A medical assistant is escorting a patient who has presbyopia. Which of the following actions should the assistant take?
Offer the patient their elbow for guidance.
Take the patient's hand.
Lead the patient by their arm.
Guide the patient by holding their waist.
The Correct Answer is A
A. Offer the patient their elbow for guidance: Offering the elbow is a common and safe method of guiding patients with visual impairments, including presbyopia, because it allows the patient to follow the assistant's movements more easily.
B. Take the patient's hand. Taking the patient's hand might make the patient feel less secure and can lead to an imbalance. It is less effective than offering the elbow.
C. Lead the patient by their arm: Leading the patient by their arm can be uncomfortable and does not provide the same level of control as offering the elbow.
D. Guide the patient by holding their waist: Holding the waist is inappropriate as it invades personal space and might make the patient uncomfortable.
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Correct Answer is B
Explanation
A. Assist the patient into the prone position: The prone position (lying face down) is not suitable for eye irrigation and may make the procedure more difficult.
B. Position the patient with their head turned toward the affected side: Turning the patient’s head toward the affected side helps to ensure that the irrigation fluid drains away from the unaffected eye and is more effective in flushing out debris or irritants.
C. Flush the patient's eye from the outer to the inner canthus: Flushing from the inner to the outer canthus is preferred to prevent contaminating the unaffected eye and to ensure effective irrigation.
D. Instruct the patient to hold their affected eye open: The patient should be instructed to keep their eye open, but it is more important to ensure proper positioning and technique during the irrigation.
Correct Answer is B
Explanation
A. Place a bandage on the site after holding pressure for 1 min: While a bandage may be used, holding pressure for 1 minute is excessive. Typically, pressure is held for a shorter period to control bleeding.
B. Apply direct, firm pressure to the puncture site on the finger: Applying firm pressure helps to stop bleeding after the puncture and is the appropriate technique.
C. Warm the site for a minimum of 10 min prior to puncture. Warming the site is usually done for a few minutes (not 10) to increase blood flow, but it should be done briefly and not excessively.
D. Have the parent hold the child during the procedure: While it’s important to ensure the child is held securely, the parent should assist by holding the child gently but not to the extent that it interferes with the procedure.