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Phlebotomy > Quiz 6 - Ch 9 & 11 > Flashcards

Quiz 6 - Ch 9 & 11 Flashcards

1
Q

What is the correct identification procedure when an unidentified person is brought to ER

A

You must wait until the identity of the patient has been confirmed before collecting the blood

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2
Q

A phlebotomists who encounters a comatose patient with no ID band should

A

Ask the nurse to band the patient

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3
Q

What should a phlebotomist do when a patient is sleeping

A

Gently wake the patients and allow him or her to become oriented

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4
Q

When must a phlebotomist document the name of the person who has verified a patients identity

A

When the patient is cognitively impaired

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5
Q

Increased Hgb levels

A

Tobacco

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6
Q

Decreased glucose

A

Prolonged fasting

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7
Q

Increased WBC

A

Erect posture

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8
Q

Increased skeletal enzymes

A

Long term exercise

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9
Q

Increased cholesterol level

A

Stress

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10
Q

A patient who appears pale and has a cold, damp skin may develope

A

Syncope (fainting)

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11
Q

When a patient refuses to have his or her blood drawn the phlebotomist should

A

Document the patients decision and notify the nursing personnel

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12
Q

When a patient developed a seizure, the phlebotomist should

A

Document the time the seizure started and ended

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13
Q

Hemoconcentration can be caused by

A

Tourniquet applied for longer than 1 minute

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14
Q

Which of the following methods can be used to locate veins that are not prominent

A

Tapping the patients arm

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15
Q

Physician approval is required when collecting blood from

A

A patients foot and leg veins

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16
Q

Which of the following areas should be used for venipunctures

A

Deep cephalic

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17
Q

What complication can occur when you draw blood from an arm located on the same side of the body as a patients mastectomy

A

Lymphedema

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18
Q

When encountering a patient with an AV fistula, the phlebotomist should

A

Use the other arm

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19
Q

Which of the following is acceptable when collecting blood using a winged blood collection set

A

Collecting blood into a syringe

20
Q

If the plunger of a syringe is pulled back too quickly

A

The specimens may be hemolyzed

21
Q

What can cause blood to flow slowly into the tube while leaking into the tissue causing a hematoma

A

Needle insertion angle is too shallow

22
Q

Which of the following techniques is acceptable when blood is not obtained after needle insertion

A

Gently pulling the needle back and redirecting the needle in a forward motion

23
Q

A patient verbalizes a shooting burning and tingling pain when the needle is inserted. This could be caused b y

A

Nicked nerve

24
Q

What should you do first when a patient develops syncope

A

Firmly anchoring the vein during the needle inerstion

25
Q

What error in technique can hemolyses a blood specimen.

A

Using needle with too small of a diameter

26
Q

Which of the following is most critically affected in a hemolyzed specimen

A

Potassium

27
Q

A puncture site may require additional pressure to stop bleeding when the patient

A

Frequently takes aspirin

28
Q

Which of these would cause a laboratory to reject a specimen

A

Clots in a lavender stopper tube

29
Q

Dermal punctures are often performed on

A

Patients receiving chemotherapy, geriatric patients, and diabetic patients

30
Q

Drawing excess amounts of blood from premature infant can cause

A

Latrogentic anemia

31
Q

Which of the following tests must be collected by capillary blood

A

Newborn screening tests

32
Q

The concentration of the analyte is higher in blood collection by dermal puncture than by venipuncture

A

Glucose

33
Q

When a dermal puncture device is selected the most critical consideration is the

A

Depth of the incision

34
Q

The equipment required for a dermal puncture excludes

A

A tourniquet

35
Q

On newborns dermal punctures are performed on the

A

Medial or lateral plantar areas of the heel

36
Q

The maximum length of a puncture device used on the heel is

A

2mm

37
Q

Selection of an improper heel puncture site can result in

A

Puncture of the calcaneus

38
Q

Failure to puncture across the fingerprint will cause

A

Blood to run down the finger

39
Q

Why should a dermal puncture collection site be warmed

A

To increase blood flow

40
Q

Wiping away the first drop of blood

A

Prevents specimen contamination

41
Q

Failure to allow alcohol to dry on the puncture site may cause

A

Inability to form a round drop, specimen contamination, and RBC hemolysis

42
Q

The order of draw for bilirubin, blood smear, and CBC by dermal puncture is

A

Blood smear, CBC, and bilirubin

43
Q

The blood specimen for this test must be protected from light

A

Bilirubin

44
Q

Why do phlebotomists perform their routine blood collections early in the morning

A

Patients are in a basal state

45
Q

What should you do first when a patient developed syncope

A

Remove the tourniquet and needle

Phlebotomy (9 decks)

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