FINAL

Question 0

liquid portion of blood after clotting fibrigen within clot

Answer 0

seum

Question 1

liquid portion w/o cells after being spun down w anti coag

Answer 1

plasma

Question 2

primary function of anticoag sodium fluoride

Answer 2

inhibit glycolysis

Question 3

state anticoag
1 hematology
2 coag
3 chemistry

Answer 3

1 EDTA
2 sodium citrate
3 heparin

Question 4

why not freeze blood

Answer 4

RBCs will hemolyze

Question 5

2 reason patients placed in isolation

Answer 5

1 protect staff visitors other patients from patient

2 to patient from others

Question 6

How EDTA prevent clotting

Answer 6

by binding or chelting calcium

Question 7

how heparin prevent clotting

Answer 7

inhibits conversion of prothrombin to thrombin

Question 8

1sites for capillary punture
2 NOT capillary punture this
3 preferred area of finger

Answer 8

1 middle or ring finger
2 earlobe
3 perpendicular to fingerprint

Question 9

collection of blood under skin from poor venipuncture may cause

2 things this causes

Answer 9

hematoma

pushing through the vein
partially inserting needle in vein

Question 10

purpose of removing tube from needle prior to vein

Answer 10

release vacuum on tube

Question 11

consequences of pushing tube onto needle before vein

Answer 11

blow vacuum on tube

Question 12

what do clot activators do

name 4 ex

Answer 12

enhance coaug

siliceous earth
glass
sillca
thrombin

Question 13

why does order of draw exist

Answer 13

avoid cross contamination

Question 14

sclerosed vein feels

do u use

Answer 14

hard cordlike

no

Question 15

excess fluid in tissue swelling

Answer 15

edema

Question 16

connection of artery and vein

why important to consider when deciding venipuncture

Answer 16

fistula

used for dialysis and can’t used on arm this was done

Question 17

slanted needle tip

abnormalities in them 2

Answer 17

bevel

bent tip spurs

Question 18

why are therapeutic drug monitoring tests often timed collect testing

Answer 18

monitor different times
max drug effectiveness to prevent toxicity
metabolize drugs at different rate

Question 19

anatomical term for the heel bone

Answer 19

calcaneus

Question 20

skin puncture blood most closely resemble

Answer 20

arterial blood

Question 21

why routine or strict isolation used

PPE used

Answer 21

prevent spread communicable diseases

gowns mask gloves

Question 22

purpose of protective or reverse isloation

patients of this type isolation recommended cause

PPE

Answer 22

protect patient from being infected

anyone immunosuppressed or compromised

gown mask gloves head and shoes booties

Question 23

abnormal retraction of blood vessel wall causes

Answer 23

vein collapse

Question 24

most important thing before perfoming any specimen collection

Answer 24

id patient

Question 25

what do of patient refuses collection

Answer 25

let nurse or doc know AND DOCUMENT

Question 26

alcohol should dry before inserting needle cause

Answer 26

discomfort

Question 27

specimens should be labeled where when

Answer 27

on tube immediately, drawn from w/ patient in sight ,before transporting anywhere

Question 28

3 places bevel NOT allow blood specimen

Answer 28

1 all the way through vein 2against vein wall 3partially in

Question 29

techniques for transferring blood from syringe into tubes (2)

Answer 29

transfer device | popping top of collection tube pushing blood in

Question 30

proper puncture site on infants heel

Answer 30

lateral or medial area planter surface

Question 31

red stopper tube spun down yields

Answer 31

serum clotted red cells

Question 32

how prepare collection site for blood cultures why important to take extra steps

Answer 32

clean bottle w betadine, sterile site, air dry prevent contamination of culture

Question 33

highest concentration of drug during dosing interval is called

Answer 33

peak

Question 34

explain glucose tolerance test

Answer 34

specimen drawn after fasting 8-12 hrs paTIENT DRINK GLUCOSE SOLUTION DRaw 1 hr intervals u to 5 hrs

Question 35

does order of draw change depending on collection

Answer 35

no

Question 36

why warm site before puncture

Answer 36

increase blood flow

Question 37

why control depth of lancet in skin in puncture

Answer 37

don't puncture bone | cause excessive blood

Question 38

1st step doing skin puncture to eliminate tissue fluid contamination

Answer 38

wipe away 1st drop

Question 39

consequence of mixing tube too vigorously

Answer 39

hemolysis

Question 40

drawing from child steps taKEN what no to do

Answer 40

gain trust talk terms they understand be reassuring and patient never say it won't hurt

Question 41

why not pump fist prior to puncture

Answer 41

hemoconcentration

Question 42

most critical error a phlebotomist can make

Answer 42

misidentify patient or patient specimans

Question 43

what indicator lets in know syringe in vein

Answer 43

flash

Question 44

longest time tourniquet should be tied on arm

Answer 44

1 mintue

Question 45

percent alcohol prep pads for cleaning puncture

Answer 45

70%

Question 46

2 coag tests color anticoagulant

Answer 46

PT PTT blue sodium citrate

Question 47

what to do patient no ID band but not conscious

Answer 47

have nurse add one

Question 48

how handle Q from patient about tests and what they mean

Answer 48

brief refer to doc or nurse

Question 49

do u draw from above IV site and why whaT do if patient has multiple IV

Answer 49

no interfere results have nurse turn off IV

Question 50

why mix anticoag tubes

Answer 50

even disturbtion to prevent micro clot formation

Question 51

smallest bore needle largest

Answer 51

25 18

Question 52

small veins collapse when what occurs (2)

Answer 52

draw to quickly to much vaccum pressure syringe plunger to fast

Question 53

indication of artery blood and not vein

Answer 53

bright red blood pulsing into tube

Question 54

#1 cause of hemoconcentration in venipuncture

Answer 54

prolonged turnquit

Question 55

can u drink water ? coffe? smoke? before fasting sample drawn

Answer 55

yes no no

Question 56

colors of specimens ``` 1normal serum 2normal plasma 3hemolyzed serum 4icteric serum 5lipemic ```

Answer 56

``` 1straw or pale yellow 2 slight opaque 3 clear red 4 brownish 5 milky ```

Question 57

``` color stopper for following tube heparin no additive EDTA sodium citrate ```

Answer 57

1 dark green 2 red 3 lavender 4 blue

Question 58

color stopper silicon serum separtion material sodium fluoride SPS

Answer 58

1 red-gray or gold 2 light gray yellow

Question 59

Order of Draw first 4 colors for 3

Answer 59

blood culture - yellow or yellow black top coagulation -light blue top non-additive -red top additive

Question 60

Order of draw additive tubes and colors 6

Answer 60

``` 1 SST red-gray or gold 2 sodium heparin dark green 3 PST light green 4 EDTA lavender 5 ACDA or ACDB pale yellow 6 oxalate/fluoride light gray ```