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. Stress test: A stress test, or exercise stress test, involves monitoring the heart's activity with an EKG while the patient exercises on a treadmill or stationary bike. This test assesses how the heart performs under physical stress.
B. Holter monitor: A Holter monitor is a portable EKG device worn by the patient for 24-48 hours to continuously record heart activity in their daily life, not during exercise.
C. Echocardiogram: An echocardiogram uses ultrasound to visualize the heart's structures and is not performed while the patient is exercising.
D. Cardiac event monitor: A cardiac event monitor is used to record heart activity when the patient experiences symptoms, typically worn for weeks to months, and is not specifically for exercise testing.
Correct Answer is C
Explanation
A. Restrain the patient: Restraining a patient during a seizure can cause injury and is not recommended.
B. Place a tongue blade in the patient's mouth: This is a myth and can cause harm. It is not safe or effective.
C. Move the patient to the floor in recovery position: If possible, gently guide the patient to the floor to prevent injury and place them in a recovery position after the seizure to keep the airway clear.
D. Initiate CPR on the patient: CPR is not needed unless the patient does not regain consciousness after the seizure or if there are other signs of respiratory or cardiac arrest.