In which of the following locations on a paper health record should a medical assistant document a patient's temperature, pulse, and respirations?
Subjective
Objective
Assessment
Plan
The Correct Answer is B
A. Subjective: The subjective section contains information reported by the patient, such as symptoms and experiences, not objective measurements.
B. Objective: Objective measurements, such as vital signs (temperature, pulse, respirations), are documented in the objective section of the health record because they are measurable and observable data.
C. Assessment: The assessment section includes the healthcare provider’s interpretation of the data and diagnosis, not the actual measurements.
D. Plan: The plan section details the proposed treatment or management strategy, not the recorded measurements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Offer the patient their elbow for guidance: Offering the elbow is a common and safe method of guiding patients with visual impairments, including presbyopia, because it allows the patient to follow the assistant's movements more easily.
B. Take the patient's hand. Taking the patient's hand might make the patient feel less secure and can lead to an imbalance. It is less effective than offering the elbow.
C. Lead the patient by their arm: Leading the patient by their arm can be uncomfortable and does not provide the same level of control as offering the elbow.
D. Guide the patient by holding their waist: Holding the waist is inappropriate as it invades personal space and might make the patient uncomfortable.
Correct Answer is B
Explanation
A. Obtaining a tympanic reading: This procedure does not typically require gloves as it is non-invasive and does not involve contact with bodily fluids.
B. Administering a nebulizer treatment: Gloves should be worn during this procedure to maintain hygiene and prevent exposure to respiratory secretions.
C. Performing a visual acuity test: This test is non-invasive and does not require gloves.
D. Removing a cyst: This procedure typically requires more than gloves; it involves aseptic technique and potentially sterile equipment. Gloves are part of the preparation but are not sufficient on their own.
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