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 C
Explanation
A. Wash visibly-soiled hands for a minimum of 10 seconds with warm water. Hand hygiene guidelines recommend washing visibly soiled hands for at least 20 seconds, not 10 seconds, with soap and water.
B. Use alcohol-based hand sanitizers that contain 50% alcohol. Alcohol-based hand sanitizers should contain at least 60-70% alcohol to be effective in killing most pathogens.
C. Keep natural nail tips no longer than 1/4 inch. Keeping natural nail tips no longer than 1/4 inch helps prevent the accumulation of pathogens and is recommended by hand hygiene guidelines.
D. Clean artificial nails with an orange stick. Artificial nails are not recommended in healthcare settings because they can harbor pathogens and are difficult to clean effectively.
Correct Answer is B
Explanation
A. NIH (National Institutes of Health): NIH conducts biomedical and public health research but does not regulate laboratory testing.
B. CLIA (Clinical Laboratory Improvement Amendments): This is correct. CLIA regulates laboratory testing and ensures quality standards in the clinical office setting.
C. HHS (Department of Health and Human Services): HHS oversees many health-related programs and agencies, but CLIA specifically regulates laboratory testing.
D. OSHA (Occupational Safety and Health Administration): OSHA regulates workplace safety, not laboratory testing.
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