A medical assistant obtains an elevated blood pressure reading from a visibly upset patient. Which of the following actions should the assistant take?
Perform orthostatic blood pressure.
Recheck the blood pressure after a few minutes.
Measure blood pressure at the wrist.
Use the palpatory method for blood pressure.
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Culture tube: A culture tube is used for specific tests to collect microbiological samples, not routinely required for all venipunctures.
B. Biohazard container: A biohazard container is essential for the safe disposal of used needles and other sharp objects to prevent contamination and injury.
C. Sterile specimen cup: A sterile specimen cup is used for collecting urine samples or other specimens, not required for routine venipuncture.
D. Lancet: A lancet is used for capillary blood draws, not for routine venipuncture.
Correct Answer is D
Explanation
D. One emergency exit is available:A medical office should have multiple emergency exits to ensure safe and efficient evacuation in case of a fire. Having only one emergency exit poses a significant safety risk and should be reported to the safety team for immediate correction.
Incorrect Answers:
A. Fire extinguishers' pins are intact.Fire extinguishers should have their safety pins intact to ensure they have not been tampered with. This indicates they are ready for use in case of a fire and does not require reporting.
B. Multiplug adapters are not in use.The absence of multiplug adapters is a positive safety measure because these adapters can cause overloaded circuits and fire hazards. There is no need to report this, as it follows proper fire safety guidelines.
C. Sprinkler heads are unobstructed.Unobstructed sprinkler heads indicate that the fire suppression system is properly maintained. Reporting would be necessary only if sprinkler heads were blocked by furniture, decorations, or dust buildup.
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