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 D
Explanation
A. "This test measures my estrogen serum ratio after menopause." ESR stands for erythrocyte sedimentation rate, not estrogen serum ratio. This is an incorrect interpretation of the test.
B. "This test measures the fluctuation of serum protein." The ESR does not directly measure serum protein levels. It measures the rate at which red blood cells sediment in a period of one hour.
C. "This test measures my hemoglobin levels." Hemoglobin levels are measured by a hemoglobin test, not an ESR. This statement is incorrect.
D. "This test measures the distance my RBCs have dropped." This is the correct understanding. ESR measures the rate at which red blood cells settle at the bottom of a test tube over a specified period, indicating the distance the RBCs have dropped.
Correct Answer is B
Explanation
A. Perform orthostatic blood pressure. Orthostatic blood pressure measurements are used to assess changes in blood pressure when a patient moves from lying down to standing, not in response to emotional upset.
B. Recheck the blood pressure after a few minutes. This is the correct action, as the initial elevated reading could be due to the patient's emotional state. Waiting a few minutes and rechecking can provide a more accurate reading.
C. Measure blood pressure at the wrist. Wrist blood pressure readings are less accurate than those taken at the upper arm and are not recommended in this scenario.
D. Use the palpatory method for blood pressure. The palpatory method is used when auscultation is difficult, but it does not address the issue of an elevated reading due to emotional upset.