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. Tape measure: A tape measure is necessary to measure the head circumference of infants, which is a routine part of a well-child visit to monitor growth and development.
B. Glucometer: A glucometer is used to measure blood glucose levels and is not routinely required for a well-child visit unless the child has a specific condition like diabetes.
C. Tuning fork: A tuning fork is used to assess hearing, typically in older children or adults, and is not routinely required for a well-child visit for a 1-year-old.
D. Bulb syringe: A bulb syringe may be used for suctioning an infant's nose or mouth, but it is not a standard tool needed for a well-child visit unless there is a specific need.
Correct Answer is D
Explanation
A. Alcohol-based sanitizer: Alcohol-based sanitizers are effective for hand hygiene when there is no visible dirt or grease. They are generally used for routine hand antisepsis in situations where hands are not visibly soiled. For procedures involving body fluids, if hands are visibly soiled, traditional handwashing with soap and water is preferred.
B. Disinfectant scrub: Disinfectant scrubs are generally used for cleaning surfaces and are not appropriate for personal hand hygiene.
C. Antiseptic solution: Antiseptic solutions are used for cleaning skin before injections or procedures, not typically for hand hygiene.
D. Liquid soap: Liquid soap is suitable for handwashing, especially when hands are visibly soiled or after exposure to body fluids. In the context of body fluids, soap and water would be preferable to ensure effective removal of contaminants.