In which of the following sections of the progress note should a medical assistant document a patient's chief complaint?
Subjective
Objective
Review of systems
Assessment
The Correct Answer is A
A. Subjective: The chief complaint is a patient-reported symptom or concern and is documented in the subjective section of the progress note. This section includes the patient’s personal perspective and descriptions of their symptoms.
B. Objective: The objective section includes measurable or observable data, such as vital signs and physical examination findings, not the patient’s chief complaint.
C. Review of systems: The review of systems is a systematic approach to obtaining information about the functioning of various body systems but is not specifically where the chief complaint is documented.
D. Assessment: The assessment section contains the provider’s diagnostic impressions and conclusions about the patient’s condition, rather than the chief complaint.
Free Nursing Test Bank
- Free Pharmacology Quiz 1
- Free Medical-Surgical Quiz 2
- Free Fundamentals Quiz 3
- Free Maternal-Newborn Quiz 4
- Free Anatomy and Physiology Quiz 5
- Free Obstetrics and Pediatrics Quiz 6
- Free Fluid and Electrolytes Quiz 7
- Free Community Health Quiz 8
- Free Promoting Health across the Lifespan Quiz 9
- Free Multidimensional Care Quiz 10
View Related questions
Correct Answer is D
Explanation
A. Sterile needle holder: A sterile needle holder is used in suturing, not for removing sutures, making it unnecessary for suture removal.
B. 1-mL syringe with an 18-gauge needle: This is used for injections, not for removing sutures. It is not required for a suture removal procedure.
C. 4-by-4-inch benzalkonium wipes: Benzalkonium wipes are used for skin antisepsis, but they are not specifically required for suture removal. While antiseptic wipes are useful, they are not essential for the procedure itself.
D. Sterile thumb dressing forceps: Sterile thumb dressing forceps are necessary for grasping and removing sutures safely without causing trauma to the wound. They are an essential tool for suture removal.
Correct Answer is A
Explanation
A. Tape measure: A tape measure is necessary to measure the head circumference of infants, which is a routine part of a well-child visit to monitor growth and development.
B. Glucometer: A glucometer is used to measure blood glucose levels and is not routinely required for a well-child visit unless the child has a specific condition like diabetes.
C. Tuning fork: A tuning fork is used to assess hearing, typically in older children or adults, and is not routinely required for a well-child visit for a 1-year-old.
D. Bulb syringe: A bulb syringe may be used for suctioning an infant's nose or mouth, but it is not a standard tool needed for a well-child visit unless there is a specific need.