Which of the following solutions is used to disinfect a blood spill on a work surface?
Glutaraldehyde
Isopropyl alcohol
Bleach
lodine compounds
The Correct Answer is C
A. Glutaraldehyde: Glutaraldehyde is used for high-level disinfection of medical equipment, not for cleaning blood spills.
B. Isopropyl alcohol: While isopropyl alcohol is used for disinfection, it is not the preferred choice for blood spills due to its lower efficacy against certain pathogens.
C. Bleach: A bleach solution is effective for disinfecting surfaces contaminated with blood, as it is effective against a broad range of pathogens, including bloodborne viruses.
D. Iodine compounds: Iodine is used for antiseptic purposes on skin but is not ideal for disinfecting blood spills on surfaces.
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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.
Correct Answer is A
Explanation
A. Ensure the skin is clean and dry. This is the correct action. Sweating can interfere with electrode adhesion and signal quality, so the skin should be cleaned and dried to ensure a good contact for accurate EKG readings.
B. Apply conductive gel to the patient's chest. Conductive gel is typically used with certain types of electrodes, but in the case of disposable adhesive EKG electrodes, it is not necessary and may not improve tracing quality.
C. Shave the electrode sites. Shaving may be necessary if the patient has a lot of body hair, but it is not the first step when dealing with sweating. Drying the skin is more immediate and essential.
D. Place the electrodes below the clavicle. Electrode placement should follow standard EKG guidelines, and moving them to non-standard positions like below the clavicle can result in inaccurate readings.