Based on the patient’s findings, what condition should the paramedic strongly suspect and what is the likely underlying reason? (Select two correct answers)

Where is the top of the IR placed for this projection? IMT 325 Unit 1 Test # 67 & 70.png

EN ROUTEIt is 2130 and you are staffing a 2-paramedic transporting ambulance. Your unit is dispatched to a residence for an 18-month-old child with altered mental status. It is a clear summer night, and the temperature is 86F (30C). The response time is about 10 minutes. There is a community hospital about 5 minutes away, and a level 2 trauma center with most capabilities about 15 minutes away.Dispatch notes state the patient has been sick the last 3 days and is now difficult to arouse. ON SCENE The father leads you into the living room where you find the patient (22lbs) lying in the mother’s lap. The child does not respond to the crew approaching. The mother states the patient has had a cough and congestion the last 3 days and is now difficult to arouse. The patient has had an intermittent fever up to 102F (39C).  The patient has no significant past medical history, born full term with an uncomplicated delivery. Parents report the patient is up to date on vaccinations.  The patient’s skin is pale and mottled with a capillary refill of 5 seconds. There are no signs of trauma. The patient’s breathing is mildly labored with occasional grunting, nasal flaring and subcostal retractions. Lung sounds are rhonchi in the right lower lobe. Eyes open when CBG is obtained and the patient whimpers and tries to pull away. Pupils are 4mm and reactive to light. The patient has a weak brachial pulse. The vital signs are P 156, R 48, SpO2 92% on room air, and T 101F (38C). The blood glucose is 122. POST SCENE The patient is packaged onto the stretcher and transport is initiated to the level 2 hospital.  The patient remains lethargic. She is becoming harder to arouse but will open her eyes when stimulated. Vital signs are P 184, R 52, and SpO2 94% on high flow oxygen. 

The resistance of a patient’s lung tissue to ventilation is referred to as:

Which of the following should the paramedic prioritize once on scene? (Select two correct answers)

The nurse documents normal umbilical cord findings when the cord contains:

Assessment of a patient reveals fever and general malaise for the last week. The patient reports dysuria and tenderness to the right flank. Vital signs are BP 84/46, P 126, R 22, and CBG 120. The paramedic should suspect: (Select two correct answers)

An elderly patient complains of dyspnea and generalized weakness that woke them up. The patient is sitting on the side of the bed in a tripod position. Which of the following signs and symptoms should the paramedic expect if this patient is suffering from left-heart failure as opposed to right-heart failure? Left-heart failure: (Choose 3) Right-heart failure: (Choose 3)

Which of the following is the most common psychiatric disorder among the elderly?

During intubation, the tip of the curved blade: