Venipuncture procedures
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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