Which of the following instructions should a medical assistant give to a patient who is scheduled for a GTT?
"Avoid alcohol for 48 hours prior to the test."
"Do not eat for 8 hours prior to the test."
"Limit physical exertion for 24 hours prior to the test."
"Eat a high carbohydrate meal 3 hours prior to the test."
The Correct Answer is B
A. "Avoid alcohol for 48 hours prior to the test.": While avoiding alcohol may be generally recommended for some tests, fasting is the primary requirement for a glucose tolerance test (GTT).
B. "Do not eat for 8 hours prior to the test.": A GTT typically requires fasting for 8-12 hours to accurately measure glucose levels.
C. "Limit physical exertion for 24 hours prior to the test.": Physical exertion is not typically a specific concern for a GTT, but fasting is essential.
D. "Eat a high carbohydrate meal 3 hours prior to the test.": A high carbohydrate meal is not required; fasting is necessary before the test.
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Correct Answer is A
Explanation
A. Near visual acuity: Hyperopia, or farsightedness, affects the ability to see objects up close. Testing near visual acuity assesses how well a patient can see objects at a close range.
B. Ishihara: The Ishihara test is used for detecting color vision deficiencies, not hyperopia.
C. Snellen chart: The Snellen chart tests distance vision and is more useful for assessing nearsightedness (myopia) rather than farsightedness (hyperopia).
D. Tonometry: Tonometry measures intraocular pressure to assess for glaucoma, not hyperopia.
Correct Answer is D
Explanation
A. Soak the instrument in hot water: Hot water alone does not effectively sanitize instruments; proper sanitization typically requires cleaning agents and specific processes.
B. Rinse the instrument with a 10% bleach solution: While bleach is used for disinfection, it is not a step in the initial sanitization process.
C. Soak the instrument in a 70% isopropyl alcohol solution: Alcohol is used for disinfection rather than initial sanitization.
D. Rinse the instrument under running water: Rinsing the instrument under running water is a basic step in the sanitization process to remove visible debris before further cleaning and disinfection.