Certified Clinical Medical Assistant CCMA Practice Test 2025 – Comprehensive All-in-One Exam Success Guide

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What should an MA use to prepare a patient's skin prior to drawing blood cultures?

Alcohol

Chlorhexidine

The most appropriate agent for preparing a patient's skin prior to drawing blood cultures is chlorhexidine. This antiseptic is favored because it provides a broad spectrum of antimicrobial activity and is highly effective in reducing skin flora, including the skin's natural bacteria that could contaminate the blood sample. Chlorhexidine is particularly valued in blood culture procedures because it has lasting residual effects, continuing to inhibit microbial growth even after application.

While other agents like alcohol and iodine could be used for skin preparation, they may not offer the same level of effectiveness as chlorhexidine for blood culture draws. Alcohol can reduce bacteria but evaporates quickly and may not provide the necessary residual effect, whereas iodine can be irritating to some patients and does not have the same broad-spectrum efficacy as chlorhexidine. Hydrogen peroxide, while effective as a disinfectant in some contexts, is not recommended for skin preparation prior to blood draws due to its potential to damage tissues and its irritant properties. Therefore, chlorhexidine remains the gold standard for skin antisepsis in blood culture collection.

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Iodine

Hydrogen peroxide

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