phleb

Question 1

A phlebotomist is interviewing a patient prior to a venipuncture the patient states that they have previously passed out during a blood collection. Which of the following actions is the phlebotomists responsibility when prepping for the possibility of another fainting episode?

Answer 1

lock the arm of the phlebotomy chair

Question 2

During a procedure a patient reports a sudden electric pain raiding down their arm and into their hand what should the phlebotomist do first?

Answer 2

Remove the tourniquet and needle

Question 3

what is the term for a vein that is tender, and warm with a red area around it

Answer 3

phlebitic veins
they can also have clots in them
difficult to puncture and painful to the patient

Question 4

what is the term for a vein that is hard, inflexible and narrow?

Answer 4

Sclerotic
common in older patients
difficult to puncture and painful for the patient

Question 5

What type of urine specimen collection requires the patient to first urinate into the toilet and then the collection cup?

Answer 5

Clean-catch midstream

Question 6

can indicate diabetes mellitus?

Answer 6

glucose

Question 7

can indicate inflammation, kidney disease, infection or chemical poisoning

Answer 7

protein

Question 8

can indicate liver disease or red blood cell destruction

Answer 8

Bilirubin

Question 9

products of fat metabolism their presence in urine can result from diabetes mellitus, starvation or vomiting

Answer 9

ketones

Question 10

can indicate bleeding, infection, cancer, kidney disease, chemical poisoning and other pathology

Answer 10

hemoglobin

Question 11

indicates infection

Answer 11

white blood cell and nitrates

Question 12

1.003-1.030 normal range but is usually 1.010-1.025
bellow 1.010 indicate dilution
above 1.010 indicates concentration(indicator of dehydration)

Answer 12

Specific gravity

Question 13

4.6-8.0 normal ranges
most 5.5-8.0

Answer 13

pH

Question 14

At what time of the day should a patient collect a sputum sample

Answer 14

first thing in the morning before the patient has anything to eat or drink

Question 16

Contains sodium polyethyl, sulfate, or SPS and used for bacterial studies

Answer 16

Blood culture tubes

Question 17

Contain sodium citrate and are used for coagulation blood test

Answer 17

Light blue tubes

Question 18

Contain sodium lithium or ammonia heparin, and are used to test chemical levels in the blood

Answer 18

Green tubes

Question 19

Contain EDTA and are used for whole blood hematology determinations

Answer 19

Purple or lavender tubes

Question 20

Contain potassium oxalate/sodium fluoride, and are used for glucose determinations

Answer 20

Gray tubes

Question 21

Contain either a cloth activator or EDTA and are used for trace element testing

Answer 21

Royal blue tubes

Question 22

Contain acid citrate dextrose(ACD) are used for blood bank studies and DNA testing

Answer 22

Light yellow tubes

Question 23

Used for blood test that require the blood to clot

Answer 23

Serum tubes

Question 24

Used for chemistry determinations of the blood and contain a clot activator

Answer 24

Plastic red or gold tubes

Question 25

Contain a thrombin-based activator and are used when the chemistry determination is for a stat blood collection

Answer 25

Orange tubes

Question 26

When performing puncture, which of the following scenarios demonstrates the best thing to choose

Left our cubital vein for a patient who had a mastectomy on the left side
Right arm basic fan that is visible and palpable
Left arm cephalic vein for a patient who is obese
Right arm, dorsal hand vein above the IV

Answer 26

Left arm vein for patient who is obese