10. Which of the following would be considered a priority patient?
Your Answer: A 34 year old man who was stung by several bees
Correct Answer is: A 55 year old female with a blood pressure of 178/90
A blood pressure of 178/90 is a hypertensive crisis and would be considered a priority patient.
This blood pressure of that, unless rapidly increased, is not high enough to constitute a hypertensive crisis. A diastolic of over 100 is the accepted lower limit.
When a systolic blood pressure reaches anywhere above 120 it is considered hypertension. However we know that most people live with pressures much higher than this. The systolic pressure of 178 is pretty significant, and you better be getting ready to transport. This patient could be getting ready to stroke out. The diastolic pressure does look good, but the systolic is very worrisome.
With your answer choice being related to a bee sting, you need to think about the patient who is not allergic to bees. Now if the 34 y/o male was symptomatic and had been stung by several bees, that would be a different story all together. Remember that the NREMT test wants you to choose the BEST answer, and that is why our questions are written the way they are.