NYS Security Guard Practice Exam And Complete Study Guide

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An EMT is assessing a 68-year-old male complaining of sudden onset shortness of breath. He has a history of congestive heart failure. His skin is pale, cool, and diaphoretic. Lung sounds reveal rales (crackles) bilaterally. What is the most appropriate initial intervention?

Administer aspirin 325 mg orally. Assist with nitroglycerin administration. Apply oxygen via non-rebreather mask at 15 L/min. Prepare for rapid transport in a supine position.

Correct Answer:

Apply oxygen via non-rebreather mask at 15 L/min.

Explanation:

For a patient with acute shortness of breath and signs of hypoxia, especially with a history of CHF and rales, high-flow oxygen is the most critical initial intervention to improve oxygenation.

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