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. Obtain a regular referral: If the cardiologist consultation has not been initiated, the medical assistant should obtain or process the referral to ensure the patient sees the specialist as required.
B. Have the patient obtain a second opinion: This action is unnecessary and might be premature if the original referral was not processed.
C. Initiate a referral to a different cardiologist: There is no need to refer to a different cardiologist unless there is a specific issue with the initial referral or cardiologist.
D. Send the patient to the emergency department for evaluation: Sending the patient to the emergency department is not appropriate unless the patient has an urgent issue. The issue here is with the referral process, not an emergency.
Correct Answer is C
Explanation
A. Bevel up with a 45° angle: A 45° angle is too steep for venipuncture; this angle is typically used for intramuscular injections.
B. Bevel down with a 45° angle: Bevel down is incorrect for venipuncture as it increases the risk of the needle piercing through the vein.
C. Bevel up with a 15° angle: This is the correct technique for venipuncture. The needle should be inserted at a 15° to 30° angle, with the bevel facing up to ensure smooth entry into the vein and minimize discomfort.
D. Bevel down with a 15° angle: Bevel down is not recommended for venipuncture because it can cause the needle to catch on the vein wall, increasing the risk of injury or complications.