Chapter 11

Question 0

Which of the following tests is measured using the CoaguChek XS system

Answer 0

PT

Question 1

What is a cannula

Answer 1

Tubular instrument used to gain access to venous blood

Question 2

What is the reason for collecting a 24 hour urine specimen from a patient

Answer 2

Test for cortisol

Question 3

During a glucose tolerance test which procedure is acceptable

Answer 3

Fasting blood collection is performed and then a standard amount of glucose drink is given to patient

Question 4

Of the two arteries compressed on the patient during the modified Allen Test which one of those arteries is listed below

Answer 4

ulnar artery

Question 5

Which of the following supplies if not needed to test with the HemoCue system

Answer 5

tourniquet

Question 6

If patient allergic to iodine alternative cleansing solution used

Answer 6

Chlorhexidine gluconate

Question 7

Random specimen

Answer 7

Reason -Most convient to obtain

Use- Routine UA

Question 8

First urine in the morning

Answer 8

Reason-urine excretion is most concentrated

Use-quantitive and qualitive protein, nitrate, microscopic analysis

Question 9

Fasting

Answer 9

Reason-metabolic abnormalities are suspected

Use-glucose level determination for diabetes mellitus testing

Question 10

Clean-catch midstream

Answer 10

Reason- specimen is free of contamination

Use-culture for bacteria and or microscopic analysis

Question 11

Timed ex. (2hour, 4 hour, or 24 hour)

Answer 11

Reason- the excretion rate of the analyte can be determined

Use-creatinine clearance test, urobilinogen determinations, hormone studies

Question 12

Tolerance test

Answer 12

Reason- timed blood and urine specimen are obtained to detect metabolic abnormalities

Use-GTT and other tolerance tests

Question 13

Types of urine specimens

Answer 13

• Random
• First urine of morning
• Fasting
• Clean catch midstream
• Timed (ex. 2 hr, 4hr, or 24 hr)
• Tolerance test

Question 14

Cannula

Answer 14

Tubular instrument used in patients with kidney disease to gain access to venous blood for dialysis or blood collections

Question 15

Fistula

Answer 15

Artificial shiny in which the vein and artsy have been fused through surgery.

It is permanent connection tube located in the ark of patients undergoing kidney dialysis

Question 16

The 2 hour postprandial ( after a meal) glucose test

Answer 16

Can be used to screen patients for diabetes ( including gestational diabetes )

Glucose levels in serum specimens collected 2 hrs after a meal are rarely elevated in normal patients

Diabetes patients usually have increased values 2 hrs after a meal

For this test patient should be placed on high carb diet for 2-3 days before the test.

Day of test patient should consume 75 grams of glucose

Should eat orange juice ,cereal with sugar,toast,and milk

Specimen is taken 2 hrs after patient finishes breakfast

Glucose level of this test determines if physician should test for GTT or A1c is needed

Question 17

The American Diabetes Association Standards of Care-2011

Answer 17

Recommends patients that have symptoms suggesting problems in carbs,sugar such as diabetes mellitus the 2 hr oral glucose tolerance test (OGTT or GTT) can be effective

Question 18

Blood cultures

Answer 18

Often collected from patients who have fevers of unknown origin (FUO)

Sometimes during the course of a bacterial infection in one location of the body bacteremia (presence if bacteria in the blood) or septicemia (presence of pathogens in the circulating blood stream sometimes called blood poisoning) may result and become the dominant clinical feature

Septicemia is a major cause of death in United States

Blood cultures help identify bacterial organism causing the infections

Venipuncture is the method used for collecting blood specimens for blood cultures