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In which of the following sections of the progress note should a medical assistant document a patient's chief complaint?

A.

Subjective

B.

Objective

C.

Review of systems

D.

Assessment

Answer and Explanation

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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View Related questions

Correct Answer is B

Explanation

A. Wipe away the first five drops of blood after puncturing: Only the first drop of blood should be wiped away to remove any tissue fluid, not the first five drops.

B. Apply even pressure to the finger during the collection: Applying even pressure helps to promote blood flow without causing hemolysis or excessive squeezing, which could affect test results.

C. Puncture the index finger at the tip: The recommended site for a capillary puncture is the side of the middle or ring finger, not the tip of the index finger.

D. Puncture parallel to the fingerprint: The puncture should be made perpendicular to the fingerprint ridges to ensure an adequate blood flow and reduce the risk of blood running along the ridges.

Correct Answer is B

Explanation

A. 1:5: This ratio would create a stronger solution than typically recommended for disinfection, which might not be necessary and could be harsh on equipment.

B. 1:10: A 1:10 dilution of bleach to water is commonly used for disinfecting surfaces and cleaning medical equipment, as it provides effective disinfection while being safe for equipment.

C. 1:15: This dilution might not be strong enough to ensure effective disinfection.

D. 1:20: This ratio is even more diluted and may not provide adequate disinfectant strength for cleaning purposes.

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