A medical assistant is preparing to perform a bilateral ear irrigation on a patient. The assistant should inform the patient that they might experience which of th following discomforts during irrigation?
Vertigo
Urticaria
Edema
Rhinitis
The Correct Answer is A
A. Vertigo: Ear irrigation can sometimes lead to vertigo or dizziness because the procedure may disturb the balance mechanisms in the inner ear.
B. Urticaria: Urticaria (hives) is an allergic reaction and is not a typical response to ear irrigation.
C. Edema: Edema is not a common reaction to ear irrigation. The procedure is generally localized to the ear canal and should not cause swelling.
D. Rhinitis: Rhinitis involves inflammation of the nasal mucous membranes and is unrelated to ear irrigation.
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Correct Answer is C
Explanation
A. Alternating current: Alternating current interference is due to electrical equipment, not patient movement or talking.
B. Interrupted baseline: An interrupted baseline occurs when there is a break in the electrical connection, often due to a loose lead, not because of patient talking.
C. Somatic tremor: Somatic tremor can occur due to muscle movement, including that caused by talking. This can result in erratic, uneven spikes on the EKG tracing.
D. Wandering baseline: A wandering baseline is usually caused by improper electrode placement or poor skin contact, not talking. However, excessive movement, including deep breaths or large chest movements during talking, can contribute to a wandering baseline.
Correct Answer is B
Explanation
A. Tilt the head back slightly: Tilting the head back slightly is not the standard technique for administering ear drops to adolescents and adults.
B. Gently pull the pinna up and back: Pulling the pinna (outer ear) up and back helps to straighten the ear canal in adolescents and adults, allowing the drops to reach the eardrum more effectively.
C. Tilt the head slightly forward: Tilting the head slightly forward is not the correct position for administering ear drops.
D. Gently pull the pinna down and back: Pulling the pinna down and back is used for children under 3 years old, not for older children or adults.