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 B
Explanation
A. 9 to 13 g/dL: This range is below the normal hemoglobin values for an adult male and may indicate anemia.
B. 14 to 18 g/dL: This is the normal range for hemoglobin in an adult male, reflecting healthy oxygen-carrying capacity of the blood.
C. 19 to 22 g/dL: This range is above the normal values and may indicate polycythemia or other conditions leading to increased red blood cell production.
D. 23 to 26 g/dL: This is a significantly elevated level, which is rare and could indicate severe health conditions or laboratory error.
Correct Answer is B
Explanation
A. Place a bandage on the site after holding pressure for 1 min: While a bandage may be used, holding pressure for 1 minute is excessive. Typically, pressure is held for a shorter period to control bleeding.
B. Apply direct, firm pressure to the puncture site on the finger: Applying firm pressure helps to stop bleeding after the puncture and is the appropriate technique.
C. Warm the site for a minimum of 10 min prior to puncture. Warming the site is usually done for a few minutes (not 10) to increase blood flow, but it should be done briefly and not excessively.
D. Have the parent hold the child during the procedure: While it’s important to ensure the child is held securely, the parent should assist by holding the child gently but not to the extent that it interferes with the procedure.