A medical assistant in a provider's office is cleaning a patient's jagged, contaminated wound. Which of the following actions should the assistant take?
Irrigate the wound with sterile normal saline.
Insert liquid bandage into the wound.
Wash the wound with soap and warm water.
Apply microporous tape to the wound.
The Correct Answer is A
A. Irrigate the wound with sterile normal saline. Irrigating the wound with sterile normal saline is the appropriate action for cleaning a contaminated wound, as it helps to remove debris and reduce the risk of infection.
B. Insert liquid bandage into the wound. A liquid bandage is not appropriate for a contaminated wound, especially if the wound is jagged, as it could trap contaminants inside.
C. Wash the wound with soap and warm water. While soap and water are good for general wound cleaning, sterile normal saline is preferred for contaminated wounds in a clinical setting to minimize irritation and infection.
D. Apply microporous tape to the wound. Microporous tape is used for securing dressings, not for cleaning wounds.
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Correct Answer is A
Explanation
A. Pull the lower eyelid down. Pulling the lower eyelid down creates a pocket for the drops, making it easier to administer them without contacting the eye’s surface directly.
B. Have the patient open their eye using both hands: Using both hands to open the eye may be uncomfortable and unnecessary; the assistant should guide the patient gently.
C. Use a retractor on the eye before administering the drops: Retractors are not typically used for eye drop administration; this can cause discomfort and is not standard practice.
D. Hold the dropper 1 inch away from the surface of the eye: The dropper should be held close enough to the eye to avoid contaminating the eye surface or the dropper, but not so close as to touch the eye.
Correct Answer is D
Explanation
A. Alcohol: Alcohol can be used for cleaning but may not be sufficient for all minor surgical preparations. It is not considered an antiseptic in the context of preoperative skin cleaning.
B. Normal saline: Normal saline is used for irrigation and wound cleaning but does not have antiseptic properties.
C. Disinfectant: Disinfectants are used to clean surfaces and equipment but are not typically used directly on the skin for surgical preparation.
D. Antiseptic: Antiseptics, such as iodine-based solutions or chlorhexidine, are used to clean the skin and reduce the risk of infection before a minor surgical procedure.