28. Which of the following actions should a clinical medical assistant take when performing an eye Irrigation?
Allow the solution to flow from the inner to the outer canthus.
Fill the syringe with 10 mL of the irrigating solution.
Don powdered gloves.
Direct the Irrigation solution toward the cornea.
The Correct Answer is A
A. Allow the solution to flow from the inner to the outer canthus: This technique helps to flush out debris and contaminants while avoiding the spread of the solution into the unaffected eye.
B. Fill the syringe with 10 mL of the irrigating solution. The volume of the irrigating solution may vary, but 10 mL is not a standard quantity; the key is ensuring adequate flushing.
C. Don powdered gloves: Powdered gloves can cause irritation; non-powdered gloves are recommended for eye irrigation.
D. Direct the irrigation solution toward the cornea: The solution should not be directed toward the cornea to avoid damage; it should flow gently across the eye.
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Correct Answer is D
Explanation
A. The patient reports the receptionist was rude to them. This is not relevant to the patient’s medical care and should not be documented in the health record.
B. The patient states that there is an error on their bill. Billing issues are not related to the clinical care of the patient and should not be documented in the health record.
C. The patient states their insurance might be changing soon. This is administrative information and does not pertain to the clinical aspect of the patient’s care.
D. The patient reports they recently developed a strawberry allergy. This is relevant medical information that could affect the patient’s treatment and should be documented in the health record.
Correct Answer is C
Explanation
A. 1/4 inch: A 1/4 inch border is too small to be considered a standard contaminated area. The correct border size is larger.
B. 1/2 inch: A 1/2 inch border is also not standard; the correct contaminated border is larger.
C. 1 inch: The standard for sterile fields is to consider a 1-inch border around the edge of the sterile field as contaminated. This helps to prevent inadvertent contamination of sterile items.
D. 1 1/2 inches: A 1 1/2 inch border is unnecessarily large and exceeds the standard 1-inch margin considered contaminated.