#3 Flashcards

1
Q

Leukocytes

A

Protect the body from infection

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2
Q

A protein that contains iron and is a main component of the erythrocytes

A

Hemoglobin

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3
Q

The color code that is most often associated with tubes used to collect hematology test what color is it?

A

Lavender

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4
Q

Why is the pt #ID included on the specimen tube label?

A

To avoid confusing specimens form the pts with the same names

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5
Q

When selecting a venipuncture site how can you tell the vein from the artery?

A

Pulse

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6
Q

What is the best practice if the vein can be felt but not seen even with the tourniquet on?

A

Look for visual clues on the skin

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7
Q

How many times should you mix non additive tubes?

A

Zero

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8
Q

Identify the term that means damage or destruction of RBCs?

A

Hemolysis

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9
Q

What is the maximum amount of time that a tourniquet can be left on the arm in order to minimize hemoconcentration and erroneous results?

A

1 minute

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10
Q

The term phlebotomy is derived from the Greek language and its meaning is

A

Vein

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11
Q

Which cells transport oxygen

A

Erythrocytes

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12
Q

Labeling a routine inpatient blood specimen should take place

A

At bedside immediately after draw

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13
Q

The most common PPE use for routine phlebotomy procedures is

A

Gloves

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14
Q

If the phlebotomist is unable to obtain a blood specimen for any reason the usual protocol is to

A

Chart it time it contact physician

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15
Q

What is the most common proper arm position for routine venipuncture

A

Straight from the shoulder to wrist in a downward position with the palm up

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16
Q

This set is indispensable tool for collecting blood from small or difficult veins such as a hand vein or veins of elderly/ pediatric pts?

A

Butterfly, wing infused set

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17
Q

Approximately how long does it normally take for serum specimens to completely clot at room temperature

A

30mins

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18
Q

When drawing blood from an elderly pt you should?

A

Recognize possible changes in the skin

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19
Q

2 parts of the syringe include the gradual barrel and what

A

Plunger

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20
Q

It’s is important to mix anticoagulant tubes immediately after filling them because?

A

It avoids microclots

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21
Q

A bilirubin sample is used to detect?

A

Jaundice
Avoid light
Be at room temperature (amber tube)

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22
Q

The liquid or fluid portion of anticoagulant blood is known as?

A

Plasma

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23
Q

Test performed on plasma are

A

Anticoagulant( does not clot)
Blue
Lavender
Gray

24
Q

Older elderly pts are more prone to hematoma formation because

A

Their veins have decreased elasticity

25
The most important step in specimen collection is
Identifying the patient
26
What are the 3 parts of the needle
Bevel shaft hub
27
When performing venipuncture the needle needs to be inserted
Bevel up
28
This term is defined as the insertion of the needle in a vein and its purpose is to draw blood
Phlebotomy
29
Which of the following is generally used to cleanse the skin for routine venipuncture
70% alcohol
30
What is the most important consideration when drawing blood from an older child
Open line of communication
31
According to OSHA what does proper needle disposal involve
Throwing all sharps into containers
32
Whole blood is
Total volume of plasma and formed elements together unspun . And not clotted together
33
If the inpt is not wearing an ID band when the phlebotomist comes to collect the specimen the phlebotomist should
Ask pt nurse to put ID band on the pt before drawing the specimen
34
Where is the tourniquet placed when drawing a hand vein
Proximal to the wrist bone
35
Identify which tube sequence is listed in the correct order for the vacutainer method in drawing according to CLIA
Order of draw Blood culture Light blue Red Gold Light green Green Purple Pink Gray
36
An aliquot is a
A portion of blood sample being tested
37
The blood collection tube has no anticoagulant
Red tube
38
According to CLSI guidelines when is the best time to release the tourniquet during venipuncture
As soon as you get blood flow
39
How many inches should the tourniquet be applied above the intended venipuncture site
3 -4 inches
40
What’s the best angle for needle insertion during routine venipuncture
10-30
41
As a phlebotomist is about to draw blood form or she touches the needle to the skin and changes her mind and then pulls away
Obtain a new needle
42
What is the proper technique for transferring blood from a syringe evacuated tube?
Attached male hub and attached syringe on top insert tube and do not push down the tube will fill on its own
43
Of the following tubes, which should be eliminated for use in collecting blood banks specimens
Large gel barrier tubes
44
Increase blood glucose is called
Hyperglycemia
45
A light green tube contains what additive?
Lithium Heparin
46
When performing venipuncture hand washing is necessary when?
Before and after
47
What tube is used to collect glucose
Gray
48
What tube do you draw a complete blood count (CBC) ? Pro time? kidney function?
Lavender Light blue Green/ Chemistry
49
Which needle has the smallest diameter?
23 gauge The bigger the gauge the small the needle
50
This test identifies risk for coronary disease?
Total Cholesterol
51
Why should the phlebotomist visually inspect the needle tip before inserting into the patient vein?
To check the needle point for imperfections that might damage the patients vein
52
A serum specimen is requested what evacuated tube can be used to collect it?
A SST (speckle red/black)
53
CLIA advises against using these on infants and children under 2years old?
Adhesive bandages
54
A pro time, prothrombin and platelet count are ordered on an 80year old patient decided to use a butterfly and short draw evacuated tubes on a tiny cephalic vein on the dorsal side of her right arm the phlebotomist collects one light blue and one lavender tube. Why would you suspect the PT test results might be incorrect and the platelet count unaffected?
No tube was used to remove air from the butterfly tubing
55
What should be done if a patient is still bleeding 10 minutes after checking the site
Notify the nurse or contact physician