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?
Cleanse the site with chlorhexidine.
Prepare a wet mount slide.
Confirm the patient's blood type.
Obtain the patient's temperature.
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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Correct Answer is A
Explanation
A. Speak in a neutral tone: Using a neutral tone helps de-escalate the situation and shows that you are calm and professional, which can help soothe an angry patient.
B. Speak louder than the patient: Speaking louder can escalate the situation further and increase the patient’s frustration.
C. Disregard the patient's mood: Disregarding the patient’s mood can make them feel ignored and may worsen their anger.
D. Ask the patient to reschedule: Asking the patient to reschedule may be appropriate in some cases but does not address the immediate issue of handling their anger effectively.
Correct Answer is D
Explanation
A. Cotton balls: Cotton balls are not required for the autoclave process and do not aid in sterilization.
B. Masking tape: Masking tape is not used in the autoclave process; it does not contribute to the sterilization of instruments.
C. Tap water: Tap water is not recommended for use in autoclaves; distilled or deionized water is preferred to avoid mineral deposits.
D. Sterilization indicators: Sterilization indicators (such as indicator strips or tape) are used to confirm that the autoclave has reached the necessary temperature and pressure for effective sterilization.