A medical assistant is preparing an examination room for a 1-year-old patient's well-child visit. Which of the following supplies should the assistant ensure is in examination room?
Tape measure
Glucometer
Tuning fork
Bulb syringe
The Correct Answer is A
A. Tape measure: A tape measure is necessary to measure the head circumference of infants, which is a routine part of a well-child visit to monitor growth and development.
B. Glucometer: A glucometer is used to measure blood glucose levels and is not routinely required for a well-child visit unless the child has a specific condition like diabetes.
C. Tuning fork: A tuning fork is used to assess hearing, typically in older children or adults, and is not routinely required for a well-child visit for a 1-year-old.
D. Bulb syringe: A bulb syringe may be used for suctioning an infant's nose or mouth, but it is not a standard tool needed for a well-child visit unless there is a specific need.
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Correct Answer is D
Explanation
A. Soak the instrument in hot water: Hot water alone does not effectively sanitize instruments; proper sanitization typically requires cleaning agents and specific processes.
B. Rinse the instrument with a 10% bleach solution: While bleach is used for disinfection, it is not a step in the initial sanitization process.
C. Soak the instrument in a 70% isopropyl alcohol solution: Alcohol is used for disinfection rather than initial sanitization.
D. Rinse the instrument under running water: Rinsing the instrument under running water is a basic step in the sanitization process to remove visible debris before further cleaning and disinfection.
Correct Answer is B
Explanation
A. Wipe away the first five drops of blood after puncturing: Only the first drop of blood should be wiped away to remove any tissue fluid, not the first five drops.
B. Apply even pressure to the finger during the collection: Applying even pressure helps to promote blood flow without causing hemolysis or excessive squeezing, which could affect test results.
C. Puncture the index finger at the tip: The recommended site for a capillary puncture is the side of the middle or ring finger, not the tip of the index finger.
D. Puncture parallel to the fingerprint: The puncture should be made perpendicular to the fingerprint ridges to ensure an adequate blood flow and reduce the risk of blood running along the ridges.