A medical assistant is preparing a patient for a colonoscopy. Which of the following should the assistant obtain from the patient prior to the procedure?
Implied consent
Informed consent
Prior authorization
Immunization records.
The Correct Answer is B
A. Implied consent: Implied consent is typically used in emergency situations where verbal or written consent cannot be obtained and is not suitable for elective procedures like a colonoscopy.
B. Informed consent: For a colonoscopy, which is an invasive procedure, informed consent is required. This involves providing the patient with detailed information about the procedure, its risks, benefits, and alternatives.
C. Prior authorization: Prior authorization is related to insurance coverage and is not typically obtained by the medical assistant; it is usually handled by the billing department or insurance coordinator.
D. Immunization records: Immunization records are not required for a colonoscopy; they are more relevant for vaccinations and certain other procedures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Perform orthostatic blood pressure. Orthostatic blood pressure measurements are used to assess changes in blood pressure when a patient moves from lying down to standing, not in response to emotional upset.
B. Recheck the blood pressure after a few minutes. This is the correct action, as the initial elevated reading could be due to the patient's emotional state. Waiting a few minutes and rechecking can provide a more accurate reading.
C. Measure blood pressure at the wrist. Wrist blood pressure readings are less accurate than those taken at the upper arm and are not recommended in this scenario.
D. Use the palpatory method for blood pressure. The palpatory method is used when auscultation is difficult, but it does not address the issue of an elevated reading due to emotional upset.
Correct Answer is C
Explanation
A. Apply the patch with sterile gloves. Sterile gloves are not required when applying a transdermal patch; clean, non-sterile gloves are sufficient to avoid contamination.
B. Apply the new patch in the same location as the old one. Transdermal patches should be rotated to different sites to avoid skin irritation, so applying the new patch in the same location is not recommended.
C. Write the date and time on the patch with each application. Writing the date and time on the patch is essential for tracking when the patch was applied and when it needs to be changed, making this the correct action.
D. Reinforce damaged patches with adhesive tape. Damaged patches should not be reinforced with tape, as this could alter the drug's delivery. Instead, the patch should be replaced.
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