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 A
Explanation
A. Obtain a regular referral: If the cardiologist consultation has not been initiated, the medical assistant should obtain or process the referral to ensure the patient sees the specialist as required.
B. Have the patient obtain a second opinion: This action is unnecessary and might be premature if the original referral was not processed.
C. Initiate a referral to a different cardiologist: There is no need to refer to a different cardiologist unless there is a specific issue with the initial referral or cardiologist.
D. Send the patient to the emergency department for evaluation: Sending the patient to the emergency department is not appropriate unless the patient has an urgent issue. The issue here is with the referral process, not an emergency.