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 C
Explanation
A. Urine specimen volume is 6 mL: A volume of 6 mL is generally sufficient for routine urinalysis, so this would not cause rejection.
B. Urine specimen temperature is 23° C (73.4° F): This temperature is within an acceptable range for a urine specimen that has been properly stored, so it would not cause rejection.
C. Urine specimen container is missing a preservative. Missing a preservative in the container can compromise the integrity of the specimen, leading to rejection.
D. Urine specimen is amber and turbid: Amber color and turbidity may indicate an abnormality, but they are not causes for specimen rejection in routine urinalysis.
Correct Answer is B
Explanation
A. Clean the cut with antiseptic, then put on a glove. Cleaning the cut is important for preventing infection, but without covering the cut, it may still pose a risk of contamination.
B. Bandage the cut, then put on a glove. Bandaging the cut before putting on gloves protects the wound and helps maintain a barrier against contamination, making this the most appropriate action.
C. Put on a glove, as gloves are a sufficient barrier of protection. While gloves offer some protection, they are not a sufficient barrier if the cut is not properly bandaged, as the wound could still become contaminated.
D. Close the cut with medical glue, then put on a glove. Closing a cut with medical glue may be an option in some cases, but it is not always appropriate, especially if the cut needs to be bandaged for further protection under gloves.