A medical assistant should report which of the following as outside the expected reference range when obtaining vitals?

A. Administering IV medication: Administering intravenous (IV) medication is typically within the scope of practice for registered nurses (RNs) due to the complexity and need for careful monitoring.

B. Performing a heel stick on an infant: This procedure is often performed by medical assistants, especially in a pediatric setting, as it is part of routine blood collection practices.

C. Drawing blood for a glucose tolerance test: Medical assistants are usually trained to perform blood draws, including for glucose tolerance tests.

D. Performing venipuncture with a winged collection device: Medical assistants are generally trained to perform venipunctures, including using winged collection devices (butterfly needles).

A. Bone density test:This is not typically recommended as an annual screening for a 45-year-old female unless specific risk factors are present, such as a history of fractures, early menopause, or other conditions that increase the risk of osteoporosis.

B. Dilated eye exam:This is not a routine annual screening for all adults but is recommended annually for individuals with diabetes or at high risk of eye conditions such as glaucoma or macular degeneration.

C. Papanicolaou (Pap) test:A Pap test is recommended every 3 years for women aged 21–65 for cervical cancer screening, and every 5 years when combined with HPV testing in women aged 30–65.

D. Mammogram:A mammogram is recommended annually or biennially for women starting at age 40–50, depending on guidelines.For a 45-year-old female, an annual or biennial mammogram would be appropriate as a preventative screening.