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Medical Assisting Administrative & Clinical Competencies
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Test Bank For Medical Assisting Administrative & Clinical Competencies (MindTap Course List) 9th Edition
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Solution Manual for Medical Assisting Administrative &Clinical Competencies (MindTap Course List) 9th Edition by
Michelle Blesi, Verified Chapters 1 - 58, Complete Newest
Version
Kelly Collins, a patient with chronic bronchitis, is wearing navy blue nail polish. What
should the MA do before checking their pulse? - ANSWER: Remove the fingernail
polish with a remover. Nail polish interferes with proper light transmission through
the finger.
Melvin Hosey has Parkinson's disease and is having difficulty controlling tremors in
his hand. What should you do if you were measuring his pulse? - ANSWER: Measure
at a site that is less affected by motion. Motion affects the ability of the light to
travel from the LED to the photodetector.
Scott Kimes, a patient with emphysema, frequently experiences periods of prolonged
coughing. How would you measure his pulse? - ANSWER: Perform the measurement
when coughing stops if possible. Motion affects light traveling from the LED to the
photodetector.
Nicole Lowe has returned to the office for a recheck of her viral pneumonia. You are
getting ready to measure her oxygen saturation and notice that bright sunlight is
coming through the window where she is seated and shining her hand. Why would
you have to close the blinds or move her hand away from the sunlight? - ANSWER:
Ambient light may result inaccurate reading
Rebecca Bensie, a patient on oxygen therapy, is morbidly obese. You are having
trouble properly aligning the oximeter probe on her finger. What should you do? -
ANSWER: Use another site, like the ear lobe. If the two parts of the probe are not
aligned opposite to each other, light is not transmitted correctly from the LED
through the tissues.
Doug Habbershaw, a patient with peripheral vascular disease, has come to the office
for a health checkup. Because of his condition, where would you take his pulse? -
ANSWER: Use the earlobe because it is less affected by poor blood flow, which can
cause the pulse to be weak doing so otherwise.
Emily Lacey has come to the office because she has been experiencing dyspnea. Her
hands are very cold, and it is interfering with the pulse oximetry procedure. What
should you do? - ANSWER: Ask the patient to warm her fingers by rubbing her hand
together. Cold fingers may have enough constriction that it interferes with obtaining
a reading.
Susan Boone, a patient with asthma, is wearing acrylic nails. How would you take her
pulse and oxygen saturation level? - ANSWER: Use another site to take the
, measurement, such as the earlobe or toe. An opaque coating on the fingernail may
result in a falsely low reading.
Frank Stewert, a patient with congestive heart failure, is at the office to have a mole
removed from his back. There are bright overhead lights in the room, and they
cannot be turned off because the provider needs to have good lighting to perform
the surgery. How would you take the pulse? - ANSWER: Cover the probe witha
washcloth. Ambient light may result in an inaccurate reading because it may be
picked up by the probe's photodetector and alter the reading
Wanda Weaver is having a sebaceous cyst removed from her chest and has been
sedated for the procedure. You have applied an automatic blood pressure cuff to her
right arm. The provider asks you to apply an oximeter probe to Wanda's left finger to
continously monitor her oxygen saturation level during the procedure. What would
happen if you didn't do it? - ANSWER: Blood flow to the finger would be cut off when
the cuff inflates, resulting in loss of the pulse signal.
Andy Morris wears Nike sports shoes when ambulating crutches. Is he wearing the
right shoes? - ANSWER: Yes; he is wearing well-fiting flat shoes with firm, nonskid
soles to provide good traction and stability
Juliet Wright does not stand up straighter when using her crutches. Why is it
important to have good posture when using crutches? - ANSWER: To prevent strain
on muscles
Miguel Saldiva puts his weight on the axilla when getting around on his crutches.
Why is it bad to put weight on the axilla? - ANSWER: Pressure on the axillae may
cause cructh palsy
Lindy Campbell has a lot decorative throw rugs in her house, and she does not want
to remove them. Would that be fine? - ANSWER: No; Throw rugs should be
temporarily removed
Andrew Spence likes to move quickly on his crutches, so he advances them forward
about 20 inches with each step when using the swing-through gait. Why is this bad? -
ANSWER: He has a higher risk of losing his balance. He should only forward
preferably 6 inches.
Hanna Romes has tingling in her hands but thinks it is just part of what happens
when one uses crutches. Is it normal to feel that? - ANSWER: No; Most likely she is
wearing them wrong.
Tamra Hetrick pads both the shoulder rests and handgrips of her crutches. Would
that be fine? - ANSWER: Yes; Extra padding can be added to the shoulder rests of
your crutches to make them more comfortable.
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