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Phlebo Procedures-06
Hwk Packets #6
| Question | Answer |
|---|---|
| A phlebotomist can interrupt a physician-patient visit if the collection is ____________________. | STAT - A timed specimen |
| When encountering a patient who is sleeping, the phlebotomist should ____________________ before collecting the specimen. | Gently awaken the patient |
| Specimens that exhibit ____________________ must be collected at specific times. | Diurnal Variation |
| _______________ is frequently monitored on patents taking diuretics. | Potassium |
| A patient has the right to refuse to have his/her blood drawn. What should the phlebotomist do in this case? | Report the situation to the nursing station |
| The best way to prevent fainting in a patient during blood collection is to have the patient _______________ during the phlebotomy. | Lie down |
| _______________ is the time patients are most likely to be in a basal state. | 6 A.M. |
| A specimen collected from a patient who has recently eaten may appear _______________. | Lipemic |
| What should a phlebotomist do when encountering a comatose patient with no ID band? | Ask the nurse to band the patient |
| A phlebotomist with a request for a STAT glucose does not find the patient in the room. What should the phlebotomist do? | Check for the patients location with the nursing station |
| _______________ may develop in a patient who appears pale and has cold, damp skin. | Syncope |
| When a phlebotomist enters a room to draw blood, the patient states the blood was just collected 20 minutes ago. The phlebotomist should check the order with the _______________ before drawing. | Nursing station |
| Prior to collecting blood from _______________ veins, physician approval is required. | Leg |
| The phlebotomist should _______________ when encountering a patient with a fistula. | Use the other arm |
| The surgical fusion of a vein and artery frequently seen in dialysis patients is called a _______________. | Fistula |
| _______________ is the word meaning an abnormal accumulation of fluid in the tissues. | Edema |
| The phlebotomist should _______________ if a suitable vein is not located in the left arm. | Check the right arm |
| Incorrect collection of blood from a patient who has had a mastectomy can result in the patient developing lymphedema, lymphostasis, or ________________. | Infection |
| Fistulas are seen in patients who are _______________. | Receiving dialysis |
| Collection of specimens from _______________ is not recommended in diabetic patients, cardiac patients, or patients with coagulation disorders. | Leg veins |
| When collecting blood from a patient with a very edematous right arm and a large hematoma in the antecubital area of the left arm, the phlebotomist should collect the specimen from _______________. | Below the hematoma |
| An ________________ could result by collecting blood from an area containing a tattoo. | Infection |
| Failure to _______________ may result from attempting to draw blood from a vein that is occluded. | Obtain sufficient blood |
| When collecting blood from a patient with an IV, the phlebotomist should not draw from _______________. | Above the IV |
| A phlebotomist may be required to obtain information from a second wrist band when collecting specimens for _______________. | Blood bank |
| The _______________ and _______________ should be removed immediately if a patient begins to faint during the venipuncture. | Tourniquet and Needle |
| When using a blood pressure cuff as a tourniquet, the cuff is inflated below the _______________ and above the patient's _______________ pressure. | Systolic BP/Diastolic |
| The maximum number of attepmts that a phlebotomist should make to collect a specimen is _______________. | Two |
| A patient's ID band may contain special stickers to be applied to specimens intended for the _______________. | Blood bank |
| If a patient requests a drink of water, the phlebotomist should: | Report the request to the nursing station |
| A patient who presents with petechiae prior to tourniquet application may require _______________. | Additional pressure following needle removal |
| Specimens would not be rejected by the laboratory for clots in a _______________ top tube. | Red |
| A _______________ vein may be caused by using a 20-gauge needle and a 10mL tube on a small vein. | Collapsed |
| While performing a venipuncture, the phlebotomist notices bright red blood spurting into the tube. The phelbotomist should apply pressure for _______________ after withdrawing the needle. | 10 minutes |
| A patient is taking coumadin. This will _______________ the time it takes to stop the bleeding from a venipuncture site. | Prolong |
| To transfer blood from a syringe to an evacuated tube, the phlebotomist should not _______________ while puncturing the rubber stopper. | Hold the tube in their hand |
| The plunger should be pulled back _______________ when using a syringe. | Slowly |
| A _______________ may be caused by allowing blood to leak from a vein into the surrounding tissue during venipuncture. Improper needle removal is a frequent cause of this. | Hematoma |
| Failure to remove the tourniquet before removing the needle may produce a _______________. | Hematoma |
| A tourniquet is placed on the patient's arm, the vein is located, and the needle is inserted into the arm. No blood flows into the tube, but a dark bulge begins to appear at the puncture site. This describes a _______________. | Hematoma |
| Older patients are more prone to hematoma formation because their veins have decreased _______________. | Elasticity |
| _______________ can be caused by using a small-gauge needle with a large evacuated tube. | Hemolysis |
| Increased _______________ values may be caused by forcing blood from a syringe into an evacuated tube. | Potassium |
| Serum or plasma appearing red suggests that _______________ values will be falsely elevated. | Potassium |
| Gentle inversion of tubes containing blood will reduce the possibility of causing the specimen to be _______________. | Hemolyzed/Clotted |
| HEPARIN LOCK | A device inserted into a vein for the administering of medication and collecting blood. |
| PREANALYTICAL VARIABLE | Processes that occur before the collection of a sample of blood. |
| BASAL STATE | Metabolic condition after 12 hours of fasting and lack of exercise. |
| CENTRAL VENOUS ACCESS DEVICE | A catheter that is inserted into the superior vena cava; usually to draw blood. |
| SYNCOPE | Fainting |
| FISTULA | A permanent surgical connection between an artery and a vein; used for dialysis. |
| OCCLUDED | Obstructed |