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For how many years should a provider store medical records (select the
least number of years that maintains compliance with state and federal
regulations)?
A. 15 years
B. 10 years
C. 5 years
,D. 20 years - 🧠 ANSWER ✔✔Correct response:
10 years
Rationale: Federal and state regulations require a minimum storage time
frame for medical records. State regulations may require a longer or shorter
time frame, depending on the state. Every medical provider should
routinely check state and federal requirements to remain compliant. As of
the date this question was submitted (2015), a 7 to 10 year time frame
would meet all federal and state medical record storage requirements.
Flow charts, progress notes, and narrative notation are all examples of
A. medical record charting styles.
B. patient documentation in a SOAP format.
C. recording patient information in a medical record.
D. patient chart filing systems. - 🧠 ANSWER ✔✔Correct response:
recording patient information in a medical record.
Rationale: Patient information can be recorded in the medical record in a
variety of ways. Progress notes, flow charts and narrative notation are all
effective ways to document a patient's medical information. The SOAP
format is the documentation system chosen by many physicians.
,S=Subjective patient interview information, O=Objective information such
as vitals, lab values, etc., A=Assessment of the "S" and "O" data, P=Plan
for treatment or follow-up. Medical records of various styles are generally
kept in charts, which are filed according to a filing system.
When measuring oxygen saturation on a child breathing room air, with
normal color, and no signs of respiratory distress, the medical assistant
obtains a reading of 79%. Which of the following actions should the medical
assistant take next?
A. supplement the child with oxygen per protocol
B. take a full set of vital signs
C. reposition the finger probe
D. notify the physician - 🧠 ANSWER ✔✔Correct response:
reposition the finger probe
Rationale: Oxygen saturation (O2 Sat or Pulse Ox) on a child with a
structurally normal heart should be >92% . Patient movement, poor probe
attachment, or nail polish can distort the sensor reading during monitoring.
Always observe the child's condition first, and machine reading 2nd when
troubleshooting. O2 saturation should be obtained and documented as part
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, of a full set of vital signs for patients being evaluated for respiratory
conditions.
Which of the following is the best way to correct AC interference on an
ECG?
A. Ask the patient not to move while performing the test.
B. Move the patient to a quiet room.
C. Check that the patient does not have a cell phone close by.
D. Offer the patient a blanket if she is cold. - 🧠 ANSWER ✔✔Correct
response:
Check that the patient does not have a cell phone close by.
Rationale: AC is alternating current interference and it can be caused by a
nearby electrical device (such as a cell phone). Patient movement (either
voluntary or shivering from the cold) can cause other artifact on an ECG,
but not the same as AC interference. Moving the patient to a quiet room
would not alleviate AC interference.
Which of the following documents is also called an advanced directive?
A. subpoena