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Quiz 3
Chapters 8 and 11
| Question | Answer |
|---|---|
| Aside from patient information, what is a phlebotomist required to put on the label after specimen collection. | Phlebotomist's initials and time of collection. |
| Which of the following tests is the highest priority? Asap CBC, STAT comprehensive metabolic panel in ICU, STAT CBC in the ER, timed blood cultures. | STAT CBC in the ER. |
| If you were drawing blood on an inpatient, where would you look for signs concerning information that may be pertinent to the blood draw. | On the patient's door or above the head of the patient's bed. |
| Do you have to inform the patient that you are a student or trainee? | Yes, you have to obtain informed consent. The patient has the right to refuse to have blood drawn by a student or anyone else. |
| Which tube has to be filled to a specific line for acceptance into the lab? | Light blue top |
| Which test are collected in light blue top? | PT/PTT |
| What is the most crucial step in specimen collection? | Patient Identification |
| Can you draw an inpatient if the armband is not attached to the patient. | No |
| Should you collect blood from a sleeping patient? | No |
| What are you required to ask an outpatient before drawing their blood? | Ask them to state their name and DOB. |
| If a patient is required to fast for a blood test, what does that mean? | Nothing to eat or drink except water for 8-12 hours before testing. |
| What can happen if you pull the plunger of a syringe too quickly with excessive pulling pressure? | You can hemolyze the sample. |
| Can you combine two partial additive tubes to make a full tube if they are the same type tube? | No, this alters the blood to additive ratio. |
| What can happen if the patient folds the arm at the elbow to apply pressure? | It increases the chance of bruising by keeping the wound open or disrupting the platelet plug when the arm is lowered. |
| Is it ok to re-cap a needle after use? | No |
| What is the preferred method of obtaining venipuncture specimens? | ETS (Evacuated tube system) |
| If you are drawing blood from a patient and you do not immediately get blood return after the needle is inserted, what should you do first before discontinuing the draw? | Try a new tube first |
| A patient that is taking coumadin (blood thinner) may have issues with what? | Excessive bleeding |
| How far above the venipuncture site should you apply the tourniquet? | 3-4 inches |
| What is the appropriate angle of needle insertion for routine venipuncture? | 30 degrees or less |
| What does NPO mean? | Nothing by mouth |
| Which of the following is required requisition information? Ordering physician's name, Patient's first and last name, DOB, Type of tests to be performed. | All are required |
| What should you do if you are asked to draw blood from a patient but the patient is not wearing an armband? | Ask the nurse to attach a band before you draw the patiet. |
| What is the recommended angle for needle insertion on a hand vein? | 10 degrees or less |
| What type of patient is likely to have an arteriovenous fistula or graft? | Dialysis patient |
| What is the minimum number of patient identifiers needed to collect a blood sample or administering medication or blood products? | At least 2 |
| How long must a blood bank ID (BBID) band stay on a patient? | For as long as it is valid (Usually 3 days). |
| Is it acceptable to use isopropyl alcohol to draw a blood alcohol specimen? | No |
| What is an acceptible way to clean site for a blood alcohol specimen? | Benzalkonium chloride |
| What is the most critical part of blood culture collection? | Antisepsis of the collection site |
| Removing a unit of blood from a patient and not replacing it is a treatment for which condition? | Polycythemia |
| What is polycythemia? | Disease in which the body overproduces red blood cells. |
| Which test may require a chain of custody? | Drug screen |
| Which test must have a 9:1 ratio of blood to anticoagulant in the collection tube? | Protime (PT) |
| List examples of tests that require collection in a trace element free tube? | Aluminum, arsenic, cadmium, chromium, iron, lead, mercury, selenium, zinc. |
| What is septicemia? | The presence of microbes in the blood. |
| If a patient is taking this medicine, excessive bleeding may occur. | Coumadin |
| You approach a patient and ask permission to draw their blood, the patient extends his arm. What kind of consent is this? | Implied |
| What can happen to the blood specimen if the patient pumps the fist? | Can change blood components |
| Is it advised to have the patient pump their fist for a blood draw? | No, changes blood components |
| Is it advised to have the patient clench their fist for a blood draw? | Yes, causes veins to become more prominent. |
| When palpating for a vein, how can you tell an artery from a vein? | Arteries have a pulse |
Created by:
janeen73
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