1. A patient with asthma reports increasing chest tightness and difficulty speaking in full sentences. What should the HCA do?
AIgnore the complaint because asthma is chronic
BKeep the patient calm, position comfortably and seek urgent clinical assistance
CEncourage vigorous exercise
DGive a large meal


  1. A bedridden patient has shallow breathing. Which routine intervention can help promote lung expansion when appropriate?
AKeeping the patient completely immobile
BEncouraging prescribed breathing exercises and appropriate repositioning
CRestricting all fluids
DKeeping the patient flat at all times



Cardiovascular System


  1. While assisting a patient to stand, the patient becomes dizzy and says, 'I feel faint.' What should the HCA do FIRST?
AMake the patient continue walking
BHelp the patient sit or lie safely and report the episode
CGive medication without instruction
DLeave the patient alone


  1. An HCA observes new swelling of both ankles in a patient with a history of heart problems. What is the most appropriate action?
AIgnore it because swelling is always normal
BDocument and promptly report the new swelling according to the care plan
CMassage the legs vigorously
DEncourage prolonged standing

Verified Answer :

Final answer:

In patient care, it is crucial to respond appropriately to respiratory distress, promote lung function, manage dizziness safely, and recognize signs of complications like swelling. The Health Care Assistant should keep the patient calm during an asthma attack, encourage breathing exercises for shallow breathing, assist safely when a patient feels faint, and report any new swelling in patients with heart problems. These actions improve patient outcomes and ensure safety in healthcare settings.


Explanation:

Patient Care in Health and Clinical Assistance


In the context of assisting patients, particularly those with respiratory issues and cardiovascular conditions, there are critical protocols that must be followed. Addressing the multiple-choice questions presented:

Chest Tightness and Asthma


When a patient with asthma experiences increasing chest tightness and difficulty speaking in full sentences, the appropriate action for a Health Care Assistant (HCA) is to:



  1. Keep the patient calm, position comfortably, and seek urgent clinical assistance (Option B).


This is crucial as it indicates a potential asthma attack that could require immediate medical attention.

Promoting Lung Expansion


In the case of a bedridden patient with shallow breathing, a beneficial intervention is:



  1. Encouraging prescribed breathing exercises and appropriate repositioning (Option B).


This helps to improve lung expansion and combat the risks of pneumonia or other respiratory complications.

Managing Dizziness


If a patient feels faint while being assisted to stand, the first action should be to:



  1. Help the patient sit or lie safely and report the episode (Option B).


This ensures the patient's safety and allows for proper monitoring of their condition.

Swelling in Patients with Heart Problems


For a patient with a history of heart issues who shows new swelling of both ankles, the correct approach is to:



  1. Document and promptly report the new swelling according to the care plan (Option B).


Swelling can be a sign of serious complications that require immediate attention.


In conclusion, each of these scenarios highlights the importance of vigilant monitoring and intervening as necessary to promote patient safety and health.


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