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 D
Explanation
A. The number of no-shows on the patient's record: While the number of no-shows can be relevant for overall management, it is not the primary consideration when scheduling a specific appointment.
B. The referring provider's recommendation: Referring provider recommendations are important but typically influence the initial appointment or consultation rather than ongoing scheduling.
C. The amount of deductible the patient owes for their insurance: Insurance deductible information is important for billing but does not directly affect the scheduling of appointments.
D. The amount of time required based on the reason for visit: It is essential to consider the time needed for the appointment based on the patient's reason for the visit to ensure that the appointment is appropriately scheduled and sufficient time is allocated.
Correct Answer is B
Explanation
A. Place a bandage on the site after holding pressure for 1 min: While a bandage may be used, holding pressure for 1 minute is excessive. Typically, pressure is held for a shorter period to control bleeding.
B. Apply direct, firm pressure to the puncture site on the finger: Applying firm pressure helps to stop bleeding after the puncture and is the appropriate technique.
C. Warm the site for a minimum of 10 min prior to puncture. Warming the site is usually done for a few minutes (not 10) to increase blood flow, but it should be done briefly and not excessively.
D. Have the parent hold the child during the procedure: While it’s important to ensure the child is held securely, the parent should assist by holding the child gently but not to the extent that it interferes with the procedure.