In which of the following situations is it appropriate for a medical assistant to use hand sanitizer as a means of aseptic technique?
When cleaning instruments for sterilization
When assisting with a minor office surgery
When hands are not visibly soiled
When transferring urine to a collection tube
The Correct Answer is C
A. When cleaning instruments for sterilization: Hand sanitizer is not appropriate for cleaning or sterilizing instruments; proper cleaning and sterilization procedures must be followed.
B. When assisting with a minor office surgery: Hand sanitizer is not recommended for procedures requiring sterile technique; hand washing with soap and water is preferred.
C. When hands are not visibly soiled: Hand sanitizer can be used effectively when hands are not visibly dirty, as it helps reduce microbial load.
D. When transferring urine to a collection tube: Hand sanitizer is not suitable for this task; thorough hand washing is necessary to prevent contamination.
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Correct Answer is B
Explanation
A. Stand to the side of the patient: Standing to the side may make communication more difficult for a patient with vision impairment.
B. Provide large-print materials: Large-print materials can help the patient read and understand information more easily, accommodating their vision impairment.
C. Use exaggerated gestures: Exaggerated gestures can be confusing or unnecessary and do not address the specific needs of a patient with vision impairment.
D. Increase voice tone: Increasing the volume of speech is not typically helpful for a patient with vision impairment; they need visual aids rather than auditory adjustments.
Correct Answer is C
Explanation
A. Add thixotropic gel to the tube after venipuncture: Thixotropic gel is used in specific tubes for separating serum or plasma from blood cells and should be added during the manufacturing process, not after venipuncture.
B. Place the tubes in the centrifuge to chill after venipuncture to separate blood cells: Tubes should not be chilled before centrifugation unless specified by the test requirements. Most tubes are centrifuged at room temperature.
C. Invert additive tubes multiple times after filling the tube: Inverting additive tubes multiple times ensures proper mixing of the additive with the blood, which is crucial for accurate test results.
D. Mix the anticoagulant in the tube after filling the tube: The anticoagulant should be mixed by inverting the tube immediately after filling it, not after the fact.