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. Ensure the otoscope is in the room. Ensuring that the otoscope and other necessary equipment are in the room is an important step in preparing the room for a physical examination.
B. Replace the half-full sharps containers. Sharps containers should be replaced when they are three-quarters full, not necessarily when they are half-full. This action, while important, is not specific to preparing for a general physical examination.
C. Obtain preauthorization from insurance. Preauthorization is an administrative task that is not directly related to preparing an examination room.
D. Sterilize counter surfaces in the room. Cleaning and disinfecting counter surfaces is important for infection control but typically would have been done after the last patient. This action is less directly related to preparing for a general physical exam compared to ensuring the necessary equipment is present.
Correct Answer is B
Explanation
A. Subcutaneous: Subcutaneous injections are administered beneath the skin but are not considered topical.
B. Transdermal: Transdermal medications are applied directly to the skin and are absorbed through it, which is a form of topical administration.
C. Intramuscular: Intramuscular injections are given into the muscle tissue, not applied topically.
D. Percutaneous: Percutaneous administration involves drugs absorbed through the skin or mucous membranes, but the term is less specific compared to "transdermal" for topical medications.