Which of the following procedures should a medical assistant identify as a surgical reconstruction?
A Thoracentesis
Rhinoplasty
Appendectomy
Colotomy
The Correct Answer is B
A. Thoracentesis: Thoracentesis is a procedure to remove fluid from the space between the lungs and the chest wall; it is not a reconstruction.
B. Rhinoplasty: Rhinoplasty is a surgical reconstruction of the nose, often performed for cosmetic or functional reasons.
C. Appendectomy: Appendectomy is the surgical removal of the appendix, not a reconstructive surgery.
D. Colotomy: Colotomy is the surgical incision into the colon, not a reconstructive procedure.
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Correct Answer is B
Explanation
A. Instruct the patient to collect the specimen and return it to the laboratory: For a valid drug screening, the specimen should be collected in the presence of a medical professional to prevent tampering.
B. Measure and record the temperature of the specimen: Measuring and recording the temperature of the urine specimen is important to ensure that the sample is fresh and has not been tampered with or substituted.
C. Pre-label the specimen container prior to collection: The container should be labeled after the specimen is collected to avoid mix-ups and to ensure accurate tracking.
D. Have the patient begin collecting the specimen mid-stream: The specimen for drug testing should typically be collected as a first-morning or a mid-stream sample to ensure accuracy, but this can vary based on specific protocols.
Correct Answer is B
Explanation
A. Wipe away the first five drops of blood after puncturing: Only the first drop of blood should be wiped away to remove any tissue fluid, not the first five drops.
B. Apply even pressure to the finger during the collection: Applying even pressure helps to promote blood flow without causing hemolysis or excessive squeezing, which could affect test results.
C. Puncture the index finger at the tip: The recommended site for a capillary puncture is the side of the middle or ring finger, not the tip of the index finger.
D. Puncture parallel to the fingerprint: The puncture should be made perpendicular to the fingerprint ridges to ensure an adequate blood flow and reduce the risk of blood running along the ridges.