Quiz 3: Venipuncture, Patient Injury, Procedure, Difficult Draws, Problems,

Question 1

What is the preferred site for venipuncture?

Answer 1

Ante cubical fossa of the upper extremities

Question 2

What is vein selection based on?

Answer 2

Size and condition of vein

Question 3

Which vein is most commonly used?

Answer 3

Median cubital

Question 4

Which vein is easiest to palpate in obese patients?

Answer 4

Cephalic

Question 5

Which vein is least firmly anchored?

Answer 5

Basilic

Question 6

Why is tourniquet not left on patient for longer than one minute before draw?

Answer 6

Prevent hemoconcentration and blood infiltration into tissues

Question 7

Why must tube additives be inverted?

Answer 7

To ensue proper mixing of blood and additive

Question 8

Are vacationer tubes available in different sizes?

Answer 8

Yes

Question 9

Why are needles smiler than 23 gauge not recommended for blood draws?

Answer 9

Cause hemolysis, destruction of red blood cells

Question 10

What is angle of entry in hand vein with a butterfly needle?

Answer 10

5 degrees

Question 11

What should you do if the patient states the draw huts, tingles, or is painful? What is mostly likely the cause?

Answer 11

Stop immediately. Aggravation of a nerve

Question 12

T/F the single most common injury that leads to litigation is a blown vein?

Answer 12

False; nerve damage

Question 13

What is a lancet?

Answer 13

Small pricking needle used to pierce the skin to obtain capillary samples

Question 14

Glass slides are used for?

Answer 14

Microscopic examination

Question 15

What is the most critical error a phlebotomist can make?

Answer 15

Failing to identify the patient

Question 16

What is the proper way to cleanse the draw site for a standard venipunture?

Answer 16

Use a friction scrub with a back and forth movement

Question 17

What are two defects that may appear on a needle?

Answer 17

Blunted or barbed point

Question 18

T/F the preferred method for anchoring a vein is the c method

Answer 18

False

Question 19

The needle should be inserted at what angle range?

Answer 19

15-30

Question 20

What is the proper ay to dispose of a needle?

Answer 20

Immediately activate the safety mechanism and put it in a biohazard sharps container

Question 21

T/F you should always label tubes AFTER the venipuncture is complete

Answer 21

True

Question 22

When should you release the tourniquet?

Answer 22

Once blood flow is established

Question 23

List two factors that contribute to difficult blood draws?

Answer 23

Hard to find veins, scarred veins

Question 24

In pediatric blood draws under two years, which is the preferred vein?

Answer 24

Median cubital

Question 25

Is it okay to ask patients where other people have had success in performing draws?

Answer 25

Yes

Question 26

__________ patients usually have less firm anatomy, which could affect the ease of their blood draw

Answer 26

Geriatric

Question 27

How many attempts do you have to secure a successful blood draw?

Answer 27

2

Question 28

What are inappropriate puncture sites?

Answer 28

Scarred, bruised, or adjacent to infected areas

Question 29

Are you authorized/allowed to turn of an I.V. To accommodate a blood draw?

Answer 29

No

Question 30

What is the most common complication from phlebotomy?

Answer 30

Hematoma

Question 31

What should you do if you notice a hematoma present or forming?

Answer 31

Immediately stop, release tourniquet, remove tube, remove needle, apple pressure, and ice if needed

Question 32

What is the first thing you should do if your patient faints?

Answer 32

Get the needle out immediately

Question 33

Why is anchoring so important?

Answer 33

To prevent the vein from rolling