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 B
Explanation
A. Snellen chart testing: Snellen chart testing is used to assess visual acuity in older children, not infants.
B. Growth chart mapping: This is correct. Growth chart mapping is a standard assessment for infants to monitor their physical development.
C. Autism spectrum disorder screening: Autism screening typically begins around 18 months, not at 2 months of age.
D. Denver II Developmental Screening Test: The Denver II is used to assess developmental milestones in children, but it is typically performed later, not at 2 months.
Correct Answer is B
Explanation
A. "Clean the perineal area from back to front.": For females, cleaning should be done from front to back to avoid contamination from fecal matter. For males, cleaning should be done around the urethral opening.
B. "Void a small amount into the toilet before voiding into the cup.": This helps to flush out any contaminants from the urethra, ensuring that the urine collected in the cup is as clean as possible.
C. "Urinate directly into the container with preservative.": Urinating directly into a container with preservative can contaminate the sample and is not recommended for a clean catch specimen.
D. "Collect all urine from start to finish.": The clean catch method specifically involves discarding the initial stream of urine and collecting the midstream to avoid contaminants.