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 A
Explanation
A. Allow the solution to flow from the inner to the outer canthus: This technique helps to flush out debris and contaminants while avoiding the spread of the solution into the unaffected eye.
B. Fill the syringe with 10 mL of the irrigating solution. The volume of the irrigating solution may vary, but 10 mL is not a standard quantity; the key is ensuring adequate flushing.
C. Don powdered gloves: Powdered gloves can cause irritation; non-powdered gloves are recommended for eye irrigation.
D. Direct the irrigation solution toward the cornea: The solution should not be directed toward the cornea to avoid damage; it should flow gently across the eye.
Correct Answer is C
Explanation
A. A steady pulse rhythm in a 16-year-old male patient. A steady pulse rhythm is normal and within the expected range for a 16-year-old male.
B. A pulse rate of 68/min in a 35-year-old female patient: A pulse rate of 68/min is within the normal resting heart rate range for a 35-year-old female (60-100/min).
C. A bounding pulse volume in a 56-year-old male patient: A bounding pulse volume indicates an unusually strong pulse, which could be a sign of hypertension or other circulatory issues and should be reported.
D. A pulse rate of 120/min in a 22-year-old female patient: A pulse rate of 120/min is above the normal range (tachycardia) and should be reported, as it could indicate a cardiac or systemic problem.