Which of the following procedures should a medical assistant identify as a surgical reconstruction?
A Thoracentesis
Rhinoplasty
Appendectomy
Colotomy
The Correct Answer is B
A. Thoracentesis: Thoracentesis is a procedure to remove fluid from the space between the lungs and the chest wall; it is not a reconstruction.
B. Rhinoplasty: Rhinoplasty is a surgical reconstruction of the nose, often performed for cosmetic or functional reasons.
C. Appendectomy: Appendectomy is the surgical removal of the appendix, not a reconstructive surgery.
D. Colotomy: Colotomy is the surgical incision into the colon, not a reconstructive procedure.
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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 A
Explanation
A. Allow the solution to flow from the inner to the outer canthus: This technique helps to flush out debris and contaminants while avoiding the spread of the solution into the unaffected eye.
B. Fill the syringe with 10 mL of the irrigating solution. The volume of the irrigating solution may vary, but 10 mL is not a standard quantity; the key is ensuring adequate flushing.
C. Don powdered gloves: Powdered gloves can cause irritation; non-powdered gloves are recommended for eye irrigation.
D. Direct the irrigation solution toward the cornea: The solution should not be directed toward the cornea to avoid damage; it should flow gently across the eye.