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. Having small talk with a patient: While engaging with patients is important, small talk is not related to continuity of care, which involves ensuring consistent and coordinated healthcare.
B. Transferring a patient's hospital records to a specialist: Continuity of care involves sharing patient information with all members of the healthcare team, including specialists, to provide seamless and coordinated care.
C. Dismissing a patient from the practice: Dismissing a patient ends the care relationship and does not contribute to continuity of care.
D. Verifying a patient's insurance: Verifying insurance is an administrative task and does not directly impact the continuity of patient care.
Correct Answer is B
Explanation
A. Perform a sterile hand scrub: While sterile technique is important in many procedures, a sterile hand scrub is not specifically necessary for suture removal.
B. Lift the knot toward the wound: Lifting the knot towards the wound helps to ease the removal of the suture by reducing tension on the skin, making the procedure easier and less painful.
C. Begin cutting the sutures in the middle of the wound: Sutures should be cut close to the skin, not in the middle, to ensure proper removal and avoid causing unnecessary trauma to the wound.
D. Clean the wound with a disinfectant: Cleaning the wound with a disinfectant is not necessary before suture removal and might irritate the wound. Instead, the area should be cleaned after suture removal if needed.