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 B
Explanation
A. Obtaining a tympanic reading: This procedure does not typically require gloves as it is non-invasive and does not involve contact with bodily fluids.
B. Administering a nebulizer treatment: Gloves should be worn during this procedure to maintain hygiene and prevent exposure to respiratory secretions.
C. Performing a visual acuity test: This test is non-invasive and does not require gloves.
D. Removing a cyst: This procedure typically requires more than gloves; it involves aseptic technique and potentially sterile equipment. Gloves are part of the preparation but are not sufficient on their own.
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.