Midterm 05-06

Question 1

What is venipuncture

Answer 1

It is the process of collecting or “drawing” blood from a vein of the patient for laboratory testing purposes

Question 2

T or F, A test requisition could be manual, computerized or bar-coded

Answer 2

True

Question 3

What does Accessioning the test request do?

Answer 3

It helps improve the documentation, handling and reporting of test results

Question 4

What is bedside manner?

Answer 4

It is the behavior of a healthcare worker as perceived by the patient which is applicable to both in- and out-patient settings

Question 5

T or F, if there is a physician or clergy in the room, interrupt only if the order test is stat or timed

Answer 5

T

Question 6

T or F, if the patient is fast asleep, the phlebotomist should wake him/her up gently for proper identification.

Answer 6

T

Question 7

T or F, when cleaning the venipuncture site, It should cover about 2 to 3 inches diameter using a circular motion

Answer 7

T

Question 8

In phlebotomy, the __________ is ideal in establishing reference range since it represents the condition of the metabolism of the body early in the morning or after approximately 12 hours of fasting

Answer 8

Basal state

Question 9

T or F, a site which has burns, scars or tattoos is not recommended because veins in the area may be difficult to examine and blood circulation may be impaired

Answer 9

T

Question 10

T or F, when puncturing the site, you may get inaccurate results if the veins are damaged

Answer 10

T

Question 11

In damaged veins, what is sclerosed?

Answer 11

another word for hardened

Question 12

In damaged veins, what is thrombosed?

Answer 12

another word for clotted

Question 13

Edema is also known as??

Answer 13

Oedema

Question 14

________ is an abnormal swelling caused by the accumulation of fluid in the tissues. It causes tissues to be fragile

Answer 14

Edema

Question 15

___________ is a treatment for breast cancer that requires the removal of the breast through surgery. In this, the lymph flow is obstructed

Answer 15

Mastectomy

Question 16

___________ is solid swelling or mass of blood in the tissues which is caused by the leakage of blood from the vessels during venipuncture

Answer 16

Hematoma

Question 17

What are VADs?

Answer 17

Vascular Access Devices

Question 18

__________ is also known as a central line inserted into the large vein and advanced into the superior vena cava

Answer 18

Central Venous Catherer

Question 19

__________ is a surgically implanted disk-shaped chamber attached into the indwelling line

Answer 19

Implanted port

Question 20

_____________ is a flexible tube inserted into the veins of extremities and the central veins

Answer 20

Peripherally Inserted Central Catheter (PICC)

Question 21

Patient complications associated with blood collection

Answer 21

1. Allergies
2. Excessive Bleeding
3. Fainting
4. Nausea and Vomiting
5. Pain
6. Petechiae
7. Seizures/Convulsion

Question 22

____________ results from blood loss due to the blood draw. Make sure to only collect the required specimen volume because if 10% of the blood volume is removed at once, the patient could face a threat.

Answer 22

Iatrogenic Anemia

Question 23

_____ happens when blood is filling up the tube rapidly and there is a rapid formation of hematoma on the site

Answer 23

Inadvertent Arterial Puncture

Question 24

T or F, Nerve injuries happens when there is improper site selection, rapid needle insertion, excessive redirection of the needle, and blind probing.

Answer 24

T

Question 25

___________ usually occur when conditions are less than ideal, which leads to the veins being blocked, resulting in insufficient blood flow

Answer 25

Collapsed vein

Question 26

Enumerate the specimen quality

Answer 26

1. Hemoconcentration
2. Hemolysis
3. Short draw
4. Specimen Contamination
5. Expired collection tube

Question 27

_______ is a decrease in the fluid content or plasma volume which is usually caused by tourniquet that stagnates the normal flow of blood

Answer 27

Hemoconcentration

Question 28

__________ is also called haemolysis, refers to the rupture of the red blood cells.

Answer 28

Hemolysis

Question 29

________ happens when the phlebotomist pulls a tube before reaching the required volume which may lead to the incorrect blood-to-additive ratio.

Answer 29

Short draw

Question 30

_________ means that the specimen is compromised due to incorrect handling, which includes allowing alcohol, powder, or other materials into the sample.

Answer 30

Specimen contamination