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While performing a blood culture venipuncture, a medical assistant cleanses a patient's skin with isopropyl alcohol. Which of the following actions is the next step?

A.

Cleanse the site with chlorhexidine.

B.

Prepare a wet mount slide.

C.

Confirm the patient's blood type.

D.

Obtain the patient's temperature.

Answer and Explanation

The Correct Answer is A

A. Cleanse the site with chlorhexidine. After cleaning with isopropyl alcohol, the site should be cleansed with chlorhexidine to ensure the skin is sterile, reducing the risk of contamination in the blood culture.

 

B. Prepare a wet mount slide. Preparing a wet mount slide is unrelated to blood culture venipuncture and would not be the next step in this procedure.

 

C. Confirm the patient’s blood type. Confirming blood type is not part of the blood culture process and is not relevant at this stage.

 

D. Obtain the patient’s temperature. While monitoring the patient’s temperature might be necessary for diagnostic purposes, it is not the next step in performing a blood culture venipuncture.


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View Related questions

Correct Answer is B

Explanation

A. Prone: The prone position (lying face down) is not suitable for venipuncture or for patients at risk of syncope.

B. Trendelenburg: The Trendelenburg position (lying flat with the legs elevated) can help prevent syncope by increasing venous return to the heart and improving blood flow to the brain.

C. Supine: While the supine position (lying flat on the back) is appropriate for venipuncture, the Trendelenburg position is preferred for patients with a history of syncope.

D. Fowler's: The Fowler's position (sitting or semi-sitting) is not suitable for preventing syncope during blood draws.

Correct Answer is C

Explanation

A. Stand 25 feet from the Snellen chart. The standard distance for testing visual acuity with a Snellen chart is 20 feet, not 25 feet. Testing at 25 feet would not provide accurate results.

B. Allow them to squint if necessary. Squinting can artificially improve vision, leading to inaccurate results. The patient should be instructed to avoid squinting during the test.

C. Keep both eyes open while using the occluder. The patient should use the occluder to cover one eye but keep both eyes open during the test. This ensures that each eye is tested individually without any pressure or distortion from closing the other eye.

D. Start with the bottom line of the Snellen chart and work upward. The patient should start from the top of the Snellen chart and work downward. Starting from the bottom would likely result in frustration and inaccurate assessment as the lines become increasingly difficult.

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