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. Place the left electrode on the most distal portion of the left limb, and place the right electrode on the most proximal portion of the right limb: The left limb is amputated, so electrodes cannot be placed on the distal portion of the left limb; the right limb's electrode should be placed according to standard practice.
B. Place the left electrode on the most distal portion of the left limb, and place the right electrode on the right groin: For an amputation, the electrode for the absent limb can be placed on the corresponding part of the trunk (such as the groin) to obtain accurate readings.
C. Place the left electrode on the left mid thigh, and place the right electrode on the right mid thigh: With an above-the-knee amputation, placing electrodes on the mid-thigh of the amputated side is not feasible; placement should follow appropriate protocol for the missing limb.
D. Place the left electrode at the most proximal portion of the right limb, and place the right electrode at the most distal portion of the right limb: This does not accommodate for the left limb amputation and does not follow standard electrode placement practices.
Correct Answer is A
Explanation
A. Place the arm electrodes facing downward. The arm electrodes should be placed with the tabs facing downward to reduce the risk of artifacts on the EKG tracing caused by movement or improper lead contact.
B. Place the electrodes over bony prominences when possible. Electrodes should not be placed over bony prominences, as this can interfere with the accuracy of the EKG reading. Instead, they should be placed on soft tissue.
C. Place the leg electrodes downward. Leg electrodes should also be placed with the tabs facing downward to prevent artifacts, similar to the arm electrodes.
D. Place the chest electrodes in a straight line just below the nipple. Chest electrodes should be placed according to specific anatomical landmarks, not in a straight line, to ensure accurate heart rhythm tracing.