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 A
Explanation
A. Obtain a regular referral: If the cardiologist consultation has not been initiated, the medical assistant should obtain or process the referral to ensure the patient sees the specialist as required.
B. Have the patient obtain a second opinion: This action is unnecessary and might be premature if the original referral was not processed.
C. Initiate a referral to a different cardiologist: There is no need to refer to a different cardiologist unless there is a specific issue with the initial referral or cardiologist.
D. Send the patient to the emergency department for evaluation: Sending the patient to the emergency department is not appropriate unless the patient has an urgent issue. The issue here is with the referral process, not an emergency.
Correct Answer is B
Explanation
A. Instruct the patient to collect the specimen and return it to the laboratory: For a valid drug screening, the specimen should be collected in the presence of a medical professional to prevent tampering.
B. Measure and record the temperature of the specimen: Measuring and recording the temperature of the urine specimen is important to ensure that the sample is fresh and has not been tampered with or substituted.
C. Pre-label the specimen container prior to collection: The container should be labeled after the specimen is collected to avoid mix-ups and to ensure accurate tracking.
D. Have the patient begin collecting the specimen mid-stream: The specimen for drug testing should typically be collected as a first-morning or a mid-stream sample to ensure accuracy, but this can vary based on specific protocols.