A phlebotomist is preparing to collect a capillary blood specimen from a patient using the aseptic technique. Which of the following cleansing agents should the phlebotomist use?
Povidone-iodine
Hand sanitizer
70% isopropyl alcohol
10% chlorine bleach solution
The Correct Answer is C
Choice A Reason:
Povidone-iodine is an antiseptic used for skin disinfection before and after surgery. It has a broad spectrum of antimicrobial activity, but it is not the preferred choice for capillary blood collection due to the potential interference with certain laboratory tests. Povidone-iodine needs to be completely dried to avoid hemolysis of the sample, which can affect test results.
Choice B Reason:
Hand sanitizer is generally used for hand hygiene and not for the disinfection of the site for blood specimen collection. While it is effective in killing germs on the skin, it contains emollients and gelling agents that can contaminate the blood sample and interfere with laboratory tests.
Choice C Reason:
70% isopropyl alcohol is the most commonly used disinfectant for aseptic technique in capillary blood collection. It is effective against a broad range of microorganisms and evaporates quickly, leaving no residue that could contaminate the sample. It is important to allow the alcohol to dry completely before performing the puncture to prevent stinging and sample dilution.
Choice D Reason:
A 10% chlorine bleach solution is not typically used for skin disinfection in blood collection due to its harshness and potential to cause skin irritation and damage. It is more commonly used for disinfecting surfaces and equipment in healthcare settings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Mechanical safety is a critical aspect of laboratory inspections, especially when focusing on equipment maintenance logs. These logs are essential for ensuring that all mechanical equipment is functioning correctly and safely. Regular maintenance and inspection can prevent mechanical failures that could lead to workplace accidents or compromise the integrity of experiments.
Choice B reason:
Chemical safety is undoubtedly important in a laboratory setting; however, it is not the primary focus when the inspection is centered on equipment maintenance logs. Chemical safety would involve the proper storage, handling, and disposal of chemicals, which is a separate concern from the mechanical functioning of equipment.
Choice C reason:
Radiation safety is another vital area in laboratories that work with radioactive materials. However, the maintenance logs for equipment would not typically be the main focus of radiation safety inspections. Instead, radiation safety inspections would concentrate on ensuring proper shielding, monitoring, and training are in place.
Choice D reason:
Electrical safety is also essential, but similar to chemical and radiation safety, it is not the primary focus when inspecting equipment maintenance logs. Electrical safety would involve checking for proper wiring, grounding, and protection against electrical hazards.
Correct Answer is A
Explanation
Choice A reason:
When encountering a patient who appears motionless and cyanotic, the first action should be to assess their level of consciousness. Asking loudly if they are okay can help determine if the patient is responsive or unresponsive. If there is no response, this indicates that the patient may be unconscious and requires further immediate assessment and potential intervention.
Choice B reason:
The head-tilt-chin-lift maneuver is used to open the airway of an unresponsive patient who is not suspected of having a spinal injury. However, this is not the first step. Before performing any maneuvers, it is essential to determine the patient's level of consciousness and whether they are breathing.
Choice C reason:
Administering rescue breaths is part of the process of cardiopulmonary resuscitation (CPR), which is only initiated after confirming that the patient is unresponsive and not breathing normally. This step comes after checking for responsiveness and breathing.
Choice D reason:
Looking, listening, and feeling for breathing movements is part of the assessment to determine if the patient is breathing normally. This is done after establishing unresponsiveness but before initiating CPR. It is a critical step, but it follows after confirming that the patient does not respond to verbal stimuli.
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