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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The number of no-shows on the patient's record: While the number of no-shows can be relevant for overall management, it is not the primary consideration when scheduling a specific appointment.
B. The referring provider's recommendation: Referring provider recommendations are important but typically influence the initial appointment or consultation rather than ongoing scheduling.
C. The amount of deductible the patient owes for their insurance: Insurance deductible information is important for billing but does not directly affect the scheduling of appointments.
D. The amount of time required based on the reason for visit: It is essential to consider the time needed for the appointment based on the patient's reason for the visit to ensure that the appointment is appropriately scheduled and sufficient time is allocated.
Correct Answer is A
Explanation
A. Pull the lower eyelid down. Pulling the lower eyelid down creates a pocket for the drops, making it easier to administer them without contacting the eye’s surface directly.
B. Have the patient open their eye using both hands: Using both hands to open the eye may be uncomfortable and unnecessary; the assistant should guide the patient gently.
C. Use a retractor on the eye before administering the drops: Retractors are not typically used for eye drop administration; this can cause discomfort and is not standard practice.
D. Hold the dropper 1 inch away from the surface of the eye: The dropper should be held close enough to the eye to avoid contaminating the eye surface or the dropper, but not so close as to touch the eye.
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