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 A
Explanation
A. Pull the lower eyelid down. Pulling the lower eyelid down creates a pocket for the drops, making it easier to administer them without contacting the eye’s surface directly.
B. Have the patient open their eye using both hands: Using both hands to open the eye may be uncomfortable and unnecessary; the assistant should guide the patient gently.
C. Use a retractor on the eye before administering the drops: Retractors are not typically used for eye drop administration; this can cause discomfort and is not standard practice.
D. Hold the dropper 1 inch away from the surface of the eye: The dropper should be held close enough to the eye to avoid contaminating the eye surface or the dropper, but not so close as to touch the eye.
Correct Answer is B
Explanation
A. Nails no longer than 1⁄2 inch: While nails should be kept short and clean, this answer does not directly address the CDC’s recommendations for hand hygiene.
B. Using alcohol-based hand sanitizer with at least 60% alcohol: The CDC recommends using alcohol-based hand sanitizers with at least 60% alcohol for effective hand hygiene.
C. Washing visibly soiled hands with soap and water for 3 to 5 min: Hand washing should be performed for 20 seconds with soap and water, not 3 to 5 minutes. The duration mentioned is excessive and not in line with standard guidelines.
D. Artificial nails without cracks or chips: The CDC advises against wearing artificial nails when providing patient care, as they can harbor bacteria and pose an infection risk.