A provider orders an ESR to be performed on a patient and describes the test to the patient. Which of the following statements made by the patient indicates an understanding of the teaching?
"This test measures my estrogen serum ratio after menopause."
"This test measures the fluctuation of serum protein."
"This test measures my hemoglobin levels."
"This test measures the distance my RBCs have dropped."
The Correct Answer is D
A. "This test measures my estrogen serum ratio after menopause." ESR stands for erythrocyte sedimentation rate, not estrogen serum ratio. This is an incorrect interpretation of the test.
B. "This test measures the fluctuation of serum protein." The ESR does not directly measure serum protein levels. It measures the rate at which red blood cells sediment in a period of one hour.
C. "This test measures my hemoglobin levels." Hemoglobin levels are measured by a hemoglobin test, not an ESR. This statement is incorrect.
D. "This test measures the distance my RBCs have dropped." This is the correct understanding. ESR measures the rate at which red blood cells settle at the bottom of a test tube over a specified period, indicating the distance the RBCs have dropped.
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Correct Answer is A
Explanation
A. Offer to review and research the problem: Offering to review and research the billing concern shows willingness to address the issue and provides the patient with assistance.
B. Inform the patient you will ask the provider to call them: Billing concerns should be handled by the administrative or billing department, not the provider.
C. Have the patient fill out a HIPAA form before proceeding: A HIPAA form is not required for addressing billing concerns; it is for accessing or disclosing protected health information.
D. Recommend the patient contact their bank: The bank is not responsible for billing concerns related to medical services; the issue should be addressed directly with the healthcare facility.
Correct Answer is C
Explanation
A. Patient was advised to choose foods low in fiber: This may not be appropriate for all patients; dietary recommendations should be personalized and specific.
B. Patient was advised to eliminate lactose in their diet: This is only applicable if lactose intolerance or a similar condition is identified.
C. Patient was provided with a MyPlate handout: Documenting the provision of educational materials such as a MyPlate handout shows that preventative dietary guidelines were shared with the patient.
D. Patient was provided a sodium reference guide: While useful, it does not encompass the full range of preventative dietary guidelines typically covered in an annual exam.