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phlebeotomy final
| Question | Answer |
|---|---|
| which test evaluates a patient's insulin response to a measured dose | glucose tolerance test |
| the most common antiseptic for routine blood collection | 70% isopropyl alcohol |
| peak and trough levels are drawn for | therapeutic drug monitoring |
| not true regarding blood cultures | they need to be cooled after being drawn to slow down the metabolism of the bacteria |
| list 3 criteria for specimen rejection | mislabeled mixing tubes not full enough |
| what test is light sensitive | bilirubin |
| what blood samples must be kept at 37 degree centigrade | cold agglutinin |
| sample that must be delivered to the laboratory on ice is | ammonia |
| peak drug levels | are collected when the highest levels of the drug is anticipated |
| test used to assess platelet function is | bleeding time |
| test for respiratory system | ABG |
| test results are affected most if the patient is not fasting | triglycerides and blucose |
| blood specimen should be chilled during a 45 minute transport | blood gases |
| after blood collection, when should plasma be centrifuged | 30 minutes |
| what is good cholesterol | HDL |
| diabetes mellitus is caused by the inability of the pancreas to make or use what substance | insulin |
| what can be used in children and infants to diagnose whooping cough | nasopharyngeal swab |
| what type of urine specimen is needed to detect and infection | clean-catch |
| what is the specimen of choice for drug abuse testing | urine |
| type of specimens is most frequently collected for analysis | urine |
| O&P analysis is requested on which type of specimen | fecal matter |
| ketosis is frequently detected in what condition | liver disease |
| what is used to detect cystic fibrosis | sweat chloride stest |
| throat cultures are most commonly obtained to determine the presence of | streptococcus pyogenes |
| pregnancy can be determined by the detection of what hormone | HCG |
| what test is used to monitor heparin therapy | PTT |
| the most critical aspect of blood culture collection is | skin antisepsis |
| what test may require special chain of custody documentation when collected | drug screen |
| which of the following is a patient right | to refused treatment |
| list the 4 areas that must be proven for lawsuit to be successful | duty owned, duty breached, direct cause, resulting damages |
| an outpatient faints while a blood specimen is being collected. what do u do? | remove needle from the PT arm and lower the PAT head and arms |
| the most important step in specimen collection | identifying the patient |
| if and adult patient refuses to have blood drawn you should first | gently try and talk them in to it |
| the singular form of alveoli is | alveolus |
| the medical term for white blood cell | leukocyte |
| term for kidney inflammation is | nephritis |
| ESR means | erythrocyte sedimentation rate |
| term for muscle pain | myalgia |
| hardening of the artery is | arteriosclerosis |
| polycythemia means | many-cell blood condition |
| the JCAHO do not use list applies to all of the following except | electronic laboratory reports |
| uti | urinary track infection |
| nervous system disorder | multiple sclerosis |
| function of th3e urinary system | maintain electrolyte balance |
| test of the urinary system | creatinine clearance |
| tissue types covers and lines organs vessels and cavities | epithelial |
| a dangerous condition in which a patients Ph decreases | acidosis |
| the brain is encased in the ________ body cavity | dorsal |
| a hormone specific to the hear which is released when there is too much pressure or fluid is known as | BNP |
| structure in the skin give rise to fingerprints | papillae |
| type of muscle is under voluntary control | skeletal |
| the liquid part of a clotted blood specimen is called | serum |
| the liquid part of an unclotted blood specimen is called | plasma |
| if the tube in which blood is drawn contains an anticoagulant, the liquid part of the resulting blood specimen will be | plasma |
| if th4e tube in which blood is drawn contains no anticoagulant, the liquid part of the resulting blood specimen will be | serum |
| the difference between plasma and serum is | serum uses up the fibrinagen plasma hasn't used any fibrinagen |
| considering all patients to be potentially infectious for hepatitis or HIV is the concept of | universal precaution |
| class c fire | involves electrical equipment |
| 3 components of fire referred to as the fire triangle are | fuel oxygen heat |
| if you accidentally plash hydrochloric acid in your eye what should you do first | flush you eye with water for minimum of 15minute |
| what is the best means of preventing nosocomial infections | proper hand washing |
| the degree to which an organism is capable of causing disease is called | virulence |
| what instance might a patient be placed in protective isolation | th4e patients has severe burns |
| blue quadrant of NFPA diamond shaped symbol of hazardous material indicates | health hazard |
| when the chain of infection is broken | infection is prevented |
| reverse or protective isolation is used | to keep health care workers and others from transmitting infection to patients |
| example of a nosocomial infection | when a catheter site of a patients in ICU becomes infected |
| the federal agency that publishes regulations or laws that protect employees and supersedes other regulatory agencies | OSHA |
| the first action to be taken when a fire is discovered is to | rescue possible victum |
| 3 types of fire extinguisher and identify the types of fire they are used to extinguish | A consumable ordinary material k kitchen fire C electrical |
| 3 main parenteral routes of transmission of blood borne pathogens in the health care setting | needle stick, broken skin, Mucous membrane |
| hand washing as decried in class results in the sterilization of your hands | true |
| transmission of disease by a mosquito is known as | vector transmission |
| what substance is used to clean of the desk in the lab | 9:1 water/ bleach |
| systole refers to | heart contraction |
| diastole | heart relaxation |
| how many times does the average heart beat each minute | 60-80 |
| th3e middle layer of heart muscle is called | myocardium |
| what location of the body does oxygen and carbon dioxides gas exchanges take place | alveoli of the lungs |
| leukocytes | white blood cells |
| erythrocytes what is it and what does it do | RBC defense against infection |
| thrombocytes what is it and what it do | platelets blood clotting |
| upper chamber of the heart are known as | right left atrium |
| large atery or arteries carry blood to the body from th4e left side of the heart | aorta |
| veins transport blood returning the right side of the heart from the body | vena cavea |
| what is the most common blood type | o |
| which arteries supply blood to the head and neck | carotid |
| major artery in the antecubital area | brachial |
| what vein is the most commonly used for venipuncture | median cubital |
| sensitive tissue in the right atrium wall that begins the heart beat | sinoatrial node |
| the medical term for a heart attack | myocardium infraction |
| an extra heart sound heard between normal beats is known as | murmur |
| aneurysm is | ballooning our of a blood vessel |
| passage of a long flexible tube in to the heart chamber through a vein | cardiac catherization |
| the proper direction of blood flow in the circulatory system | arterioles capillaries venules |
| what happens if the phlebotomist ties the tourniquet too tight | arterial flow may stopped hemoconcentration it hurts the patient |
| the serum or plasma of a hemolyzed specimen would appear | pink or red |
| the most common antiseptic for routine blood collection | 70% isopropyl alcohol |
| the best angle to use for needle insertion | 15-30 degree |
| what is the purpose of an antiglycolytic agent | preserve glucose |
| what may happen if they bent here arm up at the elbow to apply pressure after the venipuncture | bleeding may occur when the are is lowered bruising platelets may pull a way |
| your are in the process of collection a specimen. the needle is inser4ed but the blood is fulling the tube very sloly. you see a hematoma forming very rapidly. what has happened | needle is only partly in the vein |
| A ABC in run on | whole blood |
| the veins in the arm | median cubital cephalic basillic |
| another name for blood bank is | innumohematology |
| what hospital department would the laboratory coordinate therapeutic drug monitoring | pharmacy |
| electrolyte testing includes | SODIUM POTASSIUM |
| which department is responsible for administering oxygen therapy | respiratory therapy |
| phlebotomy means | incise a vein |
| if a patient has IVs in both arms where do you draw | below the IV |
| it is not a good idea to collect a CBC specimen from screaming infant because | WBC may be falsely elevated |
| prolonged tourniquet application may caused a change in blood composition primarily because | hemoconcentration |
| why do pregnant patients have lower reference ranges for RBC count | blood fluid increase in pregnancy, having a diluting effect on RBC |
| what test is more often a times test | therapeutic drug monitoring |
| what instance may leas you to suspect that you have accidentally punctured an artery | the blood pulses into th4e tube |
| if blood is drawn too quickly from a small vein the vein will have a tendency to | collapse |
| FISTULA IS | permanent fusion of an artery and vein |
| when a test requires a fasting specimen but the serum is___ it is a clue that the patient was not fasting | lipemic |
| tests influenced by diurnal variation are often ordered as___tests, and it is important to collect them as close as possible to the time ordered | timed |
| BLOOD SMEAR MADE FROM EDTA SPECIMEN SHOULD BE MAD | WITH IN THE HR |
| what is the recommended maximum depth of heel puncture | 2.0mm |
| why are EDTA specimens obtained before other specimens when collected by skin puncture | to minimize effects of platelets clumping |
| why should a laboratory report from indicate the fact that a specimen has been collected by skin puncture | because test results may bary depending on the method of collection |
| what is the safest area for infant heel puncture | lateral planter surface |
| the purpose of wiping away the first drop of blood during skin puncture is | to eliminate tissue fluid contamination |
| skin puncture blood most closely resembles | arterial blood |
| Calcaneus means | heel bone |
| skin puncture blood reference values (normals) are higher for | glucose |
| what is PKU | a hereditary inability to metabolize phenylalanine |
| it is necessary to control depth of lancet insertion during skin puncture to avoid | bone injury |
| what is the purpose of warming the site before skin puncture | it increases blood flow up to seven times |
| blood test that cannot be performed by skin puncture is | erythrocyte sedimentation rate |
| when the are of the swollen with excess fluid, this condition is called | edema |
| chain of infection | infectious agent, reservoir, exit pathway, means of transmission, entry pathway, susceptible host |
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