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Med 158 chapt.13&14
| Question | Answer |
|---|---|
| What is the artery of choice for ABG collection? | Radial |
| Which of the following abbreviations represent a test that is typically part of ABG evaluation? | PaO2 |
| Which artery is typically the easiest to access for arterial blood gasses with a patient with low cardiac output? | Femoral |
| Which of the following is the most common arterial puncture complication even when proper technique is used? | Arteriospasm |
| What happens to an ABG specimen left at room temperature for a prolonged period of time? | Blood cells continue to consume oxygen, Continued metabolism produces acids, Levels of carbon dioxide increses, All of the answers are correct |
| When performing the Modified Allen test for ABG, which artery is released first? | Ulnar |
| Which lab test is used to diagnose cystic fibrosis? | Sweat chloride |
| High Cholesterol | Tiger top tube with fasting |
| HCG (pregnancy) | Tiger top tube |
| DUI | Grey Top tube with " Chain of Custody" |
| R/O Infection | Lavender for CBC |
| Proof of who is the Father with DNA testing | Yellow top tube |
| Dehydration, checking electrolytes STAT | Light green tube (PST) |
| Bacteremia | Blood culture bottles |
| Person on blood thinners | Light blue tube |
| Gestational diabetes | Grey top tube for GTT |
| HIV | Tiger top tube |
| Person needs a blood transfusion | Red top tube |
| Child eating paint chips in house suspected of lead paint | Royal Blue top tube |
| Hematology Department | Lavender tube |
| Microbiology Department | Blood culture bottles, wound swabs, throat culture, C&S |
| Chemistry Department | Tiger top, gold top, Green top, grey top |
| Coagulation Department | Light blue top tube |
| Immunohematology department (Blood Bank) | Red top tube, Lavender, Tan Pink with EDTA |
| Reference Laboratory | Yellow top tube, Royal blue top |
| Histology | Tissue samples |
| Cytology | Pap Smear |
| Urinalysis | UA, Urine pregnancy |
| The most common needle size for routine radial ABG specimen collection is | 22 gauge |
| Heparin is used in ABG syringe collection device to | Prevent clotting of the specimen |
| A first morning specimen is preferred for HCG testing because it is | Usually more concentrated |
| Which of the following lab test requires blood to be drawn and a 24-hour urine specimen? | Creatinine clearance |
| Lavender top | EDTA |
| Light blue top | Sodium citrate |
| Light green top (PST) | Lithium heparin |
| Yellow top | ACD/SPS |
| Dark green top | Sodium heparin |
| Royal Blue top | EDTA |
| Gray top | Sodium Flouride |
| Tiger top | No additive |
| Pink Top | EDTA |
| Which of the following is the proper needle insertion angle for radial artery puncture? | 45o |
| Where would you check a pulse after an ABG puncture? | Distal to the puncture site |
| An NP culture swab is collected to detect the presence of organisms that cause | Whooping cough |
| This type of urine specimen is aspirated directly through the wall fo the bladder using a sterile needle and syringe | Suprapubic |
| Which fluid is obtained by lumbar puncture? | Cerebrospinal (CSF) |
| Which of the following patients would be considered to be in a "steady state" for ABG specimen collection? | A patient who has been asleep for 30 minutes while breathing room air. |
| When this test is performed on a patient, the patient usually receives either histamine or pentagastrin through an IV. | Gastric analysis |
| Which type of specimen must be protected from light when transported? | Amniotic fluid |
| Which fluid is aspirated from the peritoneal cavity? | Ascites |
| Collect the tube by itself | Royal Blue top tube |
| Collect half hour apart from a different location using strict antisepsis? | Blood culture tubes |
| Rock the tube after collection | Lavender top |
| What is the recommended procedure for collecting a 24-hour urine specimen? | Void the first morning specimen, start the timing, and collect all of the following specimens including the next morning's specimen up to 24 hours. |
| A proper cleaning solution for preparing an arterial puncture site is | Povidone-iodine |
| Lavender tube | CBC |
| Tiger Top | BMP |
| Yellow Top | DNA Testing |
| Light Blue Top | PT/PTT |
| Royal Blue Top | Lead |
| Red Top | Type and Crossmatch |
| Light Green tube | STAT electrolytes |
| Gray top | GTT |
| Blood Culture bottle | Detecting yeasts |
| Which of the following is the best way to tell if a specimen is arterial? A the specimen is collected, the blood should | Pump into the syringe |
| A doctor typically will order a urine C&S to detect or confirm? | Presence of urinary tract infection (UTI) |
| To maintain the integrity of an ABG specimen collected in a plastic syringe, it should be | Analyzed within 30 minutes of collection |
| Non-blood specimens should be labeled with the same identifying information as blood specimens. What should be included in addition on non-blood labels? | Specimen type and source |
| A refrigerated stool sample would not be suitable for the following lab test? | Ova and Parasites (O&P) |
| Sputum samples are typically collected to diagnose | Tuberculosis |
| Drugs of abuse can be detected in | Hair , Saliva , Urine , All of the above |