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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?

A.

"This test measures my estrogen serum ratio after menopause."

B.

"This test measures the fluctuation of serum protein."

C.

"This test measures my hemoglobin levels."

D.

"This test measures the distance my RBCs have dropped."

Answer and Explanation

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 B

Explanation

A. Implied: Implied consent is assumed in certain situations where immediate treatment is necessary and no formal consent is given, but it does not involve a detailed explanation of risks and benefits.

B. Informed: Informed consent requires that the provider fully explains the risks, benefits, and alternatives of a treatment plan to the patient, ensuring the patient understands and agrees to the plan.

C. Indirect: Indirect consent is not a recognized term in medical consent practices.

D. Implicit: Implicit consent refers to situations where consent is assumed based on the patient's actions, rather than a detailed explanation of risks and benefits.

Correct Answer is A

Explanation

A. Offer the patient their elbow for guidance: Offering the elbow is a common and safe method of guiding patients with visual impairments, including presbyopia, because it allows the patient to follow the assistant's movements more easily.

B. Take the patient's hand. Taking the patient's hand might make the patient feel less secure and can lead to an imbalance. It is less effective than offering the elbow.

C. Lead the patient by their arm: Leading the patient by their arm can be uncomfortable and does not provide the same level of control as offering the elbow.

D. Guide the patient by holding their waist: Holding the waist is inappropriate as it invades personal space and might make the patient uncomfortable.

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