Emergency Medical Technician (EMT) Intermediate Practice Exam

What is a common sign of respiratory distress in a conscious patient?

1. Rapidly observed speech

2. Increased blood pressure

3. Confusion and shallow breathing

4. Hyperactivity and restlessness

The correct answer is: Confusion and shallow breathing

A common sign of respiratory distress in a conscious patient is confusion and shallow breathing. When a patient is experiencing respiratory distress, their body may not be getting enough oxygen, leading to hypoxia, which can result in confusion or altered mental status. Additionally, shallow breathing indicates that the patient is not taking deep breaths, which can further compromise oxygenation and cause increased work of breathing. In contrast, while other options may exhibit certain behaviors or symptoms, they are not as directly indicative of respiratory distress. Rapidly observed speech can sometimes occur in anxiety or normal conversation but does not necessarily signal respiratory distress. Increased blood pressure may result from a variety of factors, including pain or anxiety, but isn't specifically a sign of respiratory distress. Hyperactivity and restlessness can be manifestations of various conditions, including anxiety, but they do not specifically indicate the presence of respiratory compromise. Thus, confusion combined with shallow breathing provides a clearer clinical picture of respiratory distress in this context.