Which of the following should a medical assistant recognize as an indication to prematurely terminate a patient's exercise stress test?
Sweating
Bradycardia
Palpitations
Thirst
The Correct Answer is B
A. Sweating: Sweating is a normal physiological response to exercise and is not an indication to terminate the test.
B. Bradycardia: Bradycardia (abnormally slow heart rate) during an exercise stress test can indicate a serious problem and may require premature termination of the test.
C. Palpitations: Palpitations can occur during exercise, but they are not necessarily a reason to terminate the test unless accompanied by other symptoms or abnormalities.
D. Thirst: Thirst is not a contraindication for continuing an exercise stress 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 D
Explanation
A. An adult patient is watching a demonstration on the proper use of a meter-dose inhaler: This is related to managing a respiratory condition, not directly to communicable disease prevention.
B. An adult patient is being shown how to safely lift a heavy object: This pertains to body mechanics and injury prevention, not communicable disease prevention.
C. An older adult patient is listening to an explanation of risks and benefits of the flu vaccine: Although the flu vaccine helps prevent disease, the specific focus is not directly on communicable disease prevention strategies.
D. A school-age patient is being taught about cough etiquette: Teaching cough etiquette is a direct method of preventing the spread of communicable diseases.