Which of the following actions should a medical assistant take when caring for a patient who has hearing loss?
Exaggerate lip movements.
Speak in high-pitched tones.
Use long sentences.
Stand in the patient's direct line of vision.
The Correct Answer is D
A. Exaggerate lip movements. Exaggerating lip movements can make speech more difficult to understand. Instead, normal, clear speech should be used.
B. Speak in high-pitched tones. High-pitched tones are often harder for individuals with hearing loss to understand. Speaking in a normal, moderate tone is more effective.
C. Use long sentences. Long sentences can be confusing. It is better to use short, simple sentences to aid comprehension.
D. Stand in the patient's direct line of vision. Standing in the patient's direct line of vision allows the patient to read lips and see facial expressions, which aids in understanding.
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Correct Answer is A
Explanation
A. A patient who has a breathing disorder: Fowler’s position (sitting with the head of the bed elevated) can help ease breathing difficulties by allowing better lung expansion.
B. A patient who has severe hypotension: Fowler’s position may exacerbate hypotension. A supine or Trendelenburg position might be more appropriate for severe hypotension.
C. A patient who is having a perineal examination: A lithotomy position is generally used for perineal examinations.
D. A patient who is having a rectal examination: The Sims' position is typically used for rectal examinations.
Correct Answer is C
Explanation
A. Bevel up with a 45° angle: A 45° angle is too steep for venipuncture; this angle is typically used for intramuscular injections.
B. Bevel down with a 45° angle: Bevel down is incorrect for venipuncture as it increases the risk of the needle piercing through the vein.
C. Bevel up with a 15° angle: This is the correct technique for venipuncture. The needle should be inserted at a 15° to 30° angle, with the bevel facing up to ensure smooth entry into the vein and minimize discomfort.
D. Bevel down with a 15° angle: Bevel down is not recommended for venipuncture because it can cause the needle to catch on the vein wall, increasing the risk of injury or complications.