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 B
Explanation
A. Implied consent: Implied consent is typically used in emergency situations where verbal or written consent cannot be obtained and is not suitable for elective procedures like a colonoscopy.
B. Informed consent: For a colonoscopy, which is an invasive procedure, informed consent is required. This involves providing the patient with detailed information about the procedure, its risks, benefits, and alternatives.
C. Prior authorization: Prior authorization is related to insurance coverage and is not typically obtained by the medical assistant; it is usually handled by the billing department or insurance coordinator.
D. Immunization records: Immunization records are not required for a colonoscopy; they are more relevant for vaccinations and certain other procedures.
Correct Answer is A
Explanation
A. Cleanse the site with chlorhexidine. After cleaning with isopropyl alcohol, the site should be cleansed with chlorhexidine to ensure the skin is sterile, reducing the risk of contamination in the blood culture.
B. Prepare a wet mount slide. Preparing a wet mount slide is unrelated to blood culture venipuncture and would not be the next step in this procedure.
C. Confirm the patient’s blood type. Confirming blood type is not part of the blood culture process and is not relevant at this stage.
D. Obtain the patient’s temperature. While monitoring the patient’s temperature might be necessary for diagnostic purposes, it is not the next step in performing a blood culture venipuncture.