Shared Flashcard Set

Details

Chapter 18 Questions
Emergency Care and Transportation of the Sick and Injured
44
Health Care
Undergraduate 1
03/13/2014

Additional Health Care Flashcards

 


 

Cards

Term

Which of the following MOST accurately defines an allergic reaction?

 

A. a direct effect on the body by an external substance

B. destruction of the immune system by an external substance

C. a release of erythrocytes in response to a foreign substance

D. an exaggerated immune system response to any substance

Definition
D. an exaggerated immune system response to any substance
Term

A 48-year-old male is found unconsciousness in the garden by his wife. When you arrive at the scene and assess the man, you find that he is unresponsive, has severely labored breathing, and has hives over his entiretrunk. You should:

 

A. maintain his airway and assist his ventilation

B. ask his wife if he has any known allergies

C. perform a detailed secondary assessment

D. apply a automated external defrillator (AED) in the event that cardiac arrest occurs

Definition
A. maintain his airway and assist his ventilation
Term

The foreign substance respnsible for causing an allergic reaction is called a(n):

 

A. allergen

B. histamine

C. leokotriene

D. antibody

Definition
A. allergen
Term

A 38-year-old female was bitten by fire ants while at the park with her kids. Your primary assessment reveals that she is semiconscious, has profoundly labored breathing, and has a rapid, thready pulse. She has a red rash on her entire body and her face is very swollen. you should:

 

A. place her supine with her legs elevated 6" to 12"

B. assist her ventilation with 100% oxygen

C. perform a rapid secondary assessment

D. administer 0.3 mg of epinephrine

Definition
B. assist her ventilation with 100% oxygen
Term

Most patients who die of anaphylaxis do so within the first __________ follwoing exposure.

 

A. 90 minutes

B. 60 minutes

C. 5 minutes

D. 30 minutes

Definition
D. 30 minutes
Term

When administering epinephrine via auto-injector, you should hold the injector in place for:

 

A. 15 seconds

B. 20 seconds

C. 5 seconds

D. 10 seconds

Definition
D. 10 seconds
Term

When using an auto-injector to give epinephrine, the primary injection site is the:

 

A. medial portion of the thigh

B. lateral portion of the thigh

C. lateral portion of the arm

D. medial portion of the buttocks

Definition
B. lateral portion of the thigh
Term

The stinger from a honeybee should be:

 

A. irrigated with copious amounts of water

B. squeezed with tweezer and removed

C. scraped away from the skin

D. left in place and covered

Definition
C. scraped away from the skin
Term

Urticaria is the medical term for:

 

A. hives

B. a wheal

C. burning

D. swelling

Definition
A. hives
Term

Which of the following sounds indicates swelling of the upper airway?

 

A. rales

B. wheezing

C. stridor

D. rhonchi

Definition
C. stridor
Term

Steps for assisting a patient with administering of an EpiPen include:

 

A. taking body substance isolation precautions

B. placing the tip of the auto-injector against the medial part of the patient's thigh

C. recapping the injector before placing it in the trash

D. All of the above

Definition
A. taking body substance isolation precautions
Term

Allergens may include:

 

A. food

B. animal bites

C. semen

D. all of the above

Definition
D. all of the above
Term

Anaphylaxis is not always life threatening, but it typically involves:

 

A. multiple organ systems

B. wheezing

C. urticaria

D. wheals

Definition
A. multiple organ systems
Term

Signs and symptoms of insect stings or bites include:

 

A. swelling

B. wheals

C. localized heat

D. all of the above

Definition
D. all of the above
Term

Prolonged respiratory difficulty can cause ____________, shock, and even death.

 

A. tachypnea

B. pulmonary edema

C. tachycardia

D. airway obstruction

Definition
C. tachycardia
Term

Speed is essential because in severe cases of anaphylaxis, _____________ can occur rapidly.

 

A. urticaria

B. compensation

C. death

D. recovery

Definition
C. death
Term

Questions to ask when obtaining a history from a patient to have an allergic reaction include:

 

A. whether the patient has a history of allergies

B. what the patient was exposed to

C. how the patient was exposed

D. all of the above

Definition
D. all of the above
Term

The dosage of epinephrine in an adult EpiPen is:

 

A. 0.10 mg

B. 0.15 mp

C. 0.30 mg

D. 0.50 mg

Definition
C. 0.30 mg
Term

Epinephrine, whether made by the body or by a drug manufacturer, works rapidly to:

 

A. raise the pulse rate and blood pressure

B. inhibit an allergic reaction

C. relieve bronchospasm

D. all of the above

Definition
D. all of the above
Term

Because the stinger of the honeybee is barbed and remains in the wound, it can continue to inject venom for up to:

 

A. 1 minute

B. 15 minutes

C. 20 minutes

D. several hours

Definition
C. 20 minutes
Term

You should not use tweezers or forceps to remove an embedded stinger because:

 

A. squeezing may cause the stinger to inject more venom into the wound

B. the stinger may break off in the wound

C. the tweezers are not sterile and may cause infection

D. removing the stinger may cause bleeding

Definition
A. squeezing may cause the stinger to inject more venom into the wound
Term

Your assessment of the patient experiencing an allergic reaction should include evaluatios of the:

 

A. respiratory system

B. circulatory system

C. skin

D. all of the above

Definition
D. all of the above
Term

Eating certain foods, such as shellfish or nuts, may result in a relatively ____________ reaction that still can be quite severe.

 

A. mild

B. fast

C. slow

D. rapid

Definition
C. slow
Term

In dealing with allergy-related emergencies, you must be aware of the possibility of acute ____________ and cardiovascular collapse.

 

A. hypotension

B. tachypnea

C. airway obstruction

D. shock

Definition
C. airway obstruction
Term

Wheezing occurs because excessive ___________ and mucus are secreted into the bronchial passages.

 

A. fluid

B. carbon dioxide

C. blood

D. all of the above

Definition
A. fluid
Term

True or False

 

Allergic reactions can occure in response to almost any substance.

Definition
True
Term

True or False

 

An allergic reaction occurs when the body has an immune response to a substance.

Definition
True
Term

True or False

 

Wheezing is a high-pitched breath sound, usually resulting from blockage of the airway, and is heard on expiration.

Definition
False
Term

True or False

 

For a patient appearing to have an allergic reaction, give 100% oxygen via nasal cannula.

Definition
False
Term

Fill-in-the-Blank

 

Wheezing occurs because excessive fluid and mucus are secreted into the ________ _________.

 

Definition
bronchial passages
Term

Fill-in-the-Blank

 

Small area of generalized itching or burning that appear as multiple, small, raised areas on the skin are called __________.

Definition
urticaria
Term

Fill-in-the-Blank

 

The stinger of the honeybee is ________, so the bee cannot withdraw.

Definition
barbed
Term

Fill-in-the-Blank

 

A reaction involving the entire body is called ____________. 

Definition
anaphylaxis
Term

Fill-in-the-Blank

 

The presence of __________ or respiratory distress indicated that the patient is having a severe enough allergic reaction to lead to death.

Definition
hypoperfusion
Term

Fill-in-the-Blank

 

Epinephrine inhibits the allergic reaction by constricting the ______________ _______________.

Definition
blood vessels
Term

Fill-in-the-Blank

 

Your ability to recognize and manage the many signs and symptoms of allergic reaction may be the only thing standing between the patient and ___________ __________.

Definition
imminent death
Term
Substance made by body; released in anaphylaxis
Definition
Leukotrienes
Term
Harsh, high pitched inspiratory sound, usually resulting from upper airway reaction
Definition
stridor
Term
raised, swollen area on skin resulting from an insect bite or allergic reaction
Definition
wheal
Term
an exaggerated immune response to any substance
Definition
allergic reaction
Term
multiple raised areas on the skin that itch or burn
Definition
urticaria
Term
a poison or harmful substance
Definition
toxin
Term
substance that causes an allergic reaction
Definition
allergen
Term
high pitched, whistling breath sound usually resulting from blockage of the airway and typically heard on expiration
Definition
wheezing
Supporting users have an ad free experience!