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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?

A.

Vertigo

B.

Urticaria

C.

Edema

D.

Rhinitis

Answer and Explanation

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. 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.

Correct Answer is A

Explanation

A. Administering IV medication: Administering intravenous (IV) medication is typically within the scope of practice for registered nurses (RNs) due to the complexity and need for careful monitoring.

B. Performing a heel stick on an infant: This procedure is often performed by medical assistants, especially in a pediatric setting, as it is part of routine blood collection practices.

C. Drawing blood for a glucose tolerance test: Medical assistants are usually trained to perform blood draws, including for glucose tolerance tests.

D. Performing venipuncture with a winged collection device: Medical assistants are generally trained to perform venipunctures, including using winged collection devices (butterfly needles)

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