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 A
Explanation
A. Deflate the cuff slowly until the last sound is heard. The diastolic reading is determined when the last sound (Korotkoff sound) is heard as the cuff is deflated.
B. Listen for the first sound through the stethoscope: The first sound corresponds to the systolic reading, not the diastolic.
C. Document the reading when the gauge needle jumps: The gauge needle jump is not a reliable indicator of blood pressure readings.
D. Inflate the cuff to at least 180 mm Hg, deflate the cuff slowly, and listen for the first sound: Inflating to 180 mm Hg is unnecessary and might cause discomfort; also, the first sound is the systolic reading, not the diastolic.
Correct Answer is B
Explanation
A. Urinalysis results: Urinalysis results are not specifically relevant to an orthopedic consultation unless there is a suspected underlying condition affecting the urinary system.
B. Radiology report: Radiology reports, such as X-rays or MRIs, are essential for orthopedic consultations as they provide crucial information about bone and joint conditions.
C. Tympanometry measurements: Tympanometry is used to assess middle ear function and is not relevant to orthopedic consultations.
D. Lipid panel: A lipid panel measures cholesterol levels and is not pertinent to orthopedic consultations unless related to overall health factors.