Phlebotomy Practice
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| show | The technician should remove and dispose of the gown BEFORE leaving the room.
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| A phlebotomy technician is preparing to glucose monitor quality control record. Which of the following information should the technician include in the quality control record? | show 🗑
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| show | Chlorehexdine gluconate
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| show | Class C. Class C involves electrical fires from appliances, wiring and electronics.
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| show | MP should use two fingers to compress and deliver 30 rapid compressions at a rate of 100-120 compressions per minute. (1.5 inches deep) followed by two rescue breaths.
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| show | Gloves. They are the most contaminated piece of equipment. Remove the most contaminated pieces first.
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| show | Too much blood was used. Too much blood can cause high glucose levels readings.
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| A technician experiences a needlestick injury while performing a draw. They are at greater risk of which blood borne pathogen? | show 🗑
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| show | Scrub the site with isopropyl alcohol for 30 secs. using a back and forth method/
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| show | Face Mask.
Wear a PPE for droplet precaution, such as pneumonia.
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| When testing a pt for STREP. A CPT should implement which of the following types of transmission-based precaution? | show 🗑
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| A technician is educating a pt about a 24-hr urine collection. Which of the following instructions should the technician give to the pt? | show 🗑
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| A CPT is preparing to collect specimens to determine a pt's peak and trough levels of a medication. Which of the following actions should the technician take? | show 🗑
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| show | PT/INR.
Take a drug such as warfarin can effect PT/INR levels.
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| show | First-morning.
This is because the first morning void is the most concentrated. This is good for detecting hCG
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| show | Fully extended in a downward position.
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| Within what amount of time should a CPT collect a newborn blood-spot test screening card? | show 🗑
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| A phlebotomy technician should invert anticoagulant tubes to prevent the following complication? | show 🗑
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| What is a potential consequence of a phlebotomy technician mislabeling a blood bank specimen? | show 🗑
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| What is an additive used to prevent the breakdown of glucose? | show 🗑
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| show | After every third use of hand sanitizer.
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| show | Push the first collection tube gently into the holder.
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| What tubes are the correct draw order? | show 🗑
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| show | Paternity testing
Blood alcohol
Medilegal matters
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| show | Daily
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| A tourniquet should be left on a PT's arm for how long? | show 🗑
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| show | CLIA
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| show | Have the pt dangle their arm for 1 to 2 mins.
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| A CPT is assembling the equipment they will need for collecting donor units of blood. What needle size should the tech collect? | show 🗑
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| To prevent hospital-acquired infections, a technician should clean items that have been contaminated with what? | show 🗑
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| A CPT should transport a semen sample at what temperture? | show 🗑
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| A tech is using a syringe method to collect a blood culture set, a PTT and a CBC test. What is the proper draw order? | show 🗑
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| show | Prepare a slide from a lavender top tube and centrifuge a red top tube and a grey top tube.
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| show | Collect one set from the pt's left arm and one set from a different site on the same arm. This will provide the most accurate result.
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| show | Chemistry.
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| A CPT is preparing to perform a venipuncture for a pt who has pneumonia. Besides gloves, what PPE should the tech use? | show 🗑
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| A CPT is preparing to collect blood from a pt who has experienced syncope during previous draws. What action should the tech take? | show 🗑
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| A CPT is preforming a venipuncture for on a pt who has an IV in both arms. What action should the tech take? | show 🗑
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| A CPT is informing a pt about the procedure for collecting blood cultures. What information should the tech include? | show 🗑
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| show | Apply pressure to the site for 5 mins or until the bleeding stops.
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| A technician is using povidon-iodine during a capillary specimen collection. What is the outcome of this? | show 🗑
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| A tech is performing a venipuncture for a lipid profile, WBC and a clotting time test. Which tube should the tech use? | show 🗑
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| A pt sits down for a venipuncture in an outpt setting. They roll up their sleeve and extends their arm. The pt turns their head away and says, "I don't want my blood drawn." What is a good response for this statement? | show 🗑
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| show | High potassium levels. Leaving the tourniquet on for longer than 1 min causes hemolysis.
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| A CPT is performing a hand venipuncture on a pt who has small veins that are difficult to access. What equipment should the tech use? | show 🗑
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| A tech is using performing a venipuncture on a pt. When the tech inserts the needle, the vein collapses. What caused this to occur? | show 🗑
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| What action should the CPT take when locating a vein using the warming technique? | show 🗑
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| A CPT is collecting a peripheral blood smear from a pt. The tech should identify that this collection technique is used for what test. | show 🗑
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| show | The median cubital could be more accessible in one arm than the other.
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| show | "I will collect the specimen in a sterile container and return it to the lab within 1 hr."
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| A CPT is collecting a blood specimen from a pt. What is a good technique to anchor the vein before insert the needle? | show 🗑
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| show | Blue.
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| show | Within 15 mins before the next scheduled dose. The trough level is the lowest concentration of medicine in the pt's blood.
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| show | Place the specimen in a lockable container to avoid spills during transport.
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| show | Inform the pt to contact the ordering provider to obtain the results.
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| show | Lavender top. This is because it minimizes platelet clumping and microclot formation.
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| What is the best method for a tech to collect a blood specimen from an older adult pt who has fragile, easy to collapse veins? | show 🗑
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| A tech is preparing to draw a peak level for a medication that was administered orally to a pt. After verifying when the pt received the medication, how long should the tech wait prior to collecting the draw? | show 🗑
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| A tech has a requisition form to perform a chromosome analysis for a pt. The tech should use what tube that contains what additive? | show 🗑
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| show | Green. Green tubes contain heparin, which aids in determining sodium levels.
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| show | Vitamin B6. B6 and Bilirubin is photosensitive.
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| show | Use a new collection bag to draw a new unit of blood. This is because collection bags have a specific amount of the additive citrate phosphate dextrose to prevent coagulation.
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| A tech is obtaining a blood culture specimen from an adult pt. What action should the tech take? | show 🗑
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| A tech has a requisition form for a series of tests on a pt's serum. The tech should use what tube that contains what additive? | show 🗑
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| According to standard precautions, a tech should take which of the following actions when shipping specimens to a reference lab in hot weather? | show 🗑
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| A tech is reviewing a lab test requisition form before obtaining blood specimens for a pt. What action should the tech take prior to the venipuncture? | show 🗑
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| show | Implied consent. Implied consent is given even when the pt is unconscious.
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| show | 300 mg/dL. This is higher the cholesterol reference range which is 140 mg/dL to 200 mg/dL
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| When should a tech perform external lipid controls for quality control on a CLIA-waived glucose POC test? | show 🗑
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| A tech is using a glucose monitor for POC testing of a pt who has been fasting for 12 hrs. What result should the tech notify to the provider? | show 🗑
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| A tech is reviewing a lab requisition before obtaining a blood specimen from a pt. The tech should verify that the tech includes what? | show 🗑
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| What action should the tech take after collecting an ammonia specimen? | show 🗑
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| show | An increased rate of coagulation. Thromboplastin is released when the skin is punctured causing blood to clot more quickly.
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| show | Communicate name and department affiliation to the pt.
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| Prior to transport, what specimen should a tech place in an ice bath within 30 mins of collection? | show 🗑
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| show | Touch the slide to the second drop of blood.
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| show | Dorsal (hand) veins.
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| show | Make sure the container has at least 45 mL of urine
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| show | Position the needle at a 30 degree angle in the same direction of the vein with the bevel up.
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| show | Introduce self to the pt and the health team members.
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| How many inversions does a lavender tube need | show 🗑
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| A tech is collecting blood specimen for a blood assay. What tube should the tech fill first? | show 🗑
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| show | Wake the pt to perform the draw. This is verify the pt's identity and obtain consent.
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| A tech is collecting a urine specimen for a pre-employment drug screening. What finding should indicate that possible tampering has occured? | show 🗑
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| show | Using an incorrect needle gauge. If the tech uses a large gauge needle to draw from a vein with a small lumen, it can result in a hemolyzed specimen.
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| show | Make sure the pt fasted for 8 to 12 hrs.
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| show | Identify pts correctly. Techs should use at least two IDs when verifying pt identity.
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| show | To determine if the pt is at risk for iatrogenic anemia.
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| What does "SD" mean? | show 🗑
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| show | Instruct the donor to open and close their fist during the procedure.
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| show | Shock.
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| A tech is working with a pt who has Mycobacterium tuberculosis. What transmission precaution should the tech use for this pt? | show 🗑
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| A tech is preparing to collect a blood sample from a pt who states that they are HIV positive. What action should the tech take? | show 🗑
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| show | Place the bag inside of another biohazard waste bag outside of the room. This technique is called double-bagging.
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| show | Initial and mark the date and time the draw was completed.
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| A tech is preparing to obtain a blood specimen from a pt for thyroid studies. What colored tube should the tech use? | show 🗑
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| show | Winged infusion set. It is designed for pts with small, rolling veins.
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| Why should a tech centrifuge a serum specimen before transporting it to an reference lab? | show 🗑
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| show | Saturate each circle with one drop of blood. The tech should wipe away the first drop of blood and use the drops onward to saturate the circles.
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| What action should a tech take when preparing peripheral blood smear? | show 🗑
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| A tech should identify that what is first step in the blood collection procedure? | show 🗑
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| A tech obtains two readings 17 mg/dL when performing a glucometer test for a pt. What action should the tech take? | show 🗑
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| show | Inspect the integrity of the needle's seal to ensure the sterility of the needle.
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| The Joint Commission recommends using the pt's full name and what other piece of information to ensure accurate inpt identification? | show 🗑
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| show | Avoid taking ibuprofen. Ibuprofen can cause a false-positive result.
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| A tech is preparing to obtain a blood specimen from a pt for an ESR test. What color top should the tech use? | show 🗑
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| show | 2-8 degrees C. or 35.6-46.4 F
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| show | Ask the pt when they last ate or drank/.
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| A tech is informing a pt about how to enter a basal state for a blood collection. The tech should inform the pt to not consume food for how long prior to blood collection? | show 🗑
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| show | Iatrogenic Anemia
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| A pt states that they are a "difficult draw" and requests a skin puncture. The test order is a PTT. What should the tech perform? | show 🗑
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| A tech is instructing a pt about proper semen specimen collection for determining fertility potential. What instructions should the tech include? | show 🗑
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| show | Apply blood to the printed side of the filter paper
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| A tech is using a POC test system to determine a pt's WBC. What result should the tech immediately report to the provider? | show 🗑
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| show | Use an amber colored microcontainer. Bilirubin + Jaundice.
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| A tech is preparing to use an ETS to obtain a venous blood specimen from a pt. The tourniquet is in place and the tech has cleansed the site. What should the tech do next? | show 🗑
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| A tech is preforming a venipuncture for a bilirubin test, a cold agglutinin titer, a CBC and PTT test. What tubes should the tech use? | show 🗑
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| show | Withdraw with the bevel up at 25 -30 degrees. The deeper the vein, the higher the angle.
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| A tech is preforming a capillary collection for CBC, FSH and electrolyte tests. Which tubes should the tech use? | show 🗑
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| show | Stop the draw, apply pressure to the puncture site and get the pt laying down or in an reclining position.
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| What do you do if a pt looses consciousness before, during or after a venipuncture? | show 🗑
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| show | Give 100 chest compressions per minute at the sternum. 1.5-2 inches in depth.
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| show | Applying a tourniquet. warming the area, wiping it with an alcohol wipe or lowering the limb below the level of the pt's heart.
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| show | The department where the injury occurred.
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| How long should a tube be pre-warmed in an incubator prior to collecting a warmed specimen, such as Cold Agglutinins? | show 🗑
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| Which cleansing agent is typically not used on venipuncture for the collection of blood cultures or blood alcohol specimens? | show 🗑
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| show | Venules
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| What is the smallest gauge needle used for venipuncture? | show 🗑
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| What is not a standard vacuum tube size? | show 🗑
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| When performing quality control checks, tubes should be discarded under which circumstances? | show 🗑
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| How long should you observe the site prior to bandaging? | show 🗑
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| show | Because the sink might be contaminated.
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| Which antiseptic should not be used on pre-term infants or those under 2 months of age? | show 🗑
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| show | Infant's first name. On an infant sample, the infant's last name is included and the mother's name is also included; this is also true for gender. Phlebotomist identification is always required.
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| show | Glucose Tolerance Testing. This is to test for Gestational Diabetes
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| For adult patients, what is the maximum length lancet that should be used for a fingerstick? | show 🗑
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| show | Politely explain to them that this can elevate ionized calcium and potassium levels and request that they stop.
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| show | A fibrin clot. Hemostasis is comprised of 3 steps: vasoconstriction, platelet plug formation and blood coagulation. During blood coagulation a fibrin clot is formed to function as a "plug," which prevents the further release of blood.
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| The veins of patients undergoing chemotherapy are especially challenging for venipuncture due to what characteristics? | show 🗑
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| Under what circumstances should a tube be pre-labeled? | show 🗑
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| show | Infection control requires proper hand hygiene, which outlines hand washing before and after patient contact, before and after putting on or taking off gloves, before leaving the laboratory and before going to the restroom.
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| show | Two.
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| For elderly patients, in what circumstances would a capillary puncture be performed rather than venipuncture? | show 🗑
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| What test requires that it be chilled in ice right after collection? | show 🗑
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| show | When a tourniquet is left on longer than recommended, it generally leaves no lasting physical damage, redness and skin indentation at the tourniquet site. Sometimes, it can result in pain and discomfort, extremity edema, extremity color or numbness
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| What is the maximum depth a heel stick should penetrate? | show 🗑
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| show | In the capillaries
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| show | Blue. Blue, black and green tubes should be filled completely to the fill line. Red and yellow/gold must hold enough for the test required and mint green, lavender, and gray tubes must be at least half full.
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| show | One can anchor the veins
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| If an intoxicated person refuses a blood sample to determine the presence of alcohol or drugs at the request of a police officer, what is the best course of action? | show 🗑
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| Where do red blood cells originate? | show 🗑
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| An NP culture swab is collected to help diagnose | show 🗑
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| The first stage of homeostasis | show 🗑
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| The pulmonic valve is situated between what? | show 🗑
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| show | Hemoglobin
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| To measure diurnal variation of cotisol hormone what kind of specimen would be required? | show 🗑
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| show | Congestive Heart Failure
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| show | Tube vacuum.
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| show | Neutrophils
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| show | 16-Gauge
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| show | Suprapubic
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| The proper order for doning PPE | show 🗑
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| show | Creatnine Clearance
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| The internal space of a blood vessel is called | show 🗑
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| How many inches above the site should the tourniquet be tied? | show 🗑
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| Which body plane divides the body in equal portions? | show 🗑
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| What organ would a doctor be intested in if he ordered an ALP, AST, ALT, GTT and bilirubin? | show 🗑
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| show | Arterial Blood
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| show | Chux
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| Fluid aspirated from the peritoneal cavity. | show 🗑
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| What is the first link in the chain of infection? | show 🗑
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| show | 4-24 hrs
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| show | Three or Four.
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| show | Stoppage of blood
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| show | Pulmonary artery
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| A tech is processing a semen specimen. What action should the tech take? | show 🗑
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