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 C
Explanation
A. Stand 25 feet from the Snellen chart. The standard distance for testing visual acuity with a Snellen chart is 20 feet, not 25 feet. Testing at 25 feet would not provide accurate results.
B. Allow them to squint if necessary. Squinting can artificially improve vision, leading to inaccurate results. The patient should be instructed to avoid squinting during the test.
C. Keep both eyes open while using the occluder. The patient should use the occluder to cover one eye but keep both eyes open during the test. This ensures that each eye is tested individually without any pressure or distortion from closing the other eye.
D. Start with the bottom line of the Snellen chart and work upward. The patient should start from the top of the Snellen chart and work downward. Starting from the bottom would likely result in frustration and inaccurate assessment as the lines become increasingly difficult.
Correct Answer is B
Explanation
A. Clean the cut with antiseptic, then put on a glove. Cleaning the cut is important for preventing infection, but without covering the cut, it may still pose a risk of contamination.
B. Bandage the cut, then put on a glove. Bandaging the cut before putting on gloves protects the wound and helps maintain a barrier against contamination, making this the most appropriate action.
C. Put on a glove, as gloves are a sufficient barrier of protection. While gloves offer some protection, they are not a sufficient barrier if the cut is not properly bandaged, as the wound could still become contaminated.
D. Close the cut with medical glue, then put on a glove. Closing a cut with medical glue may be an option in some cases, but it is not always appropriate, especially if the cut needs to be bandaged for further protection under gloves.