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. Restrain the patient: Restraining a patient during a seizure can cause injury and is not recommended.
B. Place a tongue blade in the patient's mouth: This is a myth and can cause harm. It is not safe or effective.
C. Move the patient to the floor in recovery position: If possible, gently guide the patient to the floor to prevent injury and place them in a recovery position after the seizure to keep the airway clear.
D. Initiate CPR on the patient: CPR is not needed unless the patient does not regain consciousness after the seizure or if there are other signs of respiratory or cardiac arrest.
Correct Answer is B
Explanation
A. Implied consent: Implied consent is typically used in emergency situations where verbal or written consent cannot be obtained and is not suitable for elective procedures like a colonoscopy.
B. Informed consent: For a colonoscopy, which is an invasive procedure, informed consent is required. This involves providing the patient with detailed information about the procedure, its risks, benefits, and alternatives.
C. Prior authorization: Prior authorization is related to insurance coverage and is not typically obtained by the medical assistant; it is usually handled by the billing department or insurance coordinator.
D. Immunization records: Immunization records are not required for a colonoscopy; they are more relevant for vaccinations and certain other procedures.