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Phlebo Procedures-09
Hwk Packet #7
| Question | Answer |
|---|---|
| A _______________ test order is classified as the highest priority. | STAT |
| Magor phlebotomy rounds are scheduled early in the morning because patients will be in a _______________ state. | Basal/Fasting |
| _______________ is the classification for a patient who is not allowed to have food or water for a specified time. | NPO |
| A phlebotomist who enters a patient's room to collect a fasting specimen and finds the patient eating breakfast should: | Notify the nursing station |
| If a supervisor tells a phlebotomist to collect a fasting specimen from a nonfasting patient, the phlebotomist should record ____________________ on the requisition slip. | Non-Fasting |
| One of the most difficult phlebotomy procedures is the collection of _____________________ used to check for possible septicemia. | Blood Cultures |
| Collection of a chemistry specimen at 1600 may result in _______________ levels that are half of those drawn at 0900. | Cortisol (Plasma) |
| To monitor changes in a patient's hemoglobin level, a phlebotomist may be requested to collect specimens at ____________________. | Specific times |
| Plasma Cortisol levels are scheduled to be drawn between 0800 and 1000 because cortisol exhibits _______________. | Diurnal Variation |
| Peak and trough levels are collected to monitor _______________ levels. | Therapeutic drug |
| A _______________ blood specimen should be collected after the patient has eaten. | Postprandial |
| The timing for a GTT begins when the patient ____________________. | Finishes drinking the glucola |
| A trough level is drawn _______________ drug administration. | Prior to |
| The term ________________ is associated with timed collections. | Diurnal Variation |
| The number of specimens collected from a patient receiving a 2-hour postprandial glucose test is _________________. | Two |
| The specimens collected during the GTT after the patient drinks the glucose will be analyzed at the end of the test. The specimens should be collected in _______________ top tubes. | Gray |
| Included on a peak or trough level requisition form is the time the medication was given, the method of administration, and _______________. | The time the specimen is drawn. |
| A fasting specimen for a GTT is drawn at 0700, and the patient finishes drinking the glucose at 0745. _______________ is the correct time to draw the 1-hour specimen. | 0845 |
| A phlebotomist who cannot locate a patient on whom a cortisol level is scheduled for collection at 1000 should _______________. | Return the requisition to the nursing station for recheduling |
| Detecting the presence of _______________ is the purpose of drawing blood cultures. | Septicemia |
| _________________ is the most important consideration when collecting a blood culture. | Aseptic Technique |
| The order in which cleansing solutions are applied to the patient's arm before and after the collection of a blood culture is _____, _____, and _____. | Alcohol, Iodine, Alcohol |
| After collection, a blood culture is delivered to the _______________ department. | Microbiology |
| Some blood culture collection systems contain a resin to ____________________. | Inactivate antibiotics |
| Three blood cultures from a patient requiring ASAP administration of antibiotics are collected _______________ from _______________. | Ate the same time/Different sites |
| The ideal time for collecting a blood culture is _______________ the patient's temperature _______________. | Just before/Spikes |
| The purpose of sodium polyanetholsulfonate in a blood culture bottle is to _______________. | Prevent clotting |
| When blood is inoculated into blood culture bottles using a butterfly apparatus, the _______________ bottle is inoculated first. | Aerobic |
| To inoculate blood culture media with blood drawn in a syringe, the phlebotomist inoculates the _______________ media first. | Anaerobic |
| Specimens that require chilling immediately after collection are placed in a container of _______________. | Ice and water |
| Specimens for beta-carotene, vitamins A and B12, and _______________ should be protected from light. | Bilirubin |
| Name a test that must be placed on ice immediately after collection. | Lactic acid (also Gastrin or Amonia) |
| Chain of custody refers to the _______________ of specimen handling for _______________ specimen. | Documentation/Legal (Forensic) |
| A blood specimen for DNA analysis to determine paternity is considered to be a ________________ specimen. | Legal (Forensic) |
| Specimens for cold agglutinins must be kept _______________. | Warm |
| If a collection tube is only partially filled a falsely _______________ blood alcohol level may be obtained. | Decreased |
| A phlebotomist on the evening shift draws a specimen for cold agglutinins and places it in the refrigerator for the morning shift. Test results of this specimen would be _______________. | Falsely decreased |
| T or False A phlebotomist required to testify in a legal proceeding may be asked questions regarding the method of chemical analysis. | False |
| T or F Applying heat, using a blood pressure cuff, and swabbing the area with alcohol or iodine are all acceptable techniques when locating a venipuncture site in a geriatric patient. | True |
| The best choice of equipment for venipuncture form a geriatric or pediatric patient with small fragile veins is a __________ gauge needle and a _______________ with a syringe. | 23/Butterfly |
| T or F Telling a child it will not hurt is acceptable when performing venipunctures on a pediatric patient. | False |
| T or F Methods to reassure pediatric patients would not include showing them the needle. | True |
| FORENSIC | Pertaining to legal proceedings |
| PEAK LEVEL | Specimen collected when a serum drug level is highest |
| ASEPTIC | Free of contamination by microorganisms |
| FASTING | Abstinence from food and liquids (except water) for a specified time |
| SEPTICEMIA | Pathogenic microorganisms in the blood |
| DIURNAL VARIATION | Normal changes in blood constituent levels at different time of the day |
| TROUGH LEVEL | Specimen collected when a serum drug level is lowest |
| POSTPRANDIAL | After eating |
| CHAIN OF CUSTODY | Documentation of the collection and handling of forensic specimens |
| GERIATRIC | Pertaining to old age |
Created by:
luparl
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