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Exam NREMT topic 1 question 39 discussion

Actual exam question from Test Prep's NREMT
Question #: 39
Topic #: 1
[All NREMT Questions]

A 70-year-old patient is complaining of shortness of breath. She has a history of emphysema. You should

  • A. Withhold oxygen, since these patients do not respond to oxygen.
  • B. Withhold oxygen, because you could eliminate the hypoxic drive.
  • C. Administer oxygen, because in most cases, the hypoxic drive will not be a problem.
  • D. Withhold oxygen, because these patients become apneic if they receive high-flow oxygen.
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Suggested Answer: C 🗳️
While it may be true that providing high levels of oxygen over prolonged time periods may cause the hypoxic drive to fail, it is a rare occurrence in the prehospital field. With the complaint of shortness of breath, it is better to ensure that the patient is fully oxygenated rather than taking a chance that she is hypoxic. The EMT-
Basic is prepared to ventilate the patient if she goes into respiratory arrest due to the high levels of oxygen.

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