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MA review

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
normal temp range   97.6-99.6 (36.4-36.7)  
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rectal temp fever   101 (38.3)  
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oral temp fever   100  
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peds rectal temp fever   100.4 (38)  
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normal BP range   120/80 or lower  
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preHTN   120-139 / 80-89  
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HTN stage 1   140-159 / 90-99  
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HTN stage 2   160+ / 100+  
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hypertensive crisis   180+ / 110  
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hypotension stage   90 / 60  
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normal HR   60-100 bpm  
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tachycardia   100+  
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bradycardia   -60  
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normal respirations   12-20 rpm  
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vital signs include   BP, temp, pulse, respirations, HR  
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systole   heart contracts  
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diastole   heart relaxes  
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most accurate temp   rectal  
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anthropometric measurements   height and weight  
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pediatric anthropometric measurements   head circumference and length until child can stand  
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to convert farenheit to celsius   multiply by 9/5  
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to convert celsius to farenheit   subtract 32 and multiply by 5/9  
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3 types of drug administration   oral, topical, parenteral  
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oral drugs may be found in what forms?   liquid, tablet, capsule  
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topical drugs may be found in what forms?   lotions, linaments, ointments, transdermal patch  
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parenteral drugs may be given in what forms?   IM, intradermal, subQ, IV  
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pulmonary function test determines   patients lung volume  
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what tool is used for a vision test   Snellen eye chart  
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collection of body fluids include what fluids?   urine, sputum, saliva, feces, semen, or blood  
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eye irrigation performed in a sterile or non sterile environment?   sterile  
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the temps for sterilization   250-320  
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which position should the patient be in for a rectal temperature?   Sim's  
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which artery is routinely used to perform a manual blood pressure   brachial artery  
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what angle should be on the needle for a subQ injection?   45 degree angle  
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what substance is removed during ear irrigation?   cerumen (ear wax)  
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where should you aim the solution when performing eye irrigation?   inner canthus  
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how to convert feet to centimeters   2.2cm = 1" 1'12"  
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device to perform pulmonary function test   spirometer  
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a substance that dilates the bronchi in the lungs decreasing resistance in the respiratory airways   bronchodilators  
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a disinfectant and sterilization product of alkaline gluteraldehyde   Cidex  
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the period of time when the heart fills with blood after contraction   diastole/diastolic  
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a test that records the electrical activity of the heart   EKG/ECG electrocardiography  
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a device that measures a patient's cardiac activity over a period of time   Holter monitor  
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a severe increase in blood pressure which could result in a strike   hypertensive crisis  
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an injection within or between the layers of the skin   intradermal injection  
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an injection of a substance directly into the muscle   intramuscular injection  
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a device that administers medication in a mist form   nebulizer  
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OSHA   occupational safety and health admin  
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any medication that is administered in a route other than ingestion   parenteral medication  
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a state of having high normal blood pressure with the potential for developing high blood pressure   prehypertension  
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the position in which the patient lies on the left side with the right knee sharply bent and resting on the exam table   Sim's position  
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a device for performing blood pressure including cuff   sphygMOmaNOMeter  
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an injection of solution below the skin, into the subcutaneous tissue   subQ injection  
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position in which the patient lies on their back   supine  
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a stitch used to hold tissue together   suture  
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a thin membrane that separates the external ear from the middle hear; the ear drum   tympanic membrane  
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drawing of blood from a vein   venipuncture  
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measurements observed, measured, and monitored to check the patient's level of physical function   vital signs  
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prefix: olig-   scanty  
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prefix: pari-   all  
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prefix: poly   many  
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prefix: quadra- / tetra-   four  
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prefix: semi-   part  
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prefix: meta-   change  
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prefix: supra-   excessive, outside  
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prefix: ab-   away from  
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prefix: ad-   toward  
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prefix: de-   not, down  
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prefix: epi-   upon, above  
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prefix: para   along, beside  
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prefix: dia-   across, through  
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prefix: retro-   backward, behind  
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prefix: a-, an-   without  
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prefix: ambi-   both  
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prefix: hemi-   half  
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prefix: corp-   body  
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prefix: cost-   ribs  
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prefix: gastr-   stomach  
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prefix: menat-, hem-   blood  
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prefix: myo-   muscles  
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prefix: oste-   bone  
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prefix: nephr-   kidney  
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prefix: neur-   nerve  
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prefix: ren-   kidney  
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prefix: ur-   urine  
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prefix: vascul-   blood vessels  
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suffix: -ac, -ar, ic, -oid, -ous, -tic   related to, pertaining to  
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suffix: -emia   of the blood  
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suffix: -ia, -ism, osis, -y   condition or process  
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suffix: -itis   inflammation  
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suffix: -lysis   death of, breakdown  
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suffix: -pathy   disease  
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suffix: -plegia   paralysis  
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suffix: -oma   tumor  
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suffix: -rrhythmia   rhythm  
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suffix: -systole   contraction of the heart  
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suffix: -gram, -graph, -graphy   record of, image of  
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suffix: -meter   measure  
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suffix: -metry   process of measuring  
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suffix: -scope   instrument for viewing  
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suffix: -scopy   process of viewing with a instrument, scope  
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suffix: -ectomy   removal of  
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suffix: -latric   treatment  
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suffix: -pnea   breathing  
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suffix: -plasty   repair  
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suffix: -rrhaphy   suturing  
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suffix: -stomy, -ostimy   surgical creation of an opening  
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suffix: -tripsy   crushing  
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suffix: -tomy   incision  
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HIPAA   the health insurance PORTABILITY and ACCOUNTABILITY act  
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when is it appropriate for a physician to discuss a patient's information via e-mail?   when the physician is consulting with another physician  
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HIPAA permits faxes when forwarding care instructions to   a nursing home  
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a person delegated to provide care for a partially dependent patient is called a   caregiver  
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what does SOAP stand for?   subjective, objective, assessment, plan  
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what does POMR stand for?   problem oriented medical records  
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what are the 4 sections of the POMR?   database, problem, treatment, progress  
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paper-based records are prepared for filing and storage by performing what 5 steps?   conditioning, releasing, indexing/coding, filing  
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scheduling system most often used in medical facilities that offer urgent care, where time is governed more by the needs of the patients than adherence to a schedule   open office scheduling  
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scheduling system where patients have the ability to schedule their own appointment 24 hours a day via their computers   self-scheduling  
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scheduling system where all patients to be seen in an hour scheduled to arrive at the beginning of the hour and are then seen in the order of arrival   wave scheduling  
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scheduling system where the patients with similar problems or procedures book consecutively   cluster scheduling  
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scheduling system in which appointments are scheduled months in advance, such as routine physicals, or follow-up appointments   advance booking  
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a patient's blood pressure: subjective or objective?   objective  
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patient states they have a headache: subjective or objective?   subjective  
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all test results in the chart should be organized with the most recent test result on top or bottom?   top  
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who must discuss the informed consent form with a patient prior to the patient signing it?   the physician  
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a patient of 12 years of age or older can refuse treatment if she is pregnant and the care she is seeking is in regards to   the pregnancy  
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a domestic abuse patient must be how old in order to refuse treatment   12 years old or older  
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the use of numbers and letters to describe illnesses, diseases, and medical procedures   coding  
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the term used to sescribe the removal of metal items from paperwork to prepare them for placing medical records   conditioning  
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office supplies that are expensive and not often replaced   durable supplies  
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PPE   personal protective equipment  
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when there is an electrical fire, which class of fire extinguisher should be used?   class C electrical  
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when there is an flammable liquid fire, which class of fire extinguisher should be used?   class B flammable  
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when there is an office paper fire, which class of fire extinguisher should be used?   class A paper, other combustibles  
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when there is a combustible metal fire, which class of fire extinguisher should be used?   class D industry  
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if blood were to splash into your eye, what is the first step to be performed?   flush out the eye  
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what information must be present on the paperwork included in a rape kit?   initials of the police officer, medical assistant, and both physicians signatures and the time  
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when a venipuncture is to be performed on a patient suspected of drunk driving, which agent is used to clean the skin?   benzalkonium chloride  
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what chemical should be used to clean a counter that has been exposed to bodily fluids?   bleach solution  
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a substance or object that may contain micro-organisms that can spread disease   biohazard  
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CDC   center for disease control  
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CLSO   clinical laboratory standards institute  
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the organization that sets guidelines to ensure medical professional safety   OSHA  
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items used to help prevent contamination from materials   PPE, personal protective equipment  
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guidelines to instruct health care providers to minimize the risk of disease transmission when giving care   standard precautions  
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the inability to breakdown galactose, a milk sugar   galactosemia  
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mucous secretions that accumulate in the lungs and other organs   cystic fibrosis  
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decreased thyroid function   hypothyroidism  
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increased thyroid function   hyperthyroidism  
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name the CLIA waived procedures   glucose, fecal occult blood, spun microhematocrit, urine chemical screening, visual color comparison for pregnancy, cholesterol, drug testing  
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what is the appropriate angle to hold the needle when performing venipuncture?   15-30 degrees  
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what is a blood culture primarily used to check for?   bacteria or other micro-organisms  
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for which test should a first-voided morning urine specimen be used?   pregnancy test  
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how is a sample of urine obtained for a culture and sensitivity testing?   clean catch urine sample  
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tubes needed for culture and sensitivity tests may be kept at room temperature for how many hours?   up to 72 hours  
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MA's a well trained MA can expedite the patient's diagnosis and treatments by limiting the number of places they must go for   tests and specimen drop off  
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what is always the first step before beginning ANY procedure with your patient whether EKG, pheleb, or anything else   properly identify your patient  
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blood collection tubes have the capacity to hold how much blood?   6-10 mL of blood  
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what does the color of the rubber stopper on a blood collection tube represent?   which additive is inside of the tube, or if there is no additive at all  
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what does the additive inside of a blood collection tube determine?   what blood test should be performed on the blood in that tube  
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what does the PT test determine?   the ability of the blood to clot  
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what color tube top do we use for the PT (prothrombin time) test?   blue top  
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what is inside of the blue top tube used for blood specimen collection?   sodium citrate  
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what is the function of sodium citrate in a blue top tube used for blood collection?   it prevents the blood from clotting  
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what test is the lavender top blood collection tube used for?   CBC (complete blood count)  
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what test is the red top blood collection tube used for?   serum glucose, electrolytes, BUN (blood urea nitrogen)  
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what test is the blue top blood collection tube used for?   PT (prothrombin time)  
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in regards to the amount of vacuum inside of a blood specimen collection tube, the vacuum inside of an adult tube vs the vacuum inside of a pediatric tube is what?   adult vacuum is stronger than that of a pediatric blood specimen collection tube  
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the reason that you should not use an adult blood specimen collection tube on a pediatric patient is   because the pressure is too high and may collapse the veins of a pediatric patient  
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pediatric blood specimen collection tubes are identical to adult tubes in regards to the color of the rubber top, however they are different how?   they are about half as big as an adult blood specimen collection tube  
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what consists of a sterile needle, a short length of flexible tubing, and another sterile needle at the other end of the plastic tubing that is covered with a rubber sheath and is flanked bu 2 rubber wings that allow for better grip   a butterfly needle  
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in regards to a butterfly needle, describe the functions of both needles   one to puncture the patient, one to puncture the blood specimen collection tube  
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which piece of phlebotomy equipment is required for a finger or heel stick to acquire a blood specimen   a lancet  
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when should you use protective eye wear or a face shield when performing a phlebotomy procedure?   when there is risk of blood splatter  
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the patient should always be seated or lying down for a venipuncture and never in what position?   standing  
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at which angle should a needle be inserted intended for venipuncture?   15-30 degrees  
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when should you release the tourniquet when performing venipuncture?   after the vein has been entered and you have attached the first blood specimen collection tube  
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what is the time limit on the application of a tourniquet when performing venipuncture for blood specimen collection tube   no more than 1 minute  
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in regards to venipuncture, what are the 3 complication that may arise if a tourniquet is left on the patient longer than 1 minute   Hemolysis, petechia, hemoconcentration  
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what is the medical term for "destruction" or "breaking" of blood cells   hemolysis  
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what is the term used for tiny hemorrhages that appear on the skin as small red or purple spots.   petechiae  
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what do we call a decrease in the volume of plasma in relation to the number of red blood cells caused when the tourniquet is left on the patient longer than 1 minute while performing venipuncture   hemoconcentration  
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about how long does it take to fill a blood specimen tube?   5 seconds  
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in regards to venipuncture, "inversion" refers to   the process of turning the blood specimen collection tube one complete turn of the wrist  
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in regards to venipuncture, how many inversions are required for a blue top blood specimen collection tube?   3-4  
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in regards to venipuncture, how many inversions are required for a lavender top blood specimen collection tube?   8-10  
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in regards to venipuncture, how many inversions are required for a red top blood specimen collection tube?   5  
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in regards to venipuncture, when should you remove the needle from the patient?   after you have filled the last tube  
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complications from phlebotomy can include   pain, infection, bruising, and tissue trauma  
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one should never perform phlebotomy in an extremity that has a dialysis shunt or an IV line or in the extremity that is on the same side on which a mastectomy was performed UNLESS   the physician specifically orders that it is acceptable to do so.  
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the term "performance failure" in regards to venipuncture describes   using an incorrect order of draw, using an incorrect tube for a test ordered, incorrect physical handling of the specimen, using expired collection tubes, failure to make sure that the patient has been properly prepared (NPO if instructed etc)  
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where should the identification labels be placed when performing venipuncture for blood specimen collection?   directly on the tubes  
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emergencies that are directly related to phlebotomy are rare but can include   fainting or excessive bleeding  
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what does the term "syncope" mean   fainting  
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if your patient begins to feel faint while you are performing venipuncture for a blood specimen collection, what should you do?   remove the needle and ask he patient to lean forward as to put their head between their legs to increase blood flow to the brain  
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while preparing your patient for a venipuncture, the patient tells you that they have had a previous syncopal episode during a blood draw. what should you do?   lie the patient down for their phlebotomy procedure  
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excessive bleeding is a rare complication of venipuncture. if the patient does begin to bleed excessively, what should you do?   apply firm pressure for a longer period of time on these types of patients  
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when performing phlebotomy for blood specimen collection, what is the "order of draw"?   blood cultures or sterile specimens, blue, red, green, lavender, gray  
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when performing venipuncture, filling the blood collection tubes in the correct sequence is called   the order of draw  
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when performing venipuncture, why is the "order of draw" important?   because it prevents preservatives or additives that are contained in one tube from being introduced into another tube which would affect the test results.  
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when performing phlebotomy for blood specimen collection, where in the "order of draw"should additional tubes outside of the original six be drawn?   after the lavender tube  
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when performing a finger or heel stick using the micro or pediatric tubes, you should follow the rules of your workplace, however the most common order of draw is   EDTA additive tube, other additive tubes, then serum tubes  
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when performing venipuncture for blood specimen collection, it is important to choose the proper collection tube to match the blood test you are performing   the blood test you are performing  
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