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. Administering IV medication: Administering intravenous (IV) medication is typically within the scope of practice for registered nurses (RNs) due to the complexity and need for careful monitoring.
B. Performing a heel stick on an infant: This procedure is often performed by medical assistants, especially in a pediatric setting, as it is part of routine blood collection practices.
C. Drawing blood for a glucose tolerance test: Medical assistants are usually trained to perform blood draws, including for glucose tolerance tests.
D. Performing venipuncture with a winged collection device: Medical assistants are generally trained to perform venipunctures, including using winged collection devices (butterfly needles)
Correct Answer is C
Explanation
A. Alternating current (AC) interference: AC interference is caused by electrical equipment near the EKG machine and appears as uniform, small, rapid spikes. It is not caused by patient movement.
B. Arrhythmia: An arrhythmia refers to an abnormal heart rhythm and is related to cardiac function, not patient movement.
C. Somatic tremor: Somatic tremor is caused by voluntary or involuntary muscle movement, such as a patient moving their arm, which creates artifact on the EKG tracing that appears as irregular, erratic spikes.
D. Interrupted baseline: An interrupted baseline occurs when the electrical connection is lost, often due to a lead falling off, not due to patient movement.