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 C
Explanation
A. Reservoir: The reservoir is the place where a pathogen lives and multiplies, such as a human, animal, or environment. It is not how the pathogen enters a new host.
B. Susceptible host: The susceptible host is the individual who can potentially be infected by the pathogen. However, this term does not describe how the pathogen enters the host.
C. Portal of entry: The portal of entry is the correct term for the route by which a pathogen enters a new host, such as through the respiratory tract, gastrointestinal tract, or broken skin.
D. Mode of transmission: The mode of transmission refers to how the pathogen is spread from one host to another, such as through direct contact, airborne particles, or vectors. It does not describe how the pathogen enters the host.