Venipuncture procedures
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| When properly anchoring a vein, the | show 🗑
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| Which of the following actions is unlikely to help a phleb. gain a patient's trust | show 🗑
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| It is unlikely that misidentifying a patient specimen would result in | show 🗑
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| show | intense fear of needles and being stuck
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| Symptoms of needle phobia can include | show 🗑
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| A basic step that can be taken to minimize any trauma associaated with a venipuncture is to | show 🗑
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| show | allowing the alcohol to evapoate completely, rubbing it in between and around the fingers, using a very generous amount of the sanitizer
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| show | palpate
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| In most cases, needle insertion should be performed | show 🗑
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| To seat the needle in the vein means to | show 🗑
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| show | fasting
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| The reason a test is ordered timed is to | show 🗑
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| Examples of timed test include | show 🗑
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| A test is ordered fasting to | show 🗑
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| Bending the arm up to apply pressure to the site after venipuncture has not been shown to | show 🗑
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| The unique number asigned to a specimen request is called the | show 🗑
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| Failure of the patient to follow required diet restrictions before specimen collection could lead to | show 🗑
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| Which of the following individuals has legal authority to authorize patient testing | show 🗑
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| Test requisition information must include the | show 🗑
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| show | manual
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| show | medical record number and name
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| Outpatient requisitons are typically of this type | show 🗑
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| When recived by the laboratory, inpatient requisition are typically sorted according to | show 🗑
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| show | accessioning the specimen
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| show | second
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| show | immedicately, without any hesitation
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| Which of the following tests is commonly ordered stat | show 🗑
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| show | critical condition
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| When a test is ordered ASAP, it means that | show 🗑
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| A preop patient | show 🗑
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| show | in the course of establishing a diagnosis
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| This term means the same as stat | show 🗑
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| A patient who is NPO | show 🗑
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| An example of a test that is commonly ordered fasting is | show 🗑
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| Which liquid is acceptable to drink when one is fasting | show 🗑
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| show | H&H hemoglobin and hematcrit
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| You arrive to draw a specimen on an inpatient. The patient's door is closed. What do you do | show 🗑
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| There is a sign above the patient's beed that reads, No blood pressure or venipuncture, right arm. The patient has an intravenous line in the left forearm. You have a request to collect a complete blood count CBC on the patient. How should you proceed | show 🗑
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| show | convey important information without alarming the public, transmit messages over the facility's public address system, use numbers or words to represent important information
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| DNR means | show 🗑
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| You greet the patient in the following manner, Hello, my name is Jean and I am here to collect a blood specimen. if that is all right with you. The patient responds by saying , OK but I would rather not. How do you proceed | show 🗑
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| Which one of the following tests is used to idenify protein disorders that lead to nerve damage | show 🗑
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| show | call out the patient's name softly and shake the bed gently
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| show | while preparing to collect a specimen, startles a patient who is asleep
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| In collecting a blood specimen from an unconscious patient, it is unnecessary to | show 🗑
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| What do you do if a physician is with the patient and the specimen is ordered stat | show 🗑
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| what is the best thing to do if family or visitors are with a patient | show 🗑
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| Your patien is not in the room when you arrive to collect a timed specimen. The patient's nurse states that the patient will be unavailable for several hours. What should you do | show 🗑
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| show | ask him for his name and date of birth and match it to the requisition
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| Which requisistion information must match information on the patient's ID band | show 🗑
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| The medical record number on the ID band mataches the number on your requisition, but the patient's name is spelled differently than the one on your requisition. What should you do | show 🗑
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| An unconscious inpatient does not have an ID band. The name on an envelope on the patient's nightstand matches with the requiestion. what should you do | show 🗑
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| show | use a three part identification band with special tube labels
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| Which type of inpatient is most likely to have more than on ID band | show 🗑
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| show | misidentify the patient's specimen
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| Your patient is not wearing an ID band. You see that the ID band is taped to the nightstand. The information matches your requisition. What do you do | show 🗑
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| show | a geriatric patient
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| show | ask the woman to state her complete name and date of birth to confim her identify
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| A cheerful, pleasant bedside manner and exchange of small talk are unlikely to | show 🗑
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| show | Be as professional as you can and collect the specimen in a normal way
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| Which of the following is part of infomed consent for specimen collection | show 🗑
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| The patient asks if the test you are about to draw is for diabetes. How do you answer | show 🗑
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| show | notify the patient's nurse and document the patient's refusal
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| show | check with the patient's nurse to see if the specimen should be collected or the draw rescheduled
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| show | be more apt to allow sufficient time for the alcohol to dry, have a better idea of what equipment you will need to use, waste less equipment by knowing exactly what is needed
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| show | before and after each patient
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| show | wash them with soap and water
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| You must collect a specimen on a 6 year old. The child is a little fearful. What do you do | show 🗑
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| If the patient asks whether the procedure will hurt, you should say it | show 🗑
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| What is the proper arm position for routine venipuncture | show 🗑
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| show | asked to lie down, or sit in a reclining drawing chair
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| show | lowering a bed rail to make access to the patient's arm easier
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| show | 1 minute
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| Where is the best place to apply the tourniquet | show 🗑
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| show | arterial flow below it may be stopped, blood below it many hemoconcentrate, the pressure can cause the arm to ache
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| Which of the following actions is prohibited during the vein slection process | show 🗑
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| In selecting a venipuncture site, how can you tell a vein from an artery | show 🗑
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| What does a sclerosed vein feel like | show 🗑
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| show | the physician gives permission
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| show | avoid drawing the basilic vein in the antecubital area, do not select a site that is near where you feel a pulse, do not select a vein that overlies or is close to an artery
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| show | apply a tourniquet on the right arm over a towel and do the draw
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| show | look for visual clues on the skin to remind you where the vein is
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| Release the touniquet as soon as blood flow is established to | show 🗑
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| What is the CLSI recommended way to clean a venipuncture site | show 🗑
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| Which of the following is the least important reason to wait 30 seconds for the alcohol to dry before the needle insertion | show 🗑
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| show | the ETS tube will fail to fill with blood because of loss of tube vacuum
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| show | that the needle is out of date
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| Which of the following steps are in the right order for the venipuncture procedue | show 🗑
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| You are about to draw blood from a patient. you touch the needle to the skin but change your mind and pull the needle away. what do yo do next | show 🗑
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| What is the best angle to use for needle insertion during routine venipuncture | show 🗑
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| In performing venipuncture, the needle is inserted | show 🗑
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| How can you tell when the needle is in the vein as you insert it into the patient's arm | show 🗑
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| show | as soon as blood begins to flow into the tube
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| Which of the following analytes is least affected by prolonged tourniquet application | show 🗑
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| Which of the following would be considered improper specimen collection technique | show 🗑
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| show | there is a proper ratio of blood to anticoagulant additive
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| show | avoid microclot formation
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| show | draw several milliliters into a discard tube then fill the green one
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| How many times do yo mix nonaddditive tubes | show 🗑
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| What may happne if you mix tubes too vigorously | show 🗑
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| Use several layers of gauze during needle removal so that | show 🗑
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| It is better to use gauze and not cotton balls for pressure over the site because cotton balls | show 🗑
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| show | immedicatley after the needle is withdrawn
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| Which of these steps are in the right venipuncture procedure order | show 🗑
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| show | disposing of the needle and tube holder in the sharps container as one unit
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| show | at the bedside immediately after collection
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| Which of the following information on a specimen label would be considered optional | show 🗑
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| The patient's idenification number is included on specimen tube labels to | show 🗑
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| The following precautionary information was given to an outpatient after venipuncture. No other tests were scheduled. Which information was unnecessary | show 🗑
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| show | Cholesterol
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| Which of the following is not a valid reason for failure to obtain a blood specimen | show 🗑
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| show | ask another phlebotomist to collect the fasting specimen
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| Where is the tourniquet applied when drawing hand vein | show 🗑
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| A patient has difficult vein and you decide to use a butterfly for the draw. Butterfly is another name for a | show 🗑
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| What is the advantaage of using a butterfly | show 🗑
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| Although the evacuated tube system ETS is the preferred method of blood collection, it may be necessary to use a syringe when | show 🗑
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| show | using a large volume tube with a 23 gauge needle
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| show | a flash of blood will appear in the hub of the needle
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| show | patient immobilization
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| show | telling the child it will not hurt
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| A butterfly and 23 gauge need is the best choice to use for venipuncture on a young child because | show 🗑
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| show | use a specially designed engineering device called a syringe transfer device
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| Which of the following is the least efective way to immobilize a pediatric patient before a blood draw | show 🗑
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| In drawing blood from an older child, the most important consideration is | show 🗑
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| show | the size and condition of the vein
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| show | as soon as it is removed rom the tube holder
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| show | parkinson's
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| show | the left forearm or hand, using a butterfly
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| show | refrain from drawing older adult patients if you have a cold, or else wear a mask
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| The most common reason a patient must undergo dialysis treatment is | show 🗑
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| show | hospice care
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