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 B
Explanation
A. Place the left electrode on the most distal portion of the left limb, and place the right electrode on the most proximal portion of the right limb: The left limb is amputated, so electrodes cannot be placed on the distal portion of the left limb; the right limb's electrode should be placed according to standard practice.
B. Place the left electrode on the most distal portion of the left limb, and place the right electrode on the right groin: For an amputation, the electrode for the absent limb can be placed on the corresponding part of the trunk (such as the groin) to obtain accurate readings.
C. Place the left electrode on the left mid thigh, and place the right electrode on the right mid thigh: With an above-the-knee amputation, placing electrodes on the mid-thigh of the amputated side is not feasible; placement should follow appropriate protocol for the missing limb.
D. Place the left electrode at the most proximal portion of the right limb, and place the right electrode at the most distal portion of the right limb: This does not accommodate for the left limb amputation and does not follow standard electrode placement practices.
Correct Answer is B
Explanation
A. Clean the cut with antiseptic, then put on a glove. Cleaning the cut is important for preventing infection, but without covering the cut, it may still pose a risk of contamination.
B. Bandage the cut, then put on a glove. Bandaging the cut before putting on gloves protects the wound and helps maintain a barrier against contamination, making this the most appropriate action.
C. Put on a glove, as gloves are a sufficient barrier of protection. While gloves offer some protection, they are not a sufficient barrier if the cut is not properly bandaged, as the wound could still become contaminated.
D. Close the cut with medical glue, then put on a glove. Closing a cut with medical glue may be an option in some cases, but it is not always appropriate, especially if the cut needs to be bandaged for further protection under gloves.