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Phlebotomy > Quiz 4: Capillry, Finger/Heel Stick, Hemostasis, Specimen Handling, Additional Test > Flashcards

Quiz 4: Capillry, Finger/Heel Stick, Hemostasis, Specimen Handling, Additional Test Flashcards

1
Q

T/F a skin puncture is also referred to as a derma stick/puncture?

A

True

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2
Q

Is the phlebotomist able to do a finger stick when performing a test using blood culture bottles?

A

No, finger sticks are only for smaller blood samples

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3
Q

What is a capillary?

A

A microscopic blood vessel

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4
Q

Hemolysis may occur by excessively _______ the finger during a skin puncture

A

Milking

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5
Q

T/F capillary punctures are only performed on adults?

A

False

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6
Q

Why are capillary punctures not performed using hypodermic needles?

A

They can be difficult to control

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7
Q

What is osteomyelitis?

A

Inflammation of the bone and bone marrow

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8
Q

What two reasons that a phlebotomist may result to a finger stick?

A

Can’t find the vein or patient is severely obese or the patient has scarred veins

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9
Q

Do you use a tourniquet for a dermal stick?

A

No, lightly squeeze the finger

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10
Q

Why should you avoid wiping the first drop of blood with an alcohol pad?

A

The alcohol may hemolysis the blood specimen and keep a round droplet from forming

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11
Q

When is the heel used for a dermal puncture?

A

On infants less than 1-2 yrs

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12
Q

T/F 2.0mm lancets should be used for heel sticks on preemies

A

False

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13
Q

What is the recommended area for a heel stick?

A

Medial and Lateral portions of the plantar surface of the foot

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14
Q

T/F It is not appropriate to use the arch of the foot for a heel stick?

A

True

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15
Q

What is a common test performed on infants via heel stick?

A

Bilirubin

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16
Q

What is the most common treatment for jaundice?

A

Phototherapy/light therapy

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17
Q

What is hemeostasis?

A

The process in which blood vessels are repaired after injury

18
Q

Repair of blood vessels occurs in how many stages?

A

4; vascular, platelet, coagulation, fibrinolysis

19
Q

What does the Prothrombin Time test (PT) evaluate?

A

Extrinsic pathway

20
Q

A bleeding time test (BTT) is used to evaluate?

A

The primary stages of hemeostasis

21
Q

What is fibrinolysis?

A

The breakdown and removal of the clot

22
Q

What are three things needed to be in working order for hemostasis to occur?

A

Blood vessels, blood platelets, and coagulation factord

23
Q

Which test is used to evaluate the intrinsic pathway in the coagulation phase of hemostasis?

A

Partial thromboplastin time test (PTT)

24
Q

T/F all test require the same handling and preservation

A

False

25
Q

What does “basal state” refer to?

A

Fasting, nothing by mouth, and refraining from strenuous exercise 8-12 hours before draw

26
Q

A lipid panel should be drawn in which tube?

A

SST, serum separation tube

27
Q

Samples are often collected at a specific time to monitor what?

A

A specific substance or condition

28
Q

When are trough levels collected?

A

15 min before the scheduled pharmaceutical dose

29
Q

What are cold agglutinins?

A

Antibodies produced in response to mycoplasma pneumonia

30
Q

How long have the tubes been pre warmed for a warmed sample collection?

A

30 mins

31
Q

At what temp have the tubes been pre warmed?

A

37 C or 98.6 F

32
Q

What does chilling a sample prevent?

A

Separation from occurring w/in the specimen

33
Q

What should you do to prevent contamination from light?

A

Wrap the tubes in aluminum foil immediately after its collected

34
Q

What does without stasis mean?

A

Without a tourniquet

35
Q

What is an analytical error that may occur during blood collection?

A

Extended tourniquet time

36
Q

Is the patient required to fast for a 3 hour OGTT?

A

Yes

37
Q

How much time does the patient have to finish the glucola

A

5 min

38
Q

Why are BCX ordered?

A

Detect the presence of microorganisms in the blood

39
Q

What is aerobic?

A

With oxygen

40
Q

What is anaerobic?

A

Without oxygen

41
Q

The sample from an ABG must be run within how many min?

A

15

42
Q

T/F BCX is usually ordered STAT or as a timed specimen

A

True

Phlebotomy (9 decks)

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