Which of the following instructions should a medical assistant give to a patient who is scheduled for a GTT?
"Avoid alcohol for 48 hours prior to the test."
"Do not eat for 8 hours prior to the test."
"Limit physical exertion for 24 hours prior to the test."
"Eat a high carbohydrate meal 3 hours prior to the test."
The Correct Answer is B
A. "Avoid alcohol for 48 hours prior to the test.": While avoiding alcohol may be generally recommended for some tests, fasting is the primary requirement for a glucose tolerance test (GTT).
B. "Do not eat for 8 hours prior to the test.": A GTT typically requires fasting for 8-12 hours to accurately measure glucose levels.
C. "Limit physical exertion for 24 hours prior to the test.": Physical exertion is not typically a specific concern for a GTT, but fasting is essential.
D. "Eat a high carbohydrate meal 3 hours prior to the test.": A high carbohydrate meal is not required; fasting is necessary before the test.
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Correct Answer is A
Explanation
A. Reaching over the field: Reaching over a sterile field can contaminate it by introducing microorganisms from outside the sterile area.
B. Maintaining a 1-inch border around the edge of the sterile field: Maintaining a 1-inch border is a standard practice to ensure that the edges of the sterile field are not contaminated.
C. Holding all sterile articles at waist level: Holding sterile articles above the waist level is the recommended practice to prevent contamination. Holding them at waist level is considered acceptable as long as the items do not touch non-sterile surfaces.
D. Facing the sterile field: Facing the sterile field while working is part of maintaining sterile technique, as it ensures that you do not accidentally move toward the sterile field and contaminate it.
Correct Answer is D
Explanation
A. Pinky: The pinky is not typically used for capillary punctures due to its small size and lower blood flow.
B. Thumb: The thumb is not preferred due to its thick skin and reduced blood flow compared to other fingers.
C. Ring: While the ring finger can be used, the index finger is generally preferred due to its larger surface area and better blood flow.
D. Index: The index finger is preferred for capillary punctures in patients older than 1 year due to its size and ease of access.