Chapter 11 Flashcards

1
Q

Which is identical for venipuncture and capillary puncture procedures

A

Greeting, identification, and hand hygiene

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2
Q

Skin puncture techniques are useful in which conditions

A

When the patient is neonate

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3
Q

Labeled skin puncture specimens should include the

A

All of the above

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4
Q

Condition that can have an adverse effect on the quality of a finger stick

A

Always using the first drop of blood

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5
Q

Blood smears for evaluation of cells must be made carefully. What features should be present

A

A feathered edge

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6
Q

Skin puncture blood is composed of

A

Blood from arterioles and venules

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7
Q

Sequence that is the best method for performing a finger stick

A

Decontaminate, puncture the skin, wipe the first drop, collect the sample

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8
Q

Generally speaking, the phlebotomist should do this with the first drop of blood after a finger stick is performed

A

Wipe it off with gauze

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9
Q

Best angle for spreading a blood smear by using two glass slides

A

30 degrees

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10
Q

Chemical agent that should be used to decontaminate a patients finger before skin puncture

A

Isopropanol

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11
Q

The average skin puncture depth appropriate for an adult

A

2-3 mm

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12
Q

Excessive massaging or milking of the finger during a skin puncture procedure can cause

A

Hemolysis and contamination of the specimen with tissue fluids

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13
Q

Osteomyelitis is defined as

A

Inflammation and infection of the bone

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14
Q

In making a blood smear or slide, after the drop of blood has been spread across the glass slide, the next step is

A

To allow it to air dry

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15
Q

When performing a finger stick on the middle finger, the part of the finger that should be punctured is

A

Off center of the thickest part of the fingertip

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16
Q

Nails can grow at a rate of about

A

.1 mm per day

17
Q

Finger stick procedures cannot be performed when this test is ordered

A

Blood cultures

18
Q

Another instance when a finger stick should not be performed on a patient is when the following has occurred

A

Coagulation tests

19
Q

It is best to use this type of bandage on an adult after a finger stick

A

Hypoallergenic

20
Q

Phlebotomists should ask about this prior to a finger stick

A

If the patient has had anything to eat or drink lately

21
Q

Alcohol that has not dried prior to a skin puncture can prevent a round drop from forming

A

True

22
Q

Alcohol that has not dried prior to a skin puncture can cause hemolysis of blood cells

A

True

23
Q

Alcohol that has not dried prior to a skin puncture can cause erroneous results for some laboratory tests

A

True

24
Q

Patients can be allowed to stand during a finger stick

A

False

25
Q

Retractable lancets are recommended for use on children

A

True

26
Q

The puncture made during a finger stick should be parallel to the fingerprint

A

False

27
Q

The pinkie finger is the preferred site for a finger stick for children

A

False

28
Q

Some point of care instruments require different wipe off procedures for the first drops

A

True

29
Q

The ______ hand should be used for a fingerstick if possible

A

Non dominant

30
Q

The term for a finger that appears a blue color due to oxygen depletion is ______

A

Cyanosis

31
Q

_________ capillary tubes are not recommended for use due to the likelihood of breakage

A

Glass

32
Q

The name of the fingertip bone is the distal ______

A

Falanex

33
Q

Another name for microhematocrit is ______

A

PCV

34
Q

When performing a finger stick, the puncture should be oriented_______ to or across the fingerprint ridges

A

Perpendicular

35
Q

If hematology tests are ordered, and a finger stick is to be performed, when should they be collected in the order of draw?

A

First

36
Q

One strategy for improving circulation prior to a finger stick is to _____ the site

A

Warm

37
Q

During a skin puncture procedure, small tubes are filled by ________ action

A

Capillary

38
Q

The lancet on retractable puncture devices can not be ______ repeatedly

A

Used