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Chapters 7-11
Phlebotomy Handbook test review plus extra credit
| Question | Answer |
|---|---|
| Which type of blood cell is responsible for defense and immunity? | White blood cells (WBC) |
| The liquid portion of a blood specimen (without an anticoagulant) is callled? | serum |
| Which type of bleeding is easiest to control? | Capillary |
| Which blood test includes WBC and RBC counts, hemoglobin, and hematocrit? | CBC (Complete Blood Count) |
| Which of the following anticoagulants is found in a white-topped blood collection vacuum tube? | EDTA |
| For capillary collection from newborns, a lancet of which of the following lengths should be used to avoid penetrating bone? | 1.75 mm |
| If a heparin tube is under-filled, which of the following analytes performed with blood from a heparin tube will have false values? | Troponin |
| What is the effect on a patient if a phlebotomist punctures a nerve with the phlebotomy needle? | The patient will feel a sharp radiating pain and the procedure should be discontinued |
| How long after a venipuncture procedure should pressure be applied to the puncture site? | Until the bleeding has stopped |
| A hospitalized patient may not be identified by which of the following means? | Patient’s chart |
| Identification procedures for a comatose patient may involve which of the following? | Positive identification by a family member |
| The most common site of venipuncture are in which of the following areas? | The antecubital area of the arm |
| Using a butterfly needle is beneficial for: | geriatric patients |
| How long should the tourniquet be placed around the patient’s arm? | No more than 1 minute |
| What is the best angle for needle insertion during venipuncture? | 30 degrees or less |
| Of the following specimens, which should be the first tube collected in the suggested order of draw using the evacuated tube system | Blood cultures (YELLOW) |
| Which of the following is a preferred sight for a capillary puncture? | Third finger |
| Controlling the location and depth of a puncture during a fingerstick prevents which of the following? | Osteomyelitis |
| Blood samples from skin punctures cannot be used for which tests? | Coagulation studies |
| If alcohol is used to decontaminate the capillary punctured site, which of the following is an essential step? | Allowing the site to air dry prior to the puncture |
| What is the best angle for using glass slide to make a blood smear? | 30 degrees |
| What is a peak and trough | therapeutic drug test; tests the effectiveness of drug on an individual to establish dosage. TDM (therapeutic drug monitoring) |
| CLIA | Clinical Laboratory Improvement Amendments |
| JCAHO | Joint Commission on Accreditation of Healthcare Organizations |
| ASCP | American Society of Clinical Pathology |
| ACA | American Certification Agency |
| NPA | National Phlebotomy Association |
| OSHA | Occupation Safety and Health Administration |
| EPA | Environmental Protection Agency |
| CDC | Center for Disease Control and Prevention |
| PPE | Personal protective equipment |
| QNS | Quantity not sufficent |
| NPO | Nothing by mouth |
| SDS | Safety Data Sheet |
| H & H | hemoglobin and hematocrit |
| C + S | Cultures and Sensitivity (urine test) |
| HIV | human immunodeficiency virus |
| QI | Quality Improvement |
| QC | Quality Control |
| QA | Quality Assurance |
| ABG | arterial blood gases |
| PT | Protime |
| Chain of Infection | 1. Pathogen 2. Reservoir 3. Portal of Exit 4. Mode of Transmission 5. Portal of Entry 6. Susceptible Host |
| Order of Blood Draw + Additives | 1. Yellow + SPS 2. Light blue + Sodium Citrate 3. Gold/Red speckled SST + Gel 4. Red 5. Green + Heparin 6. Lavender/Pink/White + EDTA 7. Grey + Sodium Fluoride & Potassium |