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Venipuncture procedures

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show thumb is 1 to 2 in. below the intended site and is pulling the skin toward the wrist  
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show collecting a specimen before the requested time  
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show no reprimand if no one was hurt  
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Needle phobia is defined as a/an   show
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show arrhythmia, fainting, light headedness  
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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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Proper use of hand sanitizer includes   show
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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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show draw it at the best time for accurate results  
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show blood cultures, cardiac enzymens, and cortisol  
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show eliminate the effect of diet on test results  
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show enable the site to quickly stop bleeding after needle removal  
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show acession number  
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Failure of the patient to follow required diet restrictions before specimen collection could lead to   show
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show patient's physician  
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Test requisition information must include the   show
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show manual  
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Information represented by a patient ID bar code typically includes the patient's   show
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show manual  
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show collection priority, date and time, and patient location  
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show accessioning the specimen  
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show second  
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A test that is ordered stat should be collected   show
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Which of the following tests is commonly ordered stat   show
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If a test is ordered stat, it may mean that the patient is in   show
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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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Tests are classified as routine if they are ordered   show
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show med emerg  
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show cannot have any food or drinki  
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An example of a test that is commonly ordered fasting is   show
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show plain water  
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show H&H hemoglobin and hematcrit  
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show knock lightly, open the door slowly, and ask whether it is all right to enter  
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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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show do not resuscitate  
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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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Your inpatient is asleep when you arrive tdo draw blood. What do you do   show
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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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show fill out a delay slip stating you were unable to collect the specimen  
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show ask him for his name and date of birth and match it to the requisition  
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show medical record number  
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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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Which one of the following types of patients is least likely to need his or her identiy confimed by the patient's nurse or a relative   show
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The lab recept. checks in the pt/hands u the request. The request is for a pt Mary Smith. You call the name, and a woman who was just checked in responds. She is also the only patient in the waiting room. How do you verify that she is the correct patient   show
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A cheerful, pleasant bedside manner and exchange of small talk are unlikely to   show
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Your patient is cranky and rude to you. What do you do   show
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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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If you assemble equipment after selecting and cleaning the blood collection site, you will   show
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show before and after each patient  
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Which of the following is the best thing to do if your hands are visibly contaminated   show
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show explain what you are going to do to the child in simple terms  
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show might hurt just a little, but only for a short time  
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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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Which of the following acts can lead to liability issues   show
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Never leave a tourniquet on for more than   show
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show about 3 to 4 in. above the venipuncture site  
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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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It is acceptable to use an ankle vein if   show
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Which of the following will help you avoid inadvertently puncturing an artery during venipuncture   show
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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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show It gives the phlebotomist time to prepare equipment and supplies  
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What happens if hyou advance the tube past the guideline on the holder before needle insertion   show
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Visual inspection of the needle tip before inserting it in a patient vein would be unable to detect   show
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Which of the following steps are in the right order for the venipuncture procedue   show
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show stop and obtain a new needle before tryingt again  
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What is the best angle to use for needle insertion during routine venipuncture   show
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show bevel facing up  
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show you will feel a slight "give"  
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When is the best time to release the tournique during venipuncture   show
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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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It is important to mix anticoagulant tubes immediately after filling them to   show
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You are in the middle of drawing blood specimen using the evacuated tube method when yo realize that you just filled an EDTA tube and still have a green top tube to collect. what do you do   show
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How many times do yo mix nonaddditive tubes   show
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show hemolysis  
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show blood will not contaminate your gloved hand  
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show may pull the platelet plug away from the puncture site upon removal  
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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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Proper needle desposal involves   show
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Labeling of routine inpatient blood specimen should take place   show
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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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show do not drink or eat for 2 hours after collection  
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show Cholesterol  
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show you did not have the right equipment on your tray  
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You have just made two unsuccessful attempts to collect a fasting blood specimen from an outpatient. The patient rotates his arm, and you note a large vein that you have not sen before. How do you proceed   show
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show proximal to the wirst bone  
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show winged infusion set  
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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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Speciman hemolysis can result from   show
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How can you tell that you are in a vein when you are using a syringe   show
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Success of pediatric blood collection is most dependent on   show
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Doing this before obtaining a blood specimen from a child is a bad idea   show
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show flexible tubing allows for arm movement  
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In transferring blood from a syringe to evacusted tubes, which is the proper technique   show
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show allowing the child to sit with one arm bracing the other  
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show explaining the importance of holding still  
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Criteria used to decide which needle gauge to usse for venipuncture include   show
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show as soon as it is removed rom the tube holder  
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Tremors associated with this disease can make blood collection difficuit   show
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show the left forearm or hand, using a butterfly  
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Which of the following is proper procedure when dealing with an elderly adult patient   show
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show end stages of renal disease  
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A type of care for patients who are terminally ill is   show
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Created by: mmfleischer