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NEW QUESTION # 131
A 44-year-old patient with diabetes feels weak and dizzy. The EMT provides oral glucose and transports the patient to the hospital, where the patient recovers. The EMT tells their partner they did not provide the patient with a blanket because they felt the patient was wasting their time. What best describes the action the EMT took?
Answer: D
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Negligenceoccurs when an EMT:
* Has aduty to act
* Breaches that duty(e.g., by withholding basic care like warmth)
* Causesharm or risk of harm
* Establishescausation
The EMT's failure to treat the patient with respect and dignity - even if the patient improved - still constitutesnegligence, especially if tied to a discriminatory or dismissive attitude.
References:
NREMT Ethics & Legal Guidelines - Duty and Negligence
National EMS Education Standards - Professional Conduct
Brady Emergency Care (13th ed.), Chapter: Legal and Ethical Responsibilities
NEW QUESTION # 132
A 68-year-old patient has difficulty breathing and audible crackles. The patient has missed the last two dialysis appointments. The vital signs are BP 188/90 mmHg, P 120/min, R 24/min, and SpO# 92% on room air. Which of the following conditions should the EMT most strongly suspect?
Answer: A
Explanation:
The correct answer is A. Fluid overload.
Missed dialysis # inability to remove excess fluid
Shortness of breath + crackles # fluid in the lungs (pulmonary edema)
Hypertension (188/90)
Tachycardia (120)
Low-normal SpO# (92%)
These findings strongly indicate fluid overload leading to pulmonary edema.
Patients who miss dialysis retain excess fluid
Fluid accumulates in the lungs # crackles and respiratory distress
Hypertension is common due to increased circulating volume
B). Bronchiolitis # Typically seen in infants/children, not adults
C). Pneumonia # May cause crackles, but does not explain missed dialysis + fluid retention + hypertension pattern D). Ascites # Fluid in the abdomen, not primarily causing lung crackles or acute respiratory distress
"Patients with renal failure who miss dialysis may develop fluid overload."
"Pulmonary edema presents with crackles and respiratory distress."
"Hypertension is commonly associated with fluid overload states."
References:
NREMT EMT Education Standards - Medical Emergencies
National EMS Education Standards - Renal and Respiratory Emergencies
NREMT Candidate Handbook - Patient Assessment and Medical Conditions
NEW QUESTION # 133
A 24-year-old patient is in cardiac arrest after being submerged in cold water. Which of the following circumstances should occur prior to considering termination of resuscitation efforts?
Answer: C
Explanation:
Cold-water submersion changes the usual cardiac arrest approach because hypothermia can slow metabolism and sometimes preserve viability longer than expected . That is why EMS and resuscitation teaching emphasizes the principle often summarized as "not dead until warm and dead." In other words, before stopping resuscitation in a hypothermic drowning patient, the patient should be adequately rewarmed first. Resuscitation guidance for hypothermic cardiac arrest states that termination decisions should generally wait until rewarming has occurred, commonly to at least about 32°C (90°F) if there is still no return of circulation. ( wms.org ) So the correct choice is A because rewarming is the key condition that must happen before considering termination in this kind of case. ( RCEM Learning )
NEW QUESTION # 134
A 69-year-old patient has worsening respiratory symptoms secondary to congestive heart failure. Which of the following actions are proper techniques for auscultating the patient ' s lung sounds? Select the three answer options that are correct.
Answer: B,C,F
Explanation:
The correct answers are A, B, and C . Proper lung auscultation technique includes listening to at least one full respiratory cycle at each location and placing the stethoscope on bare skin rather than over clothing.
Authoritative respiratory examination guidance also emphasizes comparing both sides systematically. ( PMC ) For a patient with congestive heart failure , it is appropriate to auscultate the bilateral lung bases first because CHF commonly produces bilateral basal crackles from pulmonary edema, often most noticeable at the posterior bases. ( NCBI )
NEW QUESTION # 135
A person grabs your arm during an argument. This is considered
Answer: B
Explanation:
The correct answer is C. Battery.
This question tests knowledge of legal definitions relevant to EMS providers, particularly distinguishing between assault and battery.
* Battery is defined as unlawful physical contact with another person without consent.
* In this scenario, the act of grabbing your arm constitutes intentional physical contact, which meets the definition of battery.
According to NREMT-aligned EMS legal principles:
* "Battery is the unlawful touching of another person without consent." Why the other options are incorrect:
* A. Harassment:Typically involves repeated or persistent unwanted behavior, not necessarily physical contact.
* B. Assault:Defined as threatening or attempting to cause harm, creating fear of imminent harm- without actual physical contact.
* D. False imprisonment:Involves restricting a person's freedom of movement without legal authority, not simply grabbing an arm.
Key NREMT Distinction:
* Assault = threat of harm
* Battery = actual physical contact
Exact Extracts:
* "Assault is placing a person in fear of immediate harm."
* "Battery is the unlawful touching of a patient without consent."
References:
NREMT EMT Education Standards - EMS Operations / Legal & Ethical Issues NREMT National Continued Competency Program (NCCP) - EMS Legal Concepts Standard EMT Text (aligned with NREMT): Workforce Safety and Legal Issues
NEW QUESTION # 136
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