A 58-year-old male presents for a routine prophylaxis. Medical history includes: - Hypertension - Type 2 diabetes (controlled) - Takes lisinopril and metformin Baseline vitals: - BP: 148/92 - Pulse: 78 bpm During scaling, the patient suddenly reports lightheadedness and nausea. 👉 What is the FIRST thing the dental hygienist should do? A. Administer oxygen B. Recline the patient and check blood pressure C. Terminate the appointment and dismiss the patient D. Check blood glucose level 💥 WHY THIS IS A TRAP Most students panic and jump straight to oxygen or glucose because they see diabetes and symptoms. But the board wants priority + assessment, not treatment. 💡 Correct answer: B You recline the patient and reassess vitals first. Only after that do you decide if oxygen or glucose is indicated. This is a classic NBDHE move: Assess → Decide → Act