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Phlebotomy, Final
Phlebotomoy Final
| Question | Answer |
|---|---|
| What can happen if a collector does not adhere to the correct specimen collection process for federal drug testing? | The specimen cannot be considered a vital piece of evidence. |
| If a patient is obese, what is the preferred position for the patient during venipuncture? | reclining or in a comfortable chair with arm supports |
| How should STAT specimens be delivered? | Immediately |
| The best angle for needle insertion into a vein is which of the following? | 15 or 30 degrees |
| Which of the following must be included on a Custody and Control Form? | Specimen type and signature of the specimen |
| In a federal workplace drug testing site, the specimen collector's duties include... | tamper-proofing the specimen |
| What is the condition called if there are small red spots on the patients arms? | petechiae |
| What phlebotomy complication can anticoagulant therapy cause in a patient | excessive bleeding |
| The proper technique to ensure hemostasis after phlebotomy on a neonate is to... | apply pressure with a sterile gauze pad until all bleeding stops |
| When the phlebotomist must obtain blood for neonatal screening, the proper technique involves which of the following? | The blood drop on the heel is applied directly onto the circle on the card. |
| Why should adhesive bandages be avoided for infants? | There is a risk of aspiration, swallowing, and irritation. |
| What should a phlebotomoist notice about the veins of a patient prior to venipuncture? | Veins should be palpable. |
| Detecting an adulterant in urine can occur in which of the following ways? | checking color and turbidity of the urine. |
| If a patient complains of severe shooting pain during a venipuncture, what should the phlebotomist do? | Remove the needle immediately from the patients arm. |
| What should the phlebotomoist do if a patient who needs a venipuncture has very small veins? | Use a butterfly apparatus and small needle. |
| What is a "feathered edge" on a blood smear? | The smear was probably well made because it has a thin feather-like appearance at one end. |
| Needles have a color coding to indicate | gauge |
| One of the disadvantages of using EMLA is... | anesthesia takes 60 minutes |
| When a specimen is collected for drug studies, identification may include which of the following procedures? | positive identification using a photo ID |
| What is chain of custody? | Process for maintaining control and accountability of a specimen |
| Most accidental needlestick exposures are characterized as a) preventable b) non-compliant c) not preventable d) non-hazardous | A. Preventable |
| What does "anticubetal fossa" mean? | In front and at the bend of the elbow |
| Manufacturers make puncture devices to control for which factor(s)? a) patient gender b) puncture depth and length c) infectious diseases d) disinfecting the skin | B. Puncture Depth and Length |
| When is it safe to leave a patient after performing a capillary puncture? a) when the bleeding has stopped b) once the capillary tubes are filled c) after wiping the last drop from the finger d) after the slides have dried | A. When the bleeding has stopped |
| What may happen to a patient if too much blood is drawn during phlebotomy? | The patient may become anemic |
| When a specimen is collected for drug studies, identification my include which of the following procedures? a) social security card b) identification by relative or friend c) positive identification using a photo ID d) identification by a co-worker | C) Positive identification using a photo ID |
| Prior to venipuncture, how would you greet the patient Mr. Sam Smith? | Hi, my name is Margie and I have come to collect a blood sample. Could you please state your name? |
| If a health care worker does not write down what he or she did to a patient, what is assumed? | That nothing happened. |
| What complication can resul from multiple deep skin punctures on an infant's heel? | Osteomyelitis |
| What do PT and APTT monitor in point-of-caring testing? | blood coagulation |
| EMLA is sometimes used for pediatric venipuncture procedures. EMLA is a... | topical anesthetic applied to the childs arm before venipuncture |
| What is the most commonly used illicit drug? | marijuana |
| A 10-ml blood sample taken from a premature or newborn infant is equivalent to what percent of the infant's total blood volume? | 5% to 10% |
| What does adulteration mean? | tampering with the specimen |
| Thrombosed veins are characterized by what factors? | They lack resilience, feel rope-like, and roll easily. |
| What is the maximum time a tourniquet should be left on? | 60 seconds |
| If a patient refuses to have his blood drawn, what should the phlebotomist do? | respect the patients right to refusal |
| Why should blood specimens be labeled at the patient's bedside prior to leaving the room? | to avoid specimen mix ups with other blood samples. |
| When documenting clinical information, when should you erase/delete errors? | Never; errors and corrective action must be documented. |
| Disease-producing organisms are frequently referred to as... | pathogenic |
| Physical frailties that my affect elderly individuals include: | - memory loss about taking medications - loss of taste, smell and feeling - susceptibility to hypothermia |
| What kind of specimens require specific packaging and handling when shipped? | any human or animal material for diagnostic or investigative purposes. |
| Of the listed needle gauges, which is the smallest needle diameter? a) 23 b) 21 c) 20 d) 19 | A) 23 The larger the number the smaller the needle diameter |
| If unsuccessful on the first try, how many more times should a phlebotomist try to stick a patient for venipuncture? | 1 time (for a total of 2) |
| When may an employee be tested for drugs? a) post-accident where someone is injured b) pre-employment or pre-promotion job testing c) after incidents of unsafe work practices d) all of the above | D. All of the above |
| When should hand be decontaminated for venipuncture? | before and after wearing gloves in a venipuncture procedure. |
| pc02, p02, and pH are usually referred to as which of the following? a) blood gases b) electrolytes c) blood types d) clotting factors | A) Blood gases |
| Which of the following laboratory tests require that the blood be transported in a slurry of ice water to the laboratory? a) blood gas analysis b) APTT c) complete blood cell (CBC) count | C) Complete blood cell (CBC) count |
| What is the best specimen for sports drug testing? | Urine |
| If a phlebtomist notices that her tourniquet has lost most of its elasticity, what should she do? | Dispose of t properly and use a new one. |
| If a patients arms are very cold to the touch, what should a venipuncturist ud | Warm the area |
Created by:
autumn800
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