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Which of the following can be correctly noted as a chief​ complaint?A) The patient was found sitting in the​ driver's seat of a​ full-size sedan.B) The patient had a respiratory rate of 44.C) The patient stated that she felt sick.D) The patient was confused.

You suspect that a​ 6-year-old female patient with multiple bruises and a broken wrist was abused. The stepmother states the patient fell down the stairs. The patient is crying and sheepishly nods in agreement with the​ stepmother's statements. How should you document this situation in the patient​ report?A) Document any pertinent information that was said by the stepmother and child exactly in quotations.B) Document who you suspect caused the injuries in the narrative so law enforcement has a record of the incident.C) Document only the actual exam findings. Do not document anything that was said.D) Document what was said as well as your opinion that the child was too afraid to tell the truth.

You are on a call of a minor vehicle accident. Your patient is a​ 22-year-old male who was the driver of a moderate​ T-bone collision. The patient was not wearing a seat belt and there was spidering of the windshield. The patient complains of neck pain and has a scalp laceration. After performing the primary​ assessment, you take vital signs and bandage the​ patient's scalp. When you tell him you need to backboard​ him, he refuses care and ambulance transport. Because the person is alert and oriented to​ time, place, and​ person, you have the patient sign the separate patient refusal form provided by your service. How should you document this incident in your EMS​ report?A) You should document your patient care and then simply document that the patient was informed of the risks prior to his refusal. Anything extra is unnecessary and wastes time.B) No report is needed because the patient refused transport and signed the refusal.C) You should document everything including all patient​ care, all of your attempts to persuade the patient to go by​ ambulance, and who witnessed the patient refusal.D) You should only document what treatment you performed before the patient refused treatment.

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