Chapter 8 Challenges Flashcards
Which of the following instruction is often provided to patients that require fasting prior to blood work?
A: Nothing to eat or drink the morning of blood work
B: Nothing or eat or drink besides water for 12 hours prior to blood work
C: Northing to eat or drink besides water the morning of blood work
D: Nothing to eat or drink besides water for 24 hours prior to blood work
B
When having blood work for a lipid panel, how can eating a meal prior to having blood drawn affect blood test retults?
If a patient is required to fast prior to procedure, they need to be instructed no to eat or drink anything but water for at least 12 hours before having their blood taken. For example, patients should fast prior to having a lipid panel. If the patient just ate a meal prior to having blood drawn, the test values would detect fats from the food and the results would indicate elevated lipid levels.
Which of the following would be most appropriate in preparing a patient for phlebotomy?
A: Ask the patient how they have responded to the blood draws previously
B: Ask the patient to lie down on the exam table for the procedure
C: Inform the patient that the procedure causes pain, but it will be worth it to get the information provided by the tests.
D: Ask the provider to determine which vein to use
A
While reading the order form, the MA does not recognize one of the tests that needs to be performed. What should the MA do in the situation?
Always check the laboratory reference manual to determine which tube to use, how many tubes to draw, and other specifics about the test
Which of the following should be included on the lab requisition form?
A: Insurance information
B: Visit Notes
C: Previous Lab Values
D: Signature of medical assistant
A
Match the needle system with the correct attribute
System:
A: evacuated needle system
B: butterfly system
C: Syringe needle system
Attribute:
1: allows control over suction
2: Best for drawing from small, fragile veins
3: Most commonly used system in adults
A:3
B:2
C:1
Which of the following components of blood is responsible for preventing excessive blood loss when a vessel is damaged?
A: platelets
B: red blood cells
C: white blood cells
D: plasma
A
Place the blood tubes below in the correct order of draw
A: Red
B: Green
C: Lavender
D: Light Blue
D, A, B, C
How many time should a light blue tube be inverted following blood draw?
A: 8 to 10
B: 5 to 6
C: 3 to 4
D: 1 to 2
C
What can happen if the tourniquet is left on the patient’s arm too long?
Hemoconcentration can result if the tourniquet is left on the patient’s arm for too long. This can affect the results of the test, making the inaccurate
Which of the following is the maximum amount of time a tourniquet should be left in place?
A: 1 min
B: 2 min
C: 5 min
D: 30 seconds
A
The MA preparing is preparing to perform phlebotomy and is assessing the patient for site selection. Based on the findings below, which of the following sites would be the best choice for vein selection?
A: the basilic vein - found to bounce when palpated
B: the right median cubital vein - the patient has had a unilateral mastectomy on the right side
C: the cephalic vein - found to be highly visible; difficult to palpate
D: the hand, the patient shared that they are extremely sensitive to the pain of blood draws
A
Which of the following is an appropriate technique when cleansing the venipuncture site with an antiseptic wipe?
A: Circular motion from an outside to in
B: Starting at the top, zigzagging down the area
C: Circular motion from inside to out
D: Upward and downward motions with friction
D
At which of the following angles should the needle be inserting into the patients arm?
A: 5 degrees
B: 15 degrees
C: 45 degrees
D: 60 degrees
B
Of the following sites, where should the vein be anchored on the patient?
A: 2 to 3 inches above the puncture site
B: 2 to 3 inches below the puncture site
C: 1 inch below the puncture site
D: 1 inch above the puncture site
B
