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.
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Correct Answer is C
Explanation
A. Glutaraldehyde: Glutaraldehyde is used for high-level disinfection of medical equipment, not for cleaning blood spills.
B. Isopropyl alcohol: While isopropyl alcohol is used for disinfection, it is not the preferred choice for blood spills due to its lower efficacy against certain pathogens.
C. Bleach: A bleach solution is effective for disinfecting surfaces contaminated with blood, as it is effective against a broad range of pathogens, including bloodborne viruses.
D. Iodine compounds: Iodine is used for antiseptic purposes on skin but is not ideal for disinfecting blood spills on surfaces.
Correct Answer is B
Explanation
A. Assist the patient into the prone position: The prone position (lying face down) is not suitable for eye irrigation and may make the procedure more difficult.
B. Position the patient with their head turned toward the affected side: Turning the patient’s head toward the affected side helps to ensure that the irrigation fluid drains away from the unaffected eye and is more effective in flushing out debris or irritants.
C. Flush the patient's eye from the outer to the inner canthus: Flushing from the inner to the outer canthus is preferred to prevent contaminating the unaffected eye and to ensure effective irrigation.
D. Instruct the patient to hold their affected eye open: The patient should be instructed to keep their eye open, but it is more important to ensure proper positioning and technique during the irrigation.