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. NIH (National Institutes of Health): NIH conducts biomedical and public health research but does not regulate laboratory testing.
B. CLIA (Clinical Laboratory Improvement Amendments): This is correct. CLIA regulates laboratory testing and ensures quality standards in the clinical office setting.
C. HHS (Department of Health and Human Services): HHS oversees many health-related programs and agencies, but CLIA specifically regulates laboratory testing.
D. OSHA (Occupational Safety and Health Administration): OSHA regulates workplace safety, not laboratory testing.
Correct Answer is B
Explanation
A. C-reactive protein (CRP): CRP is typically tested using a serum sample collected in a gold or red-top tube, not a light blue tube.
B. Partial thromboplastin time (PTT): PTT is a coagulation test that requires a light blue top tube containing sodium citrate, which acts as an anticoagulant. This tube is specifically used for coagulation studies.
C. Glucose: Glucose levels are commonly measured using a gray-top tube containing sodium fluoride to inhibit glycolysis, not a light blue tube.
D. Lactate: Lactate levels are typically measured using a gray-top tube or green-top tube, depending on the specific protocol, not a light blue tube.