first eliminate obvious no's, then look at the other three answers if there is 2 correct answers use the one that seems more right
I.E.
You are dispatched to a restaurant for a 24 yr old male experiencing a allergic reaction. You arrive on location to find a male sitting at a table stating he has came into contact with shellfish which he is allergic to. He is presenting with signs of obvious respiratory distress and has audible stridor as he tries to tell you what happened. Your first action should be?
A) Apply Hi Flow 02 via NRB Mask
B) Listen to Lung Sounds and Get Baseline Vitals
C) Insert a Airway Adjunct
D) Contact Medical Command
Use logic, You just got on scene. and just greeted your patient in the scenario he tells his story. You notice the obvious respiratory distress and signs of allergic reaction. As the patient tells you he contacted shell fish.
So Putting an Airway Adjunct is Out.. he is conscious and talking to you barely but talking to you so he has an airway at this moment in time
Contact Medical command? what are they gonna tell you to do if you do not have any idea whats going on other than what the patient told you. The scenario says no vitals or assessment performed. So that's out.
Listen to lung sounds and get vitals, or Apply hi flow 02 is your only options left. Well you can get a set of vitals initially to see how your pt is presenting and such. But if he is having difficulty breathing we would want to correct that first. So lets go with the Hi Flow 02. And load this pt up so we can get moving and get vitals as we go. Correcting the initial life threat first