A medical assistant should recognize that which of the following procedures is usually performed by a registered nurse?
Administering IV medication
Performing a heel stick on an infant
Drawing blood for a glucose tolerance test
Performing venipuncture with a winged collection device
The Correct Answer is A
A. Administering IV medication: Administering intravenous (IV) medication is typically within the scope of practice for registered nurses (RNs) due to the complexity and need for careful monitoring.
B. Performing a heel stick on an infant: This procedure is often performed by medical assistants, especially in a pediatric setting, as it is part of routine blood collection practices.
C. Drawing blood for a glucose tolerance test: Medical assistants are usually trained to perform blood draws, including for glucose tolerance tests.
D. Performing venipuncture with a winged collection device: Medical assistants are generally trained to perform venipunctures, including using winged collection devices (butterfly needles)
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Correct Answer is D
Explanation
A. Have the patient sit upright: The patient should be kept in a position that promotes blood flow to vital organs; sitting upright may exacerbate shock.
B. Keep the patient cool: The patient should be kept warm to help maintain body temperature and prevent further complications.
C. Give fluids to the patient orally: In cases of shock, fluids should be administered intravenously by medical professionals to ensure proper management.
D. Elevate the patient's feet 8 to 12 inches: Elevating the patient's feet helps to increase blood flow to the vital organs by promoting venous return to the heart.
Correct Answer is A
Explanation
A. Advise them that privacy regulations prevent releasing patient information regardless of their relationship to the patient: Privacy regulations, such as those outlined in HIPAA, restrict the release of patient information without proper authorization, regardless of the inquirer’s relationship to the patient.
B. Verbally share the patient information with them since they are the subscriber on the patient's medical insurance: Even if the partner is the insurance subscriber, patient information cannot be disclosed without the patient’s explicit authorization.
C. Reassure them that they have nothing to worry about since their partner's visit was only a follow-up to a minor surgery: Providing details about the visit without authorization violates patient privacy and confidentiality.
D. Instruct them to provide proof of identity prior to providing the requested information: Proof of identity is not sufficient without a medical records release authorization form to disclose patient information.