessment findings to the incoming Paramedics. They tell you to continue administration of oxygen and to make sure that the AED is immediately available. 2.When you hand off the patient to the Paramedics, will a patient history be helpful? Why or why not??2012 by Pearson Education, Inc.EMR 9Handout 11-3 Student’s Name _________________________Chapter 11 ReviewIn the space provided, write the word or words that best complete each sentence. A patient with who is suffering a narcotic overdose would be expected to have ____________ pupils.____________ pressure is the pressure of the contraction of the heart.A pulse oximeter reading below ______ percent can indicate low levels of oxygen in the blood.____________, cool, and pale skin can be a sign of shock.Do not use your ____________ when taking a pulse because you might feel your own pulse. Rapid, labored, and gasping are all terms used to describe the ____________ of respirations. A sphygmomanometer is more commonly known as a(n) ____________ ____________ ____________.8.The “L” in SAMPLE history stands for ____________ ____________ ____________.9.The ____________ ____________ ____________ is the force that was applied to the patient to cause the trauma.10.A(n) ____________ is something that is observed while assessing a patient.?2012 by Pearson Education, Inc.EMR 9Handout 11-4 Student’s Name _________________________True or FalseIndicate if each of the following statements is true or false by writing T or F in the space provided.________ 1.A symptom is something that is observed or measured.________ 2.The “M” in SAMPLE history stands for medications.________ 3.The primary assessment must be completed before baseline vital signs are taken.________ 4.A palpable pressure is called a pulse. ________ 5.Snoring, stridor, and gurgling are all sounds of lower airway disease.________ 6.Cyanosis can be a sign of heatstroke. ________ 7.Diastolic pressure is the pressure of the relaxation of the heart.________ 8.Dilation of the pupils is a sign of shock.________ 9.Carbon monoxide poisoning does not affect a pulse oximeter reading. ________ 10.Deflate a blood pressure cuff slowly—approximately 2 mmHg per second. ?2012 by Pearson Education, Inc.EMR 9Answer Key Handout 11-1: Chapter 11 Quiz1.c2.a3.b4.d5.c6.b7.d8.a9.b10.cHandout 11-2: The Call: Signs of IllnessNo, the signs are not normal. The normal respiratory rate for an adult is 12 to 20 breaths per minute. The normal pulse rate for an adult is 60 to 80 beats per minute. This patient’s respiratory and pulse rates are too high.Yes. The events leading up to the emergency, as well as pertinent parts of the patient’s medical history, can help health care providers determine what kind of immediate and long-term care this patient may need.Handout 11-3: Chapter 11 ReviewconstrictedSystolic95Moist thumbquality blood pressure cufflast oral intake mechanism of injury sign Handout 11-4: True or False FTTTFFTTF10.T?2012 by Pearson Education, Inc.EMR 9 ................
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