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PMLS 2 LAB > Needles > Flashcards

Needles Flashcards

1
Q

In routine venipuncture, a ____ inserted into a vein allows blood to flow out into an evacuated collection tube or syringe.

A

needle

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2
Q

All _____ used for phlebotomy are sterile, disposable, and used only once.

A

needles

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3
Q

Inspect each needle package before opening it to be sure that the ____ has not been broken. If it has, discard it.

A

seal

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4
Q

inspect the needle itself to be sure that it has no ______ _____. The needle should be straight, sharp, beveled, and free of nicks or burrs. Discard any defective needle.

A

manufacturing defects

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5
Q

: A sharp needle provides smooth entry into the skin with a minimum of pain.

A

POINT

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6
Q

eases the shaft into the skin and prevents the needle from coring out a plug of tissue.

A

bevel, or angle

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7
Q

differ in both length and gauge.

A

Shafts

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8
Q

The needles used for routine venipuncture range from ____ for “butterflies” to ______ long for standard needles.

A

¾ inches - 1 to 1½ inches

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9
Q

Factors that influence the choice of length include _____ and ______, and the experience and preference of the phlebotomist.

A

location and depth of the vein

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10
Q

describes the diameter of the needle’s lumen

A

gauge

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11
Q

the hollow tube within the shaft.

A

Lumen

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12
Q

The smaller the gauge number, the larger the

A

lumen diameter

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13
Q

is not a matter of personal preference; it depends on the type of collection and the condition of the patient.

A

choice of gauge

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14
Q

The largest-diameter needles routinely used in phlebotomy are ____ to ____

A

21 to 22 gauge

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15
Q

Blood bank uses _____ to _____ needles to collect blood from donors for transfusions.

A

16- to 18-gauge

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16
Q

The smallest needles commonly used are ___ gauge, for collection from small, fragile veins.

A

23

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17
Q

A typical gauge for routine adult collection is ___ gauge.

A

21

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18
Q

deliver blood more quickly but are more damaging to the tissue and may collapse the vein.

A

Large needles

19
Q

are less damaging to tissue, but collection is slower, and the blood cells may be hemolyzed as they pass through the narrower opening.

A

Small needles

20
Q

: The needle attaches to the collecting tube or syringe at the ___

A

HUB

21
Q

MULTISAMPLE NEEDLES:
Multisample/ collections uses ____ needle

A

Double-ended needle

22
Q

MULTISAMPLE NEEDLES:
While one tip of the needle penetrates the patient’s skin, the second tip
during blood collection pierces the ____ of an evacuated collection tube.

A

rubber cap

23
Q

MULTISAMPLE NEEDLES:

The most common double-ended needle is the ______ which has a _____ ______ _____ that covers the second tip when it is not inserted into a tube.

A

multisample needle/ retractable rubber sleeve

24
Q

remains in place in the patient’s vein while one tube is replaced with another

A

multisample needle

25
Q

The ____ keeps blood from leaking onto or into the adapter or tube holder while you are changing tubes.

A

sleeve

26
Q

SAFETY SYRINGES AND SAFETY SYRINGE NEEDLES:

sometimes useful for patients with fragile or small veins, when the vacuum of the collection tube is likely to collapse the vein.

A

Syringe

27
Q

provides a controlled, gentle vacuum for fragile veins

A

syringe

28
Q

A _______ (also called a hypodermic needle) fits onto the syringe barrel.

A

syringe needle

29
Q

have an advantage over multisample needles in that blood appears in the hub when the vein has been entered.

A

Syringe needles

30
Q

A ___ ____ ____ must be used with the syringe needle whenever drawing with a syringe.

A

safety transfer device

31
Q

The winged infusion set, also called a winged collection set or butterfly, is used for venipuncture on _____ , such as those in the hand, and in elderly or pediatric patients.

A

small veins

32
Q

allows you great flexibility in placing and manipulating the needle.

A

butterfly needle

33
Q

Most butterfly needles are now designed to be used with an evacuated tube system. Those that are not can be fitted using a ___ adapter.

A

Luer

34
Q

A recent study by
the Centers for Disease Control and Prevention (CDC) estimated that approximately ____ accidental needle sticks occur per day nationwide.

A

1000

35
Q

The ____________________ act specified types of “engineering controls” mentioned in OSHA’s Bloodborne Pathogens Standard to increase needle safety.

A

Needlestick Safety and Prevention Act

36
Q

______ needles have a plastic sheath that snaps shut over the needle.

A

Self-capping

37
Q

The _______________ act specified types of “engineering controls” mentioned in OSHA’s Bloodborne Pathogens Standard to increase needle safety.

A

Needlestick Safety and Prevention Act

38
Q

cause the needle to retract into the syringe, tube holder, or other device.

A

Retractable technologies

39
Q

The ______________ (winged collection set) manufactured by Becton, Dickinson and Company (BD) (Franklin Lakes, N.J.) has a button to push to retract the needle automatically from the vein and into the body of the needle device.
This in-vein activation reduces the risk of needle sticks.

A

Vacutainer Push Button Blood Collection Set

40
Q

For most collections, you will use a multisample needle and an evacuated collection tube. To ensure a firm, stable connection between these two essential parts, a _____________ is used

A

needle adapter (also called a tube holder)

41
Q

is a translucent plastic cylinder. One end has a small opening that accepts the multisample needle. The other end has a wide opening that accepts the collection tube.

A

needle adapter

42
Q

have a tube advancement mark indicating how far the tube can be pushed in without losing the vacuum.

A

Adapters

43
Q

Like a needle, an adapter is used only once, and it is discarded while still ______ to the needle. According to OSHA regulations, reuse of an adapter is prohibited because of the risk of exposure to blood that may occur.

A

attached

PMLS 2 LAB (16 decks)

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