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NREMT COGNITIVE EXAM| Test Bank With Complete Solution 100% Correct

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What type of information might you expect to find by exposing a cardiac patients chest? {Correct Answer:- A big reason why exposing the chest on a cardiac patient is so important is that you may disco ... ver information that was not told to you during the history. You may discover that the patient has a scar, pacemaker, or nitroglycerin patches that indicate that the patient has a prior heart condition that they may have forgotten to mention. What types of sounds are listening for when ausculating heart sounds and what do they mean? {Correct Answer:- One type of sound you might hear when auscultating heat tones is a murmur, which is a swishing sound between heartbeats. It may be harmless, or it could mean the patient has a congenital heart defect or heart valve disease. Clicking or snapping sounds may also indicate issues with the valves, such as stenosis. What is Acute Coronary Syndrome and how can it lead to heart attacks? {Correct Answer:- Acute coronary syndrome is any condition that suddenly stops or reduces the flow of blood to the heart that could potentially cause damage to the heart muscle. If blood flow of a coronary artery is completely stopped, the part of the heart that receives blood from that artery does not receive any oxygen and will eventually die resulting in a heart attack. You are called out for a 56 year old female that is complaining of 10/10 chest pain that radiates to her left arm. Her blood pressure is 136/86 and she does not have any known allergies or bleeding disorders. What medication will you administer to this patient? {Correct Answer:- The first priority is to give this patient high flow oxygen via non-rebreather to maintain her oxygen saturation above 94%. After concluding that there are no contraindications, you would want to administer aspirin. If the patient already takes nitroglycerin that is prescribed to her by her doctor, and has it available, you can assist the patient in taking the nitroglycerin. What is the dose for Aspirin and what are the contraindications? {Correct Answer:- Patients complaining of chest pain should be administered four 81 mg tablets for a total of 324 mg of aspirin. Aspirin should not be given to patients who have a known sensitivity to the drug, those who have ulcers, a history of GI bleeds, or other bleeding disorders. What is the dose for Nitroglycerin and what are the contraindications? {Correct Answer:- The dose of nitroglycerin is .4 mg tablet or spray that can be given every 5 minutes for up to 3 doses. Nitroglycerin is contraindicated if the patient's blood pressure is below 100 mmHg systolic or if the patient has taken Viagra in the last 24 hours or Cialis in the last 48 hours. [Show More]

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