Which of the following is an example of continuity of care?
Having small talk with a patient
Transferring a patient's hospital records to a specialist
Dismissing a patient from the practice
Verifying a patient's insurance
The Correct Answer is B
A. Having small talk with a patient: While engaging with patients is important, small talk is not related to continuity of care, which involves ensuring consistent and coordinated healthcare.
B. Transferring a patient's hospital records to a specialist: Continuity of care involves sharing patient information with all members of the healthcare team, including specialists, to provide seamless and coordinated care.
C. Dismissing a patient from the practice: Dismissing a patient ends the care relationship and does not contribute to continuity of care.
D. Verifying a patient's insurance: Verifying insurance is an administrative task and does not directly impact the continuity of patient care.
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Correct Answer is A
Explanation
A. Ensure the skin is clean and dry. This is the correct action. Sweating can interfere with electrode adhesion and signal quality, so the skin should be cleaned and dried to ensure a good contact for accurate EKG readings.
B. Apply conductive gel to the patient's chest. Conductive gel is typically used with certain types of electrodes, but in the case of disposable adhesive EKG electrodes, it is not necessary and may not improve tracing quality.
C. Shave the electrode sites. Shaving may be necessary if the patient has a lot of body hair, but it is not the first step when dealing with sweating. Drying the skin is more immediate and essential.
D. Place the electrodes below the clavicle. Electrode placement should follow standard EKG guidelines, and moving them to non-standard positions like below the clavicle can result in inaccurate readings.
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.