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. 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.
Correct Answer is D
Explanation
A. Exaggerate lip movements. Exaggerating lip movements can make speech more difficult to understand. Instead, normal, clear speech should be used.
B. Speak in high-pitched tones. High-pitched tones are often harder for individuals with hearing loss to understand. Speaking in a normal, moderate tone is more effective.
C. Use long sentences. Long sentences can be confusing. It is better to use short, simple sentences to aid comprehension.
D. Stand in the patient's direct line of vision. Standing in the patient's direct line of vision allows the patient to read lips and see facial expressions, which aids in understanding.