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 B
Explanation
A. "Clean the perineal area from back to front.": For females, cleaning should be done from front to back to avoid contamination from fecal matter. For males, cleaning should be done around the urethral opening.
B. "Void a small amount into the toilet before voiding into the cup.": This helps to flush out any contaminants from the urethra, ensuring that the urine collected in the cup is as clean as possible.
C. "Urinate directly into the container with preservative.": Urinating directly into a container with preservative can contaminate the sample and is not recommended for a clean catch specimen.
D. "Collect all urine from start to finish.": The clean catch method specifically involves discarding the initial stream of urine and collecting the midstream to avoid contaminants.
Correct Answer is A
Explanation
A. Pull the lower eyelid down. Pulling the lower eyelid down creates a pocket for the drops, making it easier to administer them without contacting the eye’s surface directly.
B. Have the patient open their eye using both hands: Using both hands to open the eye may be uncomfortable and unnecessary; the assistant should guide the patient gently.
C. Use a retractor on the eye before administering the drops: Retractors are not typically used for eye drop administration; this can cause discomfort and is not standard practice.
D. Hold the dropper 1 inch away from the surface of the eye: The dropper should be held close enough to the eye to avoid contaminating the eye surface or the dropper, but not so close as to touch the eye.