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 D
Explanation
A. Have the patient sit upright: The patient should be kept in a position that promotes blood flow to vital organs; sitting upright may exacerbate shock.
B. Keep the patient cool: The patient should be kept warm to help maintain body temperature and prevent further complications.
C. Give fluids to the patient orally: In cases of shock, fluids should be administered intravenously by medical professionals to ensure proper management.
D. Elevate the patient's feet 8 to 12 inches: Elevating the patient's feet helps to increase blood flow to the vital organs by promoting venous return to the heart.
Correct Answer is D
Explanation
A. Soak the instrument in hot water: Hot water alone does not effectively sanitize instruments; proper sanitization typically requires cleaning agents and specific processes.
B. Rinse the instrument with a 10% bleach solution: While bleach is used for disinfection, it is not a step in the initial sanitization process.
C. Soak the instrument in a 70% isopropyl alcohol solution: Alcohol is used for disinfection rather than initial sanitization.
D. Rinse the instrument under running water: Rinsing the instrument under running water is a basic step in the sanitization process to remove visible debris before further cleaning and disinfection.