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 D
Explanation
A. The patient reports the receptionist was rude to them. This is not relevant to the patient’s medical care and should not be documented in the health record.
B. The patient states that there is an error on their bill. Billing issues are not related to the clinical care of the patient and should not be documented in the health record.
C. The patient states their insurance might be changing soon. This is administrative information and does not pertain to the clinical aspect of the patient’s care.
D. The patient reports they recently developed a strawberry allergy. This is relevant medical information that could affect the patient’s treatment and should be documented in the health record.
Correct Answer is B
Explanation
A. Perform a sterile hand scrub: While sterile technique is important in many procedures, a sterile hand scrub is not specifically necessary for suture removal.
B. Lift the knot toward the wound: Lifting the knot towards the wound helps to ease the removal of the suture by reducing tension on the skin, making the procedure easier and less painful.
C. Begin cutting the sutures in the middle of the wound: Sutures should be cut close to the skin, not in the middle, to ensure proper removal and avoid causing unnecessary trauma to the wound.
D. Clean the wound with a disinfectant: Cleaning the wound with a disinfectant is not necessary before suture removal and might irritate the wound. Instead, the area should be cleaned after suture removal if needed.