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Phlebotomy > Study Guide 2 > Flashcards

Study Guide 2 Flashcards

1
Q

Hemostasis

A

Coagulation & Termination of bleeding

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2
Q

The doctor wants to check Mr. Jones drug level at its highest and lowest levels, this is known as what?

A

Trough and Peak

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3
Q

Can you draw from an infant’s arm?

A

Yes

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4
Q

An _________ is a possible complication of phlebotomy

A

Emboli formation

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5
Q

Doctor orders a PTT (prothrombin time test) on a patient. Which collection tube do you use?

A

Light blue

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6
Q

A key item in any successful blood draw is?

A

Patient information

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7
Q

When drawing arterial, which artery is commonly utilized?

A

Brachial artery

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8
Q

You are drawing a patient’s blood and they begin having a medical emergency, what should you do?

A

Stop draw, get help

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9
Q

The right to refuse care, the right to receive accurate information and the right to participate in health care decisions is known as

A

Patient bill of rights and responsibilities

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10
Q

What is QNS?

A

Quantity Not Sufficient

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11
Q

You are called to the E.R. for a blood alcohol screen. There is no chlorhexidine available, what else could you clean the site with?

A

Betadine

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12
Q

Arterial sticks can be done by?

A

CPT-II

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13
Q

Phlebotomy is performed at the _____ stage in the analytical process

A

pre-analytical

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14
Q

___________ is the standard gauge needle used for blood draws

A

21

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15
Q

This tube contains Heparin?

A

Green top

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16
Q

Name the liquid portion of anticoagulated blood

A

Plasma

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17
Q

What is required on a blood tube label?

A

Patient name, DOB, DOD, time, initials

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18
Q

Are you allowed to draw from an arm with a same side mastectomy?

A

No

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19
Q

What are engineering controls?

A

Isolating bloodborne pathogens from the workplace

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20
Q

Name the government agency responsible for regulating workplace safety

A

OSHA

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21
Q

When should QC samples be tested?

A

Start of each day, after daily maintenance

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22
Q

What are vascular factors?

A

Chemicals reducing blood flow

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23
Q

What carries Hemoglobin?

A

Red blood cells

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24
Q

While observing a blood sample you collected, you see a milky off-white substance in your specimen, what is this substance?

A

Cholestrol

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25
Q

DNA studies and paternity testing is done from this tube?

A

Yellow ACD tube

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26
Q

An irate combative patient comes into your office, what can you do?

A

Refuse service and refer back to doctor

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27
Q

Popping a rubber stopper of a sample may

A

Create aerosol

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28
Q

If a patient informs you of a latex allergy, what should you do?

A

Use non-latex equipment

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29
Q

Who can prepare a blood smear?

A

Phlebotomist and other allied professional

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29
Q

When finished with the venipuncture, you should

A

Dispose needle in sharps containter

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30
Q

Why do we instruct the PT to place firm pressure over the venipuncture site?

A

Prevents hematoma formation

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31
Q

When should you invert anticoagulant tubes?

A

Immediately after blood draw

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32
Q

Light blue top, green top and lavender top tubes all contain additives that are all known as

A

anticoagulants

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33
Q

What is the specific additive in the light blue top tube?

A

Sodium Citrate

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34
Q

You are called again to the E.R. for a blood alcohol test, which tube do you use?

A

Gray tube

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35
Q

The nation standard slip used by every lab for blood draw requisitions

A

No universal slip

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36
Q

What is the purpose of an arterial blood draw?

A

Determining oxygen saturation percentage (ABG)

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37
Q

Anyone can do an arterial blood draw

A

No

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38
Q

This is the national regulatory body for certifying labs?

A

CLIA

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39
Q

What is information disclosure?

A

Patients have the right to receive accurate information

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40
Q

Does a nurse have the right to direct you to not draw a patient?

A

Yes

41
Q

What does QA assure?

A

Quality of total testing process

42
Q

What are chemicals that prevent blood clotting called?

A

Anticoagulants

43
Q

How do transport a specimen that needs to be kept cold?

A

Placing specimen on ice

44
Q

This tube must contain a ratio of 9 parts blood to 1 part addtitive

A

Light blue tube

45
Q

Aerobic & Anaerobic bottles are used for?

A

Blood cultures

46
Q

How many hours of internship must you complete if you have no experience?

A

40

47
Q

Lack of physical or mental fitness is known as

A

Incompentance

48
Q

PPE stands for what?

A

Personal Protective Equipments

49
Q

When should you stop letting blood into a vacuum tube

A

When tube stops drawing blood

50
Q

How should we mix blood with additives?

A

Invert 6-8 times

51
Q

What are we doing when we clean a draw site with Isopropyl alcohol?

A

Disinfection; removing most microorganism

52
Q

Diabetics, end stage HIV pt’s, mastectomies, and cancer patients should?

A

Be drawn with caution bc of nosocomial infection

53
Q

This tube has no additives

A

Red top tube

54
Q

We can use this tube for Glucose (only) testing?

A

Gray top

55
Q

What is integrity?

A

Always doing whats right when it doesn’t matter

56
Q

How are Nosocomial infections primarily spread?

A

Urinary tract infection

57
Q

Your employer must offer education and training on blood borne pathogens _______ per OSHA requirements.

A

at no cost

58
Q

The agency responsible for setting national standards for lab procedures

A

CLSI

59
Q

This is an indefensible phlebotomy error

A

Excessive angle of insertion

60
Q

How long should you flush a mucous membrane after an exposure incident?

A

15 minutes

61
Q

Define HIPAA

A

Health Insurance Portability and Accountability act

62
Q

Unsafe acts, needle sticks or other exposures need to be

A

report to supervisor

63
Q

An unbalanced centrifuge may cause?

A

Tubes break

64
Q

When you first meet our patient, what should you do./

A

Patient identification

65
Q

The doctor orders a test that requires only 1 light blue top tube. What is the proper procedure to obtain a single light blue top tube?

A

1st tube thrown away and 2nd light blue top gets tested

66
Q

Liver malfunction causes
_____________in your blood sample

A

icterus

67
Q

You are drawing a PT when you realize you have drawn the wrong tube and don’t have the correct tubes within reach. What should you do?

A

Dispose equipment, get correct tubes, then redraw

68
Q

What is the primary job of the red blood cell?

A

Transport oxygen

69
Q

The CLS asks you to prep a slide for them, at what angle should the spreader slide be to get a good smear?

A

30* angle

70
Q

What time is 8:22 in standard military time?

A

20:22

71
Q

Pre or Post-analytical phases are where more errors are likely to happen.

A

True

72
Q

What is the normal prothombin time range?

A

10-12 seconds

73
Q

Lavender top tubes contain what additive?

A

EDTA

74
Q

What is the liquid taken from coagulated blood called?

A

Serum

75
Q

You receive a notice from the lab you have a hemolyzed specimen you drew on a PT. How do you correct the error?

A

Redraw

76
Q

Can patients refuse blood draws?

A

Yes

77
Q

____________ is an outline of protective measures to minimize employee exposure to body fluids.

A

Exposure Control Plan

78
Q

When collecting blood from an artery, what color is it?

A

Bright red

79
Q

A cancer patient is most predisposed to ___________

A

Nosocomial infections

80
Q

Employers must keep you records for __________

A

30 years

81
Q

You can release results directly to the patient upon their request.

A

No

82
Q

If not already drawn, when can a doctor cancel a blood draw order?

A

Anytime

83
Q

___________ move blood borne pathogens through the air

A

Aerosol

84
Q

Can you choose not to draw on an infant?

A

Yes

85
Q

You have to pull an ammonia test, which tube do you use?

A

Green top

86
Q

Pink or red tinged plasma or serum are signs of __________

A

Hemolysis

87
Q

What do you do when you draw the wrong patient?

A

Redraw on correct patient

88
Q

Damaged blood vessels release?

A

Von willebrand factor

89
Q

QC samples have known values?

A

Yes

90
Q

_________ is the proper angle for vacutainer or syringe draw.

A

30*

91
Q

What is the most common instrument of choice for most blood draws?

A

Vacutainer closed system

92
Q

You’re drawing a patient when you notice a hematoma forming, what should you do?

A

Discontinue draw and apply pressure

93
Q

The additive in a gray tube is?

A

Sodium Fluoride and Potassium oxide

94
Q

Doctor orders a CBC, what tube will you pull?

A

Lavender top tube

95
Q

You’ve completed a multi tube draw on a patient, what do you do next?

A

Label each tube individually before leaving

96
Q

Define communicable diseases

A

A disease that passes from one to another

97
Q

What is the Allen test used for?

A

Determine if safe to draw from radial artery

98
Q

The patients bill of rights was enacted in

A

1997

99
Q

Is the patient allowed to participate in treatment making decisions?

A

Yes

Phlebotomy (1 decks)

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