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. Snellen chart testing: Snellen chart testing is used to assess visual acuity in older children, not infants.
B. Growth chart mapping: This is correct. Growth chart mapping is a standard assessment for infants to monitor their physical development.
C. Autism spectrum disorder screening: Autism screening typically begins around 18 months, not at 2 months of age.
D. Denver II Developmental Screening Test: The Denver II is used to assess developmental milestones in children, but it is typically performed later, not at 2 months.
Correct Answer is B
Explanation
A. Perform a sterile hand scrub: While sterile technique is important in many procedures, a sterile hand scrub is not specifically necessary for suture removal.
B. Lift the knot toward the wound: Lifting the knot towards the wound helps to ease the removal of the suture by reducing tension on the skin, making the procedure easier and less painful.
C. Begin cutting the sutures in the middle of the wound: Sutures should be cut close to the skin, not in the middle, to ensure proper removal and avoid causing unnecessary trauma to the wound.
D. Clean the wound with a disinfectant: Cleaning the wound with a disinfectant is not necessary before suture removal and might irritate the wound. Instead, the area should be cleaned after suture removal if needed.