A medical assistant is interviewing a patient who has been newly diagnosed with severe vision impairment. The patient seems uneasy. Which of the following actions should the assistant take?
Stand to the side of the patient.
Provide large-print materials.
Use exaggerated gestures.
Increase voice tone.
The Correct Answer is B
A. Stand to the side of the patient: Standing to the side may make communication more difficult for a patient with vision impairment.
B. Provide large-print materials: Large-print materials can help the patient read and understand information more easily, accommodating their vision impairment.
C. Use exaggerated gestures: Exaggerated gestures can be confusing or unnecessary and do not address the specific needs of a patient with vision impairment.
D. Increase voice tone: Increasing the volume of speech is not typically helpful for a patient with vision impairment; they need visual aids rather than auditory adjustments.
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Correct Answer is A
Explanation
A. Place the arm electrodes facing downward. The arm electrodes should be placed with the tabs facing downward to reduce the risk of artifacts on the EKG tracing caused by movement or improper lead contact.
B. Place the electrodes over bony prominences when possible. Electrodes should not be placed over bony prominences, as this can interfere with the accuracy of the EKG reading. Instead, they should be placed on soft tissue.
C. Place the leg electrodes downward. Leg electrodes should also be placed with the tabs facing downward to prevent artifacts, similar to the arm electrodes.
D. Place the chest electrodes in a straight line just below the nipple. Chest electrodes should be placed according to specific anatomical landmarks, not in a straight line, to ensure accurate heart rhythm tracing.
Correct Answer is C
Explanation
A. Biannually: Biannual exams may not be frequent enough to monitor for diabetic retinopathy or other eye complications associated with diabetes. Annual exams are recommended.
B. Every 5 years: Waiting 5 years between exams is too long, as eye complications from diabetes can develop rapidly.
C. Annually: Annual dilated eye exams are recommended for patients with diabetes mellitus to monitor for diabetic retinopathy and other complications, allowing for early detection and treatment.
D. Every 10 years: A 10-year interval is far too long and could result in the progression of untreated eye disease, which could lead to blindness.