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Preanalytical considerations

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
Arterial line (A-line)   show
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show Permanent surgical connection of an artery and vein by direct fusion (fistula) resulting in a bulging vein,or a piece of vein/tubing (graft) that creates a loop under the skin - used for the purpose of hemodialysis  
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The preanalytical phase of the testing process begins for the laboratory when a   show
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show Healthy people  
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Basal state   show
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show Indwelling line-consisting of tubing inserted into a main vein or artery. Primarily for administering fluids and medication,monitoring pressures, and drawing blood  
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Bilirubim   show
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Central venous catheter (CVC)   show
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Circadin   show
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show Happening daily  
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Exsanguination   show
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Hematoma   show
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Hemoconcentration   show
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Hemolysis   show
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show A special winged needle set or cannula with a stop-cock or cap and a diaphragm to provide access for administering medication or drawing blood periodically flushed with saline or heparin to prevent clotting-lower arm above the wrist area  
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show An adjective used to describle an adverse condition brought on by the effect of treatment  
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Implanted port   show
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show Pertaining to or within a vein  
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Jaundice   show
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Lipemia   show
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show Describing serum or plasma that appears milky (cloudy white) or tubid due to high lipid content  
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Lymphostasis   show
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show Tiny nonraised red spots that appear on a pt. skin upon tourniquet application. They r min drops of blood that escape the capillaries and come to the surface of the skin below the tourniquet,as a result of capillary wall defects/platelet abnoralities  
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show Peripherally inserted central catheter  
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show Prior to analysis  
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Pre-examination   show
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Reference ranges   show
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show Hardened  
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Syncope   show
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Thrombosed   show
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show Sudden faintness or loss of consciousness due to a nervous system response to abrupt pain, stress or trauma  
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show Stoppage of the normal venous blood flow  
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show A term meaning "marked by jaundice" used to describe serum plasma or urine specimens that have an abnormal deep yellow to yellow-brown color due to high bilirubin levels  
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Hemolyzed   show
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show Breast excision or removal  
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show Swelling due to abnormal accumulation of fluid in the tissue  
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show Normal fluctuations throughout the day  
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show Edematous  
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show Bilirubin  
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show Right arem distal to the hematoma  
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Which of the following is not rue of hematomas   show
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Hemoconcentration from prolonged tourniquet applicaation increases   show
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show Is awakened for a blood draw at 0600 after fasting since 0800 last night  
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show Basal-state specimens  
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show Creatine clearance  
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show RBC count  
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Persistent diarrhea in the absence of fluid replacement may cause   show
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show Cloudy white  
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show Not fasting  
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show Triglycerides  
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show Cortisol  
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show Timed  
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A drug known to interfere with a blood test should be discontinued for this many hours before the test ranges for RBC counts   show
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show A drug completes with the test reagents for the test analyte  
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Which of the following analytes can remain elevated for 24hrs or more after exercise   show
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Which hormone is most affected by the presence of a fever   show
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Which analyte has a higher reference range for males than for females   show
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show bilirubin test results could be elvevated  
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show Non-filterable elements increase  
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show Increased body fluids result in the dilution of the RBC  
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Which of the following analytes is typically increased in chronic smokers   show
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It is not a good idea to collect a cbc from a screaming infant because the:   show
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Of the following factors known to affect basal state, which is automatically accounted for when reference ranges ae established   show
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show Maintains the integrity of speciments  
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Scarred or burned areas should be avoided as blood collection sites because:   show
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A vein that feels hard, cord-like and lacks resiliency is most likely   show
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show Erroneous specimen results  
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If you have no choice but to collect a specimen from an arm with a hematoma collect the specimen   show
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One reason collecting blood specimens from an arm on the same side as a mastectomy without permission from the patients physician is probilited is becasue:   show
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show Cephalic  
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You must collect a protime speciment from a patient with IV's in both arms. The best place to collect the specimen is   show
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show Perform a fingerstick on the right hand  
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Is selecting a venipuncture site, do not use an arm with   show
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A type of line commonly used to monitor blood pressure and collect gas specimens is   show
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show An AV shunt  
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When a blood specimen is collected from a heparin lock, it is important to drawn:   show
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Which of the following is a type of CVC   show
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A subcutaneous vascular access device consisting of a small chamber attached to an indwelling line that is implanted under the skin and located by palpating the skin is:   show
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The way to bandage a venipuncture site when the patient is allergic to the glue in adhesive bandages is to:   show
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You may have to be careful about what type of equipment is brought into the room if a patient is severely allergic to:   show
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What is the best thing to do if a venipuncture site continures to bleed after 5 minutes   show
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Which patient should be asked to lie down during blood draw. a patient with a:   show
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show Have the patient lie down until recovered  
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show Advise her to begin slow, deep breathing  
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Pain associated with venipuncture can be minimized by:   show
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show Petechiae appear below the tourniquet  
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A vein with walls that have temporarily drawn together and shut off blood flow during veipuncture is called a:   show
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U r in the process of collecting a bld spec on a pt.w/difficult veins.You had 2 redirect the needle but is is now in the vein,and the 1st tube has just started to fill.The bld is filling the tube slowly.The skin around the site starts to swell.more tubes   show
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show Failing to apply adequate pressure after the draw  
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show Blood pulses into the tubes  
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Amemia brought on by the withdrawal of blood for testing purposes is described as:   show
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show See if the lab will accept it, and if so, label it as possibly an arterial specimen  
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show An arterial puncture  
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show Discontinue the venipuncture immediately  
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show Not letting the alcohol dry thoroughly  
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Which is the best way to avoid reflux   show
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Which of the following is least likely to impair vein patency   show
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show Hemoconcentration  
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The serum or plasma of a hemolyzed specimen appears   show
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Which action is least likely to cause specimen hemolysis   show
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show Prothrombin time - 9 to 1 ratio  
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show Have someone else collect the speciment  
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show Cleaning a fingerstick site with isopropyl alcohol  
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show Bevel came out of the skin and the tube vacuum escaped  
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show Blood to enter the tube slowly or not at all  
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When a vein rolls, the needle typically   show
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show Needle is only partly in the vein  
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U r performing a multitube bld draw.U collect 1st tube w/o a problem.2nd tube fails to fill w/bld.u pull the needle back and nothing happens.You push the needle in a little deeper and nothing happens.U remove thetube,pull back the needle alittle turnbevel   show
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show Discontinue the draw and try again a new site  
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show Tube vacuum is too great for the size of the vein  
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show Discontinue the draw and lower his head  
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Created by: mmfleischer