Paramedic National Registry Practice 2025 - Free Paramedic Practice Questions and Exam Preparation Guide

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What is the most appropriate next action for a patient experiencing wheezing who has a history of asthma and shows improvement after treatment?

Intubate the patient

Administer additional bronchodilators

In the context of a patient experiencing wheezing who has a history of asthma and shows improvement after treatment, the most appropriate next action would be to administer additional bronchodilators. This option is aligned with the standard management of an asthma exacerbation, as bronchodilators play a crucial role in relieving bronchospasm and improving airflow.

After an initial treatment with a bronchodilator, if the patient demonstrates improvement but still exhibits some wheezing or respiratory distress, it is common practice to consider administering additional doses of bronchodilators. This is particularly important in cases where the patient's symptoms have not fully resolved, ensuring ongoing relief of airway obstruction.

Intubating the patient is generally reserved for severe cases where airway protection is necessary, and it would be premature in a scenario where the patient has shown improvement. Placing the patient on high-flow oxygen may be warranted later if there are concerns about oxygen saturation, but it is not the immediate response to wheezing with improvement. Conducting a chest X-ray can help rule out other conditions but is not a primary intervention for a stable patient with an asthma history showing positive response to treatment.

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Place the patient on high-flow oxygen

Conduct a chest X-ray

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