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 C
Explanation
A. Colonoscopy: A colonoscopy is an invasive procedure that requires written informed consent due to the associated risks and the need for detailed patient understanding.
B. Dilation and curettage: Dilation and curettage (D&C) is an invasive procedure requiring written informed consent, including an explanation of risks, benefits, and alternatives.
C. Venipuncture: For venipuncture, verbal consent is generally sufficient, as it is a minor procedure with minimal risk.
D. Cardiac stress test: A cardiac stress test, while less invasive, typically requires written informed consent due to potential risks and the need for patient understanding.
Correct Answer is D
Explanation
A. Sterile needle holder: A sterile needle holder is used in suturing, not for removing sutures, making it unnecessary for suture removal.
B. 1-mL syringe with an 18-gauge needle: This is used for injections, not for removing sutures. It is not required for a suture removal procedure.
C. 4-by-4-inch benzalkonium wipes: Benzalkonium wipes are used for skin antisepsis, but they are not specifically required for suture removal. While antiseptic wipes are useful, they are not essential for the procedure itself.
D. Sterile thumb dressing forceps: Sterile thumb dressing forceps are necessary for grasping and removing sutures safely without causing trauma to the wound. They are an essential tool for suture removal.