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 D
Explanation
A. Women, Infants, and Children Program (WIC): WIC provides assistance for food, nutrition education, and healthcare referrals but does not cover general medical treatment for children.
B. Medicare: Medicare is primarily for individuals aged 65 and older or those with certain disabilities, not for pediatric patients.
C. TRICARE: TRICARE is a healthcare program for military personnel and their families, not a general public assistance program for children.
D. Children's Health Insurance Program (CHIP): CHIP is designed to provide low-cost health coverage to children in families who earn too much money to qualify for Medicaid but cannot afford private insurance. This is the appropriate resource for the situation.
Correct Answer is C
Explanation
A. Wash visibly-soiled hands for a minimum of 10 seconds with warm water. Hand hygiene guidelines recommend washing visibly soiled hands for at least 20 seconds, not 10 seconds, with soap and water.
B. Use alcohol-based hand sanitizers that contain 50% alcohol. Alcohol-based hand sanitizers should contain at least 60-70% alcohol to be effective in killing most pathogens.
C. Keep natural nail tips no longer than 1/4 inch. Keeping natural nail tips no longer than 1/4 inch helps prevent the accumulation of pathogens and is recommended by hand hygiene guidelines.
D. Clean artificial nails with an orange stick. Artificial nails are not recommended in healthcare settings because they can harbor pathogens and are difficult to clean effectively.