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Chapter 7 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
The process by which blood flows automatically into a thin tube during a capillary blood collection procedure is called?   Capillary action  
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What do you call the condition when skin has a blue color which show low oxygen in the blood?   Cyanotic  
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What do you call the blood between the tissue layers?   Interstitial fluid  
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When referring to the side of something, we call this what?   Lateral  
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Define osteomyelitis.   an inflammatory disease of the bone, resulting from infection.  
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What does plantar refer to?   The sole of the foot  
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What is another name for capillary puncture?   Skin puncture  
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List situations when skin puncture is preferable to venipuncture.   Pt is infant and no good vein is found; Pt is small child, no good vein or uncooperative; test require a few drops of blood; apprehensive pt who insists on skin puncture; repeated missed venipunctures; sever burns; thrombotic tendencies; fragile veins.  
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Capillary puncture should not be preformed when?   Dehydrated, Shock, Chronic poor circulation, Extremely cold, tests require more than a few drops of blood.  
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Skin puncture is a combination of blood from ...   Capillaries, arterioles, venules  
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Blood from capillary puncture resembles ___________ blood than venous blood.   Arterial  
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Skin puncture blood may be used for laboratory testing so long as __________ is taken into consideration when interpreting the results.   Technique  
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Capillary or skin puncture may be preformed on ...   Fingertips, heels, or toes.  
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___________ may be used as a site for capillary puncture, but it is not recommended as site of choice, due to poor capillary access.   Earlobes  
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You should not puncture the __________ or __________ when using the fingertip for a capillary draw.   side, tip  
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Any finger except the __________ finger may be used for capillary puncture.   fifth  
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T/F - Tissue on the fifth finger is much thicker than the others.   False  
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T/F - When using fingers for glucose monitoring, the patient should always rotate the site.   True  
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T/F - When doing capillary puncture on the fingertip, the puncture should be made perpendicular to the fingerprint.   True  
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A ______ puncture will cause the blood to form a droplet.   Perpendicular  
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A ________ puncture will cause the blood to run down the finger instead of forming a droplet.   Parallel  
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_________ sites should be avoided, because a free flow of blood is impossible.   Edamatous (swollen)  
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Punctures in cold, or _________, areas should be avoided because blood from these sites may result in falsely high hemoglobin or cell-count values.   cyanotic  
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__________ puncture the arch of the foot.   Never  
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Never puncture the ______ bone.   Heel  
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Puncturing the heel bone of the foot may result in ________, an inflammatory disease of the bone.   osteomyelitis  
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Puncturing the ________ of the foot may cause damage to the nerves.   arch  
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__________ the skin until it turns pink will stimulate circulation.   Massage  
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A heat source applied to the heel serves the purpose of ___________.   increasing blood flow.  
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Heat causes ____________ and should be applied for at least ______ minutes.   vasodilation, 3  
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What is a lancet?   A device used to puncture the skin during capillary puncture.  
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_________ are designed to control the depth of the puncture so that no damage is done to the site.   Lancets  
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Patients may be less frightened by a ___________ device, because they cannot see the actual blade penetrate the skin.   spring-loaded  
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What is the order of draw for capillary puncture?   Slide for differential or stain, Blood gas or pH, Hematology, Chemistry  
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You should never take _________ into the nursery.   Collection Tray  
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A __________ should be used for children less than one year old.   Heel stick  
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Children who are beginning to walk should have a ______ done instead of a heel stick.   Finger stick  
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Children who are two years or older should have a ___________ to draw their blood.   Venipuncture  
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The appropriate capillary puncture site on a fingertip is the ____________.   Distal/lateral portion of the fingertip  
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The capillary puncture site of choice for an infant is the _________.   lateral area of the plantar surface of the heel.  
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Applying a heat source to the heel serves the purpose of ___________.   increasing blood flow.  
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The finger is not to be squeezed tightly when obtaining a blood sample because?   tissue fluid will contaminate the specimen  
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Children who are beginning to walk should have blood samples collected by?   Finger stick or venipuncture  
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