A provider observes that a patient had clubbing of the fingers and toes on physical examination. Which of the following should the medical assistant document the plural form of the term for fingers and toes?
Pleura
Plexus
Phalanges
Pharynges
The Correct Answer is C
A. Pleura: Pleura refers to the membranes surrounding the lungs, not fingers or toes.
B. Plexus: Plexus refers to a network of nerves or vessels in the body, not fingers or toes.
C. Phalanges: Phalanges are the correct term for the bones in the fingers and toes. This is the correct plural form of the term.
D. Pharynges: Pharynges is the plural form of pharynx, which refers to the part of the throat behind the mouth and nasal cavity, not fingers or toes.
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Correct Answer is C
Explanation
A. Bevel up with a 45° angle: A 45° angle is too steep for venipuncture; this angle is typically used for intramuscular injections.
B. Bevel down with a 45° angle: Bevel down is incorrect for venipuncture as it increases the risk of the needle piercing through the vein.
C. Bevel up with a 15° angle: This is the correct technique for venipuncture. The needle should be inserted at a 15° to 30° angle, with the bevel facing up to ensure smooth entry into the vein and minimize discomfort.
D. Bevel down with a 15° angle: Bevel down is not recommended for venipuncture because it can cause the needle to catch on the vein wall, increasing the risk of injury or complications.
Correct Answer is A
Explanation
A. Cleanse the site with chlorhexidine. After cleaning with isopropyl alcohol, the site should be cleansed with chlorhexidine to ensure the skin is sterile, reducing the risk of contamination in the blood culture.
B. Prepare a wet mount slide. Preparing a wet mount slide is unrelated to blood culture venipuncture and would not be the next step in this procedure.
C. Confirm the patient’s blood type. Confirming blood type is not part of the blood culture process and is not relevant at this stage.
D. Obtain the patient’s temperature. While monitoring the patient’s temperature might be necessary for diagnostic purposes, it is not the next step in performing a blood culture venipuncture.