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. 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 D
Explanation
A. Step away from the patient: Stepping away from a falling patient could result in injury and is not a safe or supportive action.
B. Try to hold the patient in an upright position: Trying to hold a falling patient upright can increase the risk of injury for both the patient and the medical assistant.
C. Break the fall with your body: Using your body to break a fall could cause injury to both you and the patient. It's not recommended.
D. Gradually lower the patient to the floor: If a patient starts to fall, gently guiding them to the floor can help prevent injury by controlling the fall.