Medical Procedures - C Flashcards

1
Q

The blood lancet is used for the collection of blood specimens by ______.

A

skin puncture

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2
Q

The standard point of the lancet to be used when collecting blood from a newborn heel is ______ in length. (Note: Please check current guidelines, as this changes.)

A

2.4 mm

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3
Q

The most important step in the performance of a venipuncture is _______.

A

positively identifying the patient

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4
Q

When cleansing the venipuncture site, it is good practice to:

A

cleanse the site from the inside out and allow it to air dry

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5
Q

To determine the size of the needle remember that the higher the gauge number the _______ the needle.

A

smaller

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6
Q

An instrument called a centrifuge ________.

A

separates the cellular and liquid portion of the blood

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7
Q

Rubber sleeves on an evacuated tube system make it possible for ________.

A

multiple use

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8
Q

Preparing or a glucose tolerance test ______ hours before or during the test, the patient should not eat, smoke, drink coffee or alcohol.

A

ten

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9
Q

In the evacuated blood collection system the evacuated glass tubes come in different sizes, and the stoppers are _______ to denote the type of additive or lack of one.

A

color coded

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10
Q

During a venipuncture, to secure the needle during insertion into the tube stopper, you need a __________.

A

holder

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11
Q

Which needle gauges are most commonly used for venipuncture?

A

21 - 22

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12
Q

When performing a venipuncture, the tourniquet should be wrapped around the arm about three to four inches from where you are going to _______ for a vein.

A

feel

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13
Q

When performing a venipuncture, if you have the patient _______ the veins will become more prominent.

A

make a fist

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14
Q

Which of the following is false?

A

veins pulsate

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15
Q

Use your index finger when you _______ for a vein.

A

palpate

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16
Q

Arterioles are the smallest type of ________.

A

arteries

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17
Q

The maximum time a tourniquet should be tied on the upper arm while drawing blood is ________.

A

1 min

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18
Q

To cleanse the typical venipuncture site, begin at the intended site of the draw and ________.

A

work in a circle to the periphery

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19
Q

The venipuncture site should be cleansed with ________.

A

an alcohol prep

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20
Q

When using a centrifuge, make sure equal weights are ________.

A

opposite each other

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21
Q

The lid to the centrifuge should be kept ______ when in use.

A

closed

22
Q

When using an evacuated tube for collection of electrolytes use a _______.

A

red-top tube

23
Q

When collecting blood for a hematocrit test use a ________.

A

lavender-top evacuated tube

24
Q

When collecting blood for cholesterol tests use a ______ top evacuated tube.

A

red

25
Q

The primary anticoagulant additive EDTA removes calcium by forming insoluble or un-ionized calcium salts. It has an advantage of preventing platelet clumping and the formation of artifacts, therefore, good for preparation of _______.

A

blood films

26
Q

Sodium citrate is an anticoagulant of choice for coagulation studies because it protects certain of the _______.

A

pro-coagulants

27
Q

The tube to collect whole blood with an additive in it has a ______ stopper.

A

lavender

28
Q

The color coding for a stopper of a tube with no additives is (for collection of serum) ________.

A

red

29
Q

At the kitchen where you are going to feel for a vein, wrap the tourniquets around the arm approximately _______ above the area.

A

three to four inches

30
Q

The cephalic, medial cubital, and basilic veins are ______ used for venipuncture.

A

primarily

31
Q

When doing a venipuncture the syringe or tube should be ______ the venipuncture site to prevent back-flow.

A

below

32
Q

When anti coagulated blood is centrifuged _________ goes to the top of the tube.

A

plasma

33
Q

When anti coagulated blood is centrifuged _________ goes to the bottom of the tube.

A

red blood cells

34
Q

When collecting blood by skin puncture on an infant, you should use a _______.

A

lancet

35
Q

The tube used to collect a blood sample for a Complete Blood Count (CBC) is _______.

A

lavender top, ethylenedianminetetraacetic acid additive

36
Q

Which of these lab tests monitor anticoagulation therapy?

A

PT and PTT

37
Q

Which one of the following evacuated tubes would be drawn first?

A

red

38
Q

Making sure that a tube is correctly labeled with the patient’s complete name and identification number is part of the facilities ______ plan.

A

quality control

39
Q

When performing a venipuncture if no blood flows into the tube how would you correct this situation?

A

gently insert the needle a little deeper; gently pull the needle out just a little; remove the needle and tourniquet and prepare another site - ALL OF THE ABOVE

40
Q

If during a venipuncture a patient has a syncopal episode what would be your best course of action?

A

remove the needle and tourniquet and lower the patient’s head and arms

41
Q

The most appropriate site for performing a capillary puncture in a healthy adult is the _________.

A

fingers

42
Q

It is very important when performing a capillary stick to do which one of the following?

A

Wipe away the first drop of blood

43
Q

Performing a _____ as a part of a complete blood count determines the ratio of the volume packed red blood cells to that of whole blood.

A

hematocrit

44
Q

__________ values are increased in infections and inflammatory disease.

A

erythrocyte sedimentation rates

45
Q

What type of blood sample will be needed to perform a hemoglobin test?

A

EDTA added

46
Q

How many hematocrit tubes should be collected from the patient?

A

2

47
Q

What type of blood sample is needed when performing a PKU?

A

capillary

48
Q

A _______ is a small, sterile, needle like piece of metal used to make small punctures in the dermis.

A

lancet

49
Q

In drug testing the ________ regulates describe how evidence is to be collected and handled.

A

chain of custody

50
Q

A(n) ________ required the patient to be fasting and then blood is taken every hour for a predetermined time.

A

glucose tolerance test