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. ROM (Rupture of Membranes): ROM is commonly used in obstetrics to describe the rupture of the amniotic sac during labor.
B. LMP (Last Menstrual Period): LMP is used in gynecology and obstetrics, but it is more related to menstrual history rather than obstetric procedures.
C. ADL (Activities of Daily Living): ADL is used in various medical contexts to describe daily living activities, not specific to obstetrics and gynecology.
D. JRA (Juvenile Rheumatoid Arthritis): JRA is unrelated to obstetrics and gynecology; it pertains to a type of arthritis in children.
Correct Answer is B
Explanation
A. Call for the provider. Calling for the provider may not address the immediate concern of the patient’s anger and can escalate the situation if not handled calmly first.
B. Speak to the patient using a low tone of voice. Speaking in a calm and low tone can help de-escalate the situation and show that the assistant is attentive and empathetic.
C. Tell the patient to calm down. Telling a patient to calm down can come across as dismissive and may worsen their frustration.
D. Respond in the same tone as the patient. Matching the patient’s angry tone is unprofessional and can escalate the situation further.