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. Human hair: Human hair is not considered potentially infectious material under the Bloodborne Pathogens Standard.
B. Sweat: Sweat is not classified as potentially infectious material because it does not typically contain bloodborne pathogens.
C. Normal saliva: Normal saliva is not classified as potentially infectious material; however, saliva can be considered potentially infectious if it is visibly contaminated with blood.
D. Septic wound: A septic wound contains pus and is considered potentially infectious material because it can contain pathogens.
Correct Answer is A
Explanation
A. Stress test: A stress test, or exercise stress test, involves monitoring the heart's activity with an EKG while the patient exercises on a treadmill or stationary bike. This test assesses how the heart performs under physical stress.
B. Holter monitor: A Holter monitor is a portable EKG device worn by the patient for 24-48 hours to continuously record heart activity in their daily life, not during exercise.
C. Echocardiogram: An echocardiogram uses ultrasound to visualize the heart's structures and is not performed while the patient is exercising.
D. Cardiac event monitor: A cardiac event monitor is used to record heart activity when the patient experiences symptoms, typically worn for weeks to months, and is not specifically for exercise testing.