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PHLEBOTOMY > NHA > Flashcards

NHA Flashcards

1
Q

best method for a phlebotomy tech to collect a blood specimen from an older adult pt who has fragile and easy to collapse veins

A

the tech should id that a syringe minimizes pressure on fragile veins and help prevent collapsing

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2
Q

A phlebotomy tech is preparing to obtain a blood specimen from a pt for an erythrocyte sedimentation rate test. the tech should select a collection tube that has a top with which of the following colors

A

lavender

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3
Q

A phlebotomy tech is preparing to obtain a blood specimen from a pt who had a right sided mastectomy. which of the following sites should the tech select

A

opposite arm of a mastectomy

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4
Q

which of the following actions should a phlebotomist take to maintain compliance with HIPPA

A

ensure pt confidentiality by clearing phone numbers and emails from the office equipment

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5
Q

the tech should verify that the requisition includes which of the following info

A

specimen id code

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6
Q

a phlebotomist should use a capillary collection instead of a venipuncture in which of the following situations

A

when veins are inaccessible due to IVs, scarring, or burns

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7
Q

what is the max amount of blood a tech can draw from a newborn who weighs 3 kg at one time when the max allowable volume is 1%

A

3 mL
3 kg100 = 300 mL total blood volume
300 .01= 3 mL

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8
Q

which of the following troponin T levels should the tech immediately report to the provider

A

0.3 ng/ml

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9
Q

which of the following should the tech take after collecting an ammonia or ABG specimen

A

place the tube in ice

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10
Q

What antiseptic should you use on a pt who is allergic to alcohol

A

chlorhexidine

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11
Q

of the following is an identifier for a specimen as long as it remains in the lab

A

accession number

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12
Q

which of the following actions should the tech take prior to performing the venipuncture

A

check the requisition form for duplicate test orders

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13
Q

for a health 10 month old infant which of the following sites should the tech select for a routine CBC

A

either heel

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14
Q

a tech should ID that which of the following is the 1st step in the blood collection procedure

A

test requisition

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15
Q

what ppe should you use for a pt which active tb

A

n95 respirator

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16
Q

A unconscious pt is brought to the ER and several blood test are ordered. Which type of consent has the phlebotomist recieved

A

implied consent

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17
Q

what side do you apply blood when collecting capillary blood drops on filter paper

A

printed side

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18
Q

which of the following actions should tech take to locate a vein using the warming technique

A

encase the warm towel in a plastic bag

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19
Q

what temp should a semen sample be transported at

A

36 to 38 degrees C

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20
Q

what are semen samples collected in

A

sterile container

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21
Q

when should a semen sample be brought back to the lab

A

2 hour

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22
Q

what position should you put a pt who will faint when you draw their blood

A

lying down

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23
Q

what should be done to specimens being transferred to a reference lab in hot weather

A

put in a box with cold packs and biohazard label

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24
Q

What needle size is used for collecting donor units of blood

A

18

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25
Q

what are small red spots on a pt arm after applying a tourniquet

A

petechiae

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26
Q

A phlebotomy tech is preparing to obtain a blood specimen from a pt who had a left sided mastectomy and an IV on her right side. where should they perform the draw

A

below the IV

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27
Q

where should the specimen be put in when you are transporting them to the lab

A

lockable container

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28
Q

what is going on when the pt reports experiencing a sharp, painful, and tingling sensation going down her arm

A

nerve injury

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29
Q

what additive is used for a series of tests on a pt’s serum

A

thrombin

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30
Q

a tech is preparing to collect a vancomycin peak level for a pt in an in pt setting. Which of the following actions should the tech take prior to collecting the blood specimen

A

ask the attending nurse if the pt’s vancomycin dose schedule is accurate

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31
Q

what action is a tech required to take before leaving a pt’s room

A

initial and mark the date and time on each tube drawn

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32
Q

if you can’t find the vein after applying a tourniquet what should you do

A

dangle the arm for 1 to 2 mins

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33
Q

Following the CLSI workflow pathway what should be done in post examination phase

A

enter critical lab data

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34
Q

when should blood be drawn for a trough level of medication

A

15 mins before the pt next dose

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35
Q

what should be used if the pt sensitive to latex

A

nitrile gloves

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36
Q

what is used to clean items that have been contaminated with blood

A

diluted sodium hypochlorite

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37
Q

what device should you use for a pt with difficult to access veins in the hand

A

hand immobilizer

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38
Q

what ppe do you use on a pt with scabies

A

gown

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39
Q

what type of urine collection is used for a urine culture and sensitivity test

A

clean catch midstream

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40
Q

what ppe do you use on pt in an out pt setting

A

gloves

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41
Q

what ppe do you remove 1st from an isolation room

A

gloves

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42
Q

what should you do to pt who worked out before they came to the lab

A

let them rest for a least 15 mins before the venipuncture

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43
Q

what should you do if a red top fills but the light blue top tube slows and does not fill completely

A

insert a new light blue tube to see if it will fill

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44
Q

what action should be done to a urine specimen from a pt for a pre employment drug test

A

specimen should contain at least 45 mL of urine

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45
Q

what should you tell a child that asks if it will hurt

A

you will feel a small prick

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46
Q

what additive is used to collect a CBC

A

EDTA

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47
Q

what should the tech do to keep a vein from collapsing

A

use a small needle

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48
Q

what is the first thing you should do when you see a coworker get shocked from an instrument

A

shut off power to the instrument

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49
Q

what directions should you give to a pt that is collecting a sputum specimen

A

breathe deeply and then cough up a specimen into the container

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50
Q

what should you do when you see a hematoma developing at the site

A

release the tourniquet and stop the draw

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51
Q

why is the order of draw different for a capillary collection from venipuncture

A

increased rate of coagulation

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52
Q

how long should you rinse a chemical splash

A

15 min

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53
Q

for a cholesterol POC test what value should be reported immediately to the provider

A

300 mg/dL

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54
Q

why should you look at both arms

A

the median cubital vein could be more accessible on one side than the other

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55
Q

what should you do when a pt says they’re dizzy and light headed

A

remove the tourniquet and needle

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56
Q

how long should you wait before drawing a peak level of medication

A

2 hrs after administration

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57
Q

what ppe should you use with a pt with cutaneous diphtheria

A

mask

gloves

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58
Q

for a WBC count POC test what value should be reported immediately to the provider

A

1.8 mm^3

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59
Q

what antiseptic is used in a routine venipuncture

A

isopropyl alcohol

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60
Q

what should the tech do when they enter a pt room

A

communicate name and department affiliation to the pt

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61
Q

what additive is used to perform a chromosome analysis

A

heparin

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62
Q

why do you centrifuge a serum Specimen before transport to an outside reference lab

A

cells must be separated from the serum

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63
Q

what ppe do you use for a pt with pneumonia

A

mask

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64
Q

what color tube is used for a sodium level collection

A

green

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65
Q

what is an example of implied consent

A

rolling up shirtsleeve

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66
Q

how often should a tech perform a QC test on a glucometer in the lab

A

everyday

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67
Q

what color tube is used for a thyroid study test

A

speckled

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68
Q

how do you anchor a vein

A

use the thumb to anchor the vein 5 cm below the picture site

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69
Q

what color tube is used for a routine chem test that requires serum

A

SST

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70
Q

what vein should you attempt to draw from 1st

A

median cubital

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71
Q

to avoid hemolysis what precaution should the tech take

A

ensure the alcohol at the insertion site has dried

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72
Q

what color signifies a health hazard in the national fire protection association 704 marking system

A

blue

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73
Q

what should you do to a pt that states that this is their 1st blood draw

A

describe the procedure to the pt

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74
Q

why should you allow the antiseptic to dry

A

alcohol requires time for antiseptic action to take effect

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75
Q

according to OSHA standards which of the following vaccines must employers offer to their techs at no cost

A

hep B

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76
Q

which of the following sources for pt ID should a phlebotomy tech use in an in pt setting

A

verbal and wristband

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77
Q

what is the correct way to tie a tourniquet

A

tuck a partial loop of tourniquet underneath the tourniquet

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78
Q

what should you do if a collection bag for a blood donation only fills halfway and the vein collapses

A

use a new collection bag to draw a new unit of blood

79
Q

what should you do when you are obtaining a blood culture specimen from an adult pt

A

withdraw the blood into a sterile safety syringe

80
Q

a tech is preparing a peripheral blood smear from a pt’s capillary blood. what action should be done

A

use the 2nd drop of blood that emerges from the puncture

81
Q

what specimen need to be protected from the light

A

vitamin B6

82
Q

what tube is collected 1st in a dermal sample

A

lavender

83
Q

where should you tie the tourniquet when you see that there is a sore on the arm

A

tie it over the pt sleeve

84
Q

what should you do if a pt begins to seize

A

Discontinue the draw

85
Q

when should a phlebotomy tech perform external liquid controls for QC on a CLIA waived glucose POC test

A

when a new lot # or kit is opened

86
Q

what kind of consent is a pt extends his arm and turn his head away

A

implied consent

87
Q

what should be done 1st when you get a needle stick injury

A

wash the puncture site with soap and water

88
Q

what additive is used for a PT/PTT test

A

sodium citrate

89
Q

what should you do if you see that pt’s lab results are ready

A

inform them to contact the ordering provider to obtain the results

90
Q

what is the last piece of PPE a tech should remove

A

mask

91
Q

what procedure should a tech follow chain of custody guidelines

A

paternity testing

blood alcohol

92
Q

when should you replace the sharps container

A

2/3 full

93
Q

how should you remove gloves from a venipuncture procedure

A

remove the 1st glove so that is turns inside out during removal

94
Q

what test results are affected when a tech uses povidone iodine to cleanse a site for dermal puncture

A

potassium

95
Q

what action should a tech take when washing their hand at the beginning of their shift

A

use enough soap to form a lather

96
Q

How do you collect a sputum Specimen

A

Spit thick secretions into the container after coughing deeply.

97
Q

What additive in a tube should be filled 1st

A

Sodium citrate

98
Q

Correct order of draw for gray, green, and lavender tubes

A

Green, lavender, gray

99
Q

If a pt is becoming pale and diaphoretic what is the pt a risk for

A

​Syncope

100
Q

what does SD stand for

A

standard deviation

101
Q

if the Phlebotomy tech has a sensitivity to latex what should they do

A

Wear nitrile gloves instead of latex gloves.

102
Q

what could possible happen if a tube is mislabeled on a blood bank specimen

A

A transfusion reaction

103
Q

what should you do if the pt’s last name on the requisition does not match the pt’s provided id

A

Contact the ordering provider to correct the requisition form.

104
Q

how should you apply the antiseptic solution

A

Back and forth strokes

105
Q

where should an older adult pt who has difficult to access veins be drawn from

A

​Dorsal veins

106
Q

HIPPAA protects _____

A

Patients’ information

107
Q

what regulation ensures that a phlebotomy tech is proficient to perform job duties and responsibilities

A

CLIA

108
Q

what should make sure of if you are drawing a fasting glucose and albumin Specimen

A

Make sure the patient has fasted for the past 8 to 12 hr.

109
Q

what are the first 3 steps of a venipuncture procedure

A

Assess the site, cleanse the site, and insert the needle

110
Q

describe the technique of a venipuncture procedure

A

Position the needle at a 30° angle in the same direction as the vein and with the bevel up.

111
Q

what should you tell a pt that tells you they faint when they get their blood drawn

A

“I will perform the draw while you are lying down.”

112
Q

what additive is in blood culture tubes

A

Sodium polyanethol sulfonate

113
Q

why should you invert anticoagulant tubes

A

​Hemolysis

114
Q

what should you do if you need to collect a stat Specimen but the nurse and doc are talking to the pt

A

Introduce yourself to the patient and the health care team members.

115
Q

how can you tell if urine Specimen is tampered with

A

The temperature of the specimen is 30° C (86° F).

116
Q

how often should QC be done on POC testing instruments

A

Daily

117
Q

what should you use to collect a newborn’s bilirubin level

A

an amber-colored microcontainer.

118
Q

what is the max amount of blood a tech can draw from a adolescent pt who weighs 42.6 kg at one time when the max allowable volume is 1%

A

40 mL

119
Q

what additive prevents the breakdown of glucose

A

Sodium fluoride

120
Q

what will happen to a stat Specimen that does not have the pt’s ID # on the tube

A

Reject the specimen.

121
Q

how many times do you invert the tubes

A

Eight to ten times

122
Q

what should you do if you are explaining the venipuncture procedure to a pt but they look confused

A

Rephrase the information for the patient.

123
Q

how long can you leave a tourniquet on

A

No longer than 60 seconds

124
Q

how do you label a Specimen

A

at the time of collection and in the presence of the patient

125
Q

within what time should a newborn blood spot test screening card be done

A

Within 72 hr

126
Q

what is the next step after removing the needle

A

Engage the needle safety device.

127
Q

what is the total blood volume of a infant who weighs 3.3 kg

A

240 to 330 mL

128
Q

what sample should be collected 1st

A

Blood cultures

129
Q

why should a tech avoid drawing from the leg or foot of pt with diabetes

A

These areas are more susceptible to infection.

130
Q

where should you draw an older adult pt for a capillary collection

A

The distal phalanx of either middle finger

131
Q

what is a goal of joint commission

A

Identify patients correctly.

132
Q

what should you tell a pt that you are collecting a blood donation

A

Instruct the donor to open and close his hand gently throughout the collection.

133
Q

What is required for a tech to obtain from a potential blood donor

A

Complete medical history

134
Q

what should you do after you insert the needle

A

Push the first collection tube gently into the holder.

135
Q

What color tube should be collected 1st for a blood assay

A

Yellow-topped tube

136
Q

what should you do when you enter a pt’s room and they are sleeping

A

Wake the patient before collection

137
Q

what would cause in a grossly hemolyzed specimen

A

Using an incorrect needle gauge

138
Q

what should you do when the pt reports a sharp pain radiating down their arm

A

Release the tourniquet and remove the needle.

139
Q

What should you do to a pt that reports feeling faint after you have removed the tourniquet and needle

A

Have the patient put her head between her legs.

140
Q

why should you document the total volume of blood drawn from a pt

A

​To determine if the patient is at risk for developing iatrogenic anemia

141
Q

what antiseptic is used for a clean catch urine Specimen

A

Mild antiseptic soap

142
Q

The tourniquet is placed and tech has cleansed the puncture site what should be done next

A

Ask the patient to make a fist.

143
Q

what OSHA requirement must a tech do when performing a venipuncture

A

Wear gloves when contact with blood is anticipated.

144
Q

what type of transmission precaution should a tech use for mycobacterium tuberculosis

A

Airborne precautions

145
Q

what should you do 1st to a pt who is in shock and bleeding profusely from his leg

A

Apply direct pressure to the wound.

146
Q

what should you do if you obtain 2 readings of 17 mg/dL when performing a glucometer test for a pt

A

Perform a set of liquid controls.

147
Q

what should you do if a pt’s wristband is attached to their IV stand

A

Hold the draw until the nurse has attached a wristband to the patient.

148
Q

what is the most common POC test performed at home and in medical facilities

A

Glucose

149
Q

what should you tell a pt that is collecting a fecal occult specimen

A

Avoid taking ibuprofen

150
Q

what should the tech do to verify the quality of venipuncture supplies before beginning a draw on a adult pt

A

inspect the integrity of the needle’s seal.

151
Q

before a venipuncture what info should the tech request from the pt

A

The patient’s full name and date of birth

152
Q

what condition has emergency first aid of maintaining an open airway, controlling bleeding, and keeping the pt warm

A

Shock

153
Q

what info should a tech document when adhering to chain of custody guidelines

A

Identity of everyone who had possession of the specimen

154
Q

what should you do if you are preparing to draw a blood sample for a glucose tolerance test and notices an empty breakfast plate on a bedside table

A

Ask the patient when he last ate or drank.

155
Q

what is the correct procedure for a heel puncture for neonatal screening

A

Saturate each circle with one drop of blood.

156
Q

how do you properly dispose of a bag of contaminated items from a collection area

A

Place the bag inside a second hazardous waste bag outside of the room.

157
Q

what should the tech do when reporting lab results

A

Send the results to the patient’s ordering provider.

158
Q

the joint commission recommends using the pt full name and

A

Medical record number

159
Q

what should a tech do before removing the needle

A

​Disengage the tube from the adapter.

160
Q

for a basal state blood collection how long should the pt not consume food for

A

12 hr

161
Q

normal glucose range

A

70 to 126 mg/dL.

162
Q

for a needle stick injury how many hours should the tech initiate post exposure prophylaxis

A

24 hrs

163
Q

what task is within a phlebotomy tech’s scope of practice

A

Providing instructions to patients for specimen collection

164
Q

what materials should a tech bring to do a blood culture

A

An aerobic bottle and an anaerobic bottle

165
Q

what should the tech do 1st when preforming a finger stick

A

Confirm the identity of the patient.

166
Q

what is the best method to collect a blood specimen from an older adult pt who has fragile easy to collapse veins

A

Choose a syringe and butterfly assembly and transfer to an ETS tube.

167
Q

what action should a phlebotomist take to prevent needle stick injuries

A

Replace a sharps container that has reached its fill line.

168
Q

what should you say before you perform a venipuncture

A

“Your provider has requested this test.”

169
Q

how do you prepare a peripheral blood smear

A

Place a 1 mm drop of blood one-half inch from the edge of the slide

170
Q

what materials do you need for a hand draw

A

Winged infusion set and adapter

171
Q

why should a phlebotomist place a Specimen in a biohazard bag for transport to an outside lab

A

​The biohazard bag prevents a possible exposure incident.

172
Q

what equipment should you use on a pt with small, rolling veins

A

Winged infusion set

173
Q

what should you do if a pt tells you they are HIV positive

A

Perform the venipuncture.

174
Q

what could cause a hemolyzed specimen

A

Shaking a collection tube vigorously.

175
Q

what should you use on a pt the is severely allergic to latex

A

Use a blood pressure cuff and inflate it to 40 mm Hg.

176
Q

what color tube is used for a lactic acid test

A

gray-topped tube.

177
Q

what should you tell a pt collecting a semen specimen for fertility potential

A

Protect the specimen from exposure to bright light.

178
Q

what type of consent is when a pt is alone and unresponsive

A

Implied consent

179
Q

when updating a QC record what info should the tech include

A

Expiration date

180
Q

what should you use to clean several drops of blood on drawing chair

A

1:10 bleach

181
Q

A pt states that he is a difficult draw and request a skin puncture. the test ordered is a PTT. what should the tech perform

A

A syringe draw transferred into a light blue vacuum tube

182
Q

what should you do if you get a result that is in the critical value range

A

Report the result to the patient’s provider.

183
Q

In which situation can the tech collect blood from the pt’s finger

A

The ordered test can be performed on a capillary specimen.

184
Q

what type of transmission precaution should a tech use for clostridium difficile

A

Contact precautions

185
Q

A tech collects multiple specimens from a premature infant what could be a result of this

A

Iatrogenic anemia

186
Q

what comfort zone is a tech introducing herself and explaining the venipuncture procedure

A

Personal

187
Q

what professional characteristics is a tech using sterile technique and demonstrates proper hygiene

A

Attention to cleanliness

188
Q

what PPE is used for droplet precautions

A

Mask

189
Q

what antiseptic is used for a blood alcohol level test

A

Soap and water

190
Q

what temp should blood specimens be stored at

A

2° to 8° C (35.6° to 46.4° F)

191
Q

what should you do to a pt with diabetes that says they want to be drawn from the inside of the wrist

A

Attempt to draw from the antecubital region.

192
Q

what instructions should you give to a pt collecting a 24 hr urine specimen

A

Discard the first void of the morning.

193
Q

A Phlebotomy tech is preparing to collect a blood Specimen from the anticubital site of a pt. Which of the following devices can be used to help stabilize the arm for the collection

A

Phlebotomy wedge

194
Q

What should be done after the tourniquet is placed and the tech has cleaned the puncture site?

A

Uncap the needle and inspect it.

PHLEBOTOMY (2 decks)

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