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. Left bundle branch: The left bundle branch is stimulated after the atrioventricular node and bundle of His, not immediately after the sinoatrial node.
B. Purkinje fibers: The Purkinje fibers are stimulated later in the conduction pathway, after the bundle branches.
C. Right bundle branch: The right bundle branch is also stimulated after the atrioventricular node and bundle of His.
D. Atrioventricular node: After the sinoatrial node initiates the heartbeat, the electrical impulse travels to the atrioventricular node, which then passes the signal to the bundle of His and down to the bundle branches.
Correct Answer is B
Explanation
A. Prone: The prone position (lying face down) is not suitable for venipuncture or for patients at risk of syncope.
B. Trendelenburg: The Trendelenburg position (lying flat with the legs elevated) can help prevent syncope by increasing venous return to the heart and improving blood flow to the brain.
C. Supine: While the supine position (lying flat on the back) is appropriate for venipuncture, the Trendelenburg position is preferred for patients with a history of syncope.
D. Fowler's: The Fowler's position (sitting or semi-sitting) is not suitable for preventing syncope during blood draws.