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 C
Explanation
A. 1: Checking the medication order against the label only once is insufficient for ensuring accuracy.
B. 2: While checking twice is better than once, the standard practice is to check three times for maximum accuracy.
C. 3: The "three checks" method involves checking the medication order against the label at three key points: when selecting the medication, when preparing it, and before administering it to the patient.
D. 4: Checking four times is not a standard practice and could be excessive; three checks are considered sufficient.
Correct Answer is B
Explanation
A. Aim the discharge at the top of the fire: The correct action is to aim at the base of the fire, not the top.
B. Move the extinguisher from side to side: This is the correct technique for using a fire extinguisher (PASS method: Pull, Aim, Squeeze, Sweep). Sweeping the extinguisher from side to side helps cover the area of the fire.
C. Shake the extinguisher before using: Shaking is not necessary and might not be recommended; instead, you should ensure the extinguisher is in working order.
D. Squeeze the handle before pulling the pin: The pin should be pulled first to unlock the extinguisher before squeezing the handle.