NREMT EMR First Responder

Category - Patient Assessment

As the EMR is assisting with a patient who is complaining of chest pain, shortness of breath, and nausea, which of the following would indicate that the patient should be reassessed?
  1. The patient states that he is hungry and would like something to eat
  2. The patient, who was talking continuously, stops talking
  3. The ambulance crew is arriving on scene
  4. The EMR notices that the patient’s heart rate goes from 98 to 88 as they are waiting for the ambulance
Explanation
Answer: B - Any change in mentation, such as the sudden absence of conversation, is an indicator that a change in the patient’s condition could have occurred; thus, the patient should be reassessed. A patient’s heart rate dropping slightly as he or she calms down is not necessarily something to be alarmed by; however, he should continue to be monitored.
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