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Exam NREMT topic 2 question 25 discussion

Actual exam question from Test Prep's NREMT
Question #: 25
Topic #: 2
[All NREMT Questions]

Your patient is a 62-year-old man with a history of heart disease. He is experiencing chest pain. Your first action should be to:

  • A. Place the pads for the automated external defibrillator on his chest.
  • B. Begin CPR while preparing the automated external defibrillator.
  • C. Ask him if he has taken his nitroglycerin, and if not, offer to assist him.
  • D. Place him in a comfortable position and administer high-flow oxygen.
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Suggested Answer: D 🗳️
Your first action would be to administer oxygen and place the patient in a comfortable position; next, if not contraindicated, you would request permission to administer nitroglycerin. You should first obtain a set of vital signs to ensure he is not in cardiogenic shock. Never put defibrillator pads onto a conscious patient with a pulse; this procedure is contraindicated. AED pads are not serving the same function as the electrodes used by ALS providers to monitor the heart rhythm.

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