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 A
Explanation
A. Cleanse the site with chlorhexidine. After cleaning with isopropyl alcohol, the site should be cleansed with chlorhexidine to ensure the skin is sterile, reducing the risk of contamination in the blood culture.
B. Prepare a wet mount slide. Preparing a wet mount slide is unrelated to blood culture venipuncture and would not be the next step in this procedure.
C. Confirm the patient’s blood type. Confirming blood type is not part of the blood culture process and is not relevant at this stage.
D. Obtain the patient’s temperature. While monitoring the patient’s temperature might be necessary for diagnostic purposes, it is not the next step in performing a blood culture venipuncture.
Correct Answer is D
Explanation
A. Sterile needle holder: A sterile needle holder is used in suturing, not for removing sutures, making it unnecessary for suture removal.
B. 1-mL syringe with an 18-gauge needle: This is used for injections, not for removing sutures. It is not required for a suture removal procedure.
C. 4-by-4-inch benzalkonium wipes: Benzalkonium wipes are used for skin antisepsis, but they are not specifically required for suture removal. While antiseptic wipes are useful, they are not essential for the procedure itself.
D. Sterile thumb dressing forceps: Sterile thumb dressing forceps are necessary for grasping and removing sutures safely without causing trauma to the wound. They are an essential tool for suture removal.