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Phlebo Procedures-05
Hwk Packets #5
Question | Answer |
---|---|
Name three things that can affect the quality of neonatal bilirubin results. | A. Exposure to light B. Collected at wrong time C. Hemolysis |
Amber-colored Microtainer tubes are used to collect specimens for _______________. | Bilirubin |
A physician questions the low bilirubin result on a jaundiced baby. This discrepency may be do to exposing the specimen to _______________ | The bili light/light |
Decreased _______________ levels may be caused by the high red blood cell counts normally seen in newborns. | Glucose |
Newborns who appear jaundiced have increased _______________ levels. | Bilirubin |
A specimen was collected under the bili light. A bilirubin collected from a jaundiced infant in this case may have a _______________ result. | Low/Normal |
The acceptable amount of blood used to fill a filter paper circle for newborn screening tests is _______________. | One drop |
Collection of blood for newborn screening in a capillary pippette and transferring it to the filter paper circle is not recommended because _________________________. | The pipette could scratch the filter paper |
_______________ is used as the test method by the filter paper screening test for PKU. | Bacterial growth |
Most states require testing of newborns for _______________. | PKU - Phenylketonuria |
Specimens for newborn filter paper tests are collected from the _______________ of the _______________. | Plantar area/Heel |
Failure to wipe away the first drop of blood when collecting a neonatal filter paper screening test could cause a _______________ result. | Low/False negative |
A false-negative result can result from failure to _______________ the filter paper circle for a newborn screening test. | Completely fill |
What details are required in handling specimens for filter paper neonatal screening tests? | A. Must air dry B. Should not be stacked C. Horizontal D. Room temperature E. Away from direct sun light |
T or F - Both sides of the filter paper circle must be filled on a neonatal filter paper screening test. | False |
Name three tests for which blood smears are prepared. | A. Differential blood count B. Special staining procedures C. Non-automated reticulocyte count **D. Malaria Smear |
When preparing a blood smear, the correct angle of the spreader slide is _______________ to _______________. | 30 to 40 |
Detecting presence of _______________ is the purpose of a thick malaria smear. | Parasites/Plasmodium species |
A suitable blood smear should have a smooth film of blood without ridges or holes and a lightly _______________ edge without streaks | Feathered |
Blood smears are labeled by writing in the frosted are or at the _______________ end. | Thick |
Blood smears are important for evaluating _______________. | Blood cells/Blood cell morphology |
Specimens collected by venipuncture that require preparation of a blood smear are collected in _______________ top tubes. | Lavender/EDTA |
Multiplication of parasites within red blood cells occurs in __________. | Malaria |
Detection and identification of parasites in red blood cells requires preparation of both _______________ and _______________ blood smears. | Thick and Thin |
When preparing a blood smear, the spreader is placed _______________ the drop of blood. | In front of |
The best quality of blood smear is obtained by pushing the spreader slide the _______________length of the smear. | Complete/Full |
When Preparing a blood smear, raising the angle of the spreader slide will ____________ the length and _______________ thickness of the smear. | Decrease/Increase |
Preparation of a blood smear using a slide that is not clean will result in ___________ in the smear. | Holes |
Pushing instead of pulling the blood with the spreader slide produces a blood smear that has _______________ in the feathered edge. | Streaks |
A patient is experiencing periodic symptoms of fever and chills. What procedure might be requested on this patient? | Collection of thick and thin smears |
When preparing a blood smear, lowering the angle of the spreader slide will __________ the thickness of the smear. | Decrease |
The Duke bleeding time method has been replaced with the template bleeding time because the template method is more _______________. | Standardized |
A bleeding time is performed to evaluate the function of the _______________. | Platelets (Platelet Clotting) |
The area used for performing a template bleeding time is the _______________ surface of the _______________. | Volar/Forearm |
Blood is removed from the bleeding time incision by _______________ with ____________. | Wicking/Filter Paper |
An incision is made _______________ to the _______________ when performing a bleeding time on an adult. | Horizontal (Parallel)/Anticubital Crease |
A bleeding time that continues for 15 minutes should be _______________. | Discontinued |
_______________ Hg is the pressure at which the blood pressure cuff should be maintained when performing a template bleeding time. | 40mm |
Disturbing the platelet plug when performing a bleeding time will _______________. | Prolong or Lengthen |
Pressing the puncture site every 30 seconds will cause falsely _______________ template bleeding time. | Increased |
A patient taking aspirin can cause a falsely _______________ bleeding time. | Prolonged or Increased |
T or F - Elevated bilirubin levels are seen in neonates with underdeveloped livers. | True |
T or F - The feathered edge of a blood smear should not be sued for microscopic examinations. | False |
What is the primary cause of falsely decreased neonatal bilirubins? | Prolonged exposure to light |
How will an infant with a falsely negative PKU test be affected? | Severe mental retardation |
PHENYLKETONURIA | The presence of abnormal phenylalanine metabolites in the urine. |
FEATHERED EDGE | The area of a hematology blood smear where the microscopic examinantion is performed. |
VOLAR | Pertaining to the palm side of the forearm. |
JAUNDICED | Appearing yellow. |
PLATELET PLUG | The initial blockage of vascular puncture by platelets. |
PHENYLALANINE | A naturally occuring amino acid. |