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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
DNA studies and paternity testing is done from this tube?
Yellow ACD tube
26
An irate combative patient comes into your office, what can you do?
Refuse service and refer back to doctor
27
Popping a rubber stopper of a sample may
Create aerosol
28
If a patient informs you of a latex allergy, what should you do?
Use non-latex equipment
29
Who can prepare a blood smear?
Phlebotomist and other allied professional
29
When finished with the venipuncture, you should
Dispose needle in sharps containter
30
Why do we instruct the PT to place firm pressure over the venipuncture site?
Prevents hematoma formation
31
When should you invert anticoagulant tubes?
Immediately after blood draw
32
Light blue top, green top and lavender top tubes all contain additives that are all known as
anticoagulants
33
What is the specific additive in the light blue top tube?
Sodium Citrate
34
You are called again to the E.R. for a blood alcohol test, which tube do you use?
Gray tube
35
The nation standard slip used by every lab for blood draw requisitions
No universal slip
36
What is the purpose of an arterial blood draw?
Determining oxygen saturation percentage (ABG)
37
Anyone can do an arterial blood draw
No
38
This is the national regulatory body for certifying labs?
CLIA
39
What is information disclosure?
Patients have the right to receive accurate information
40
Does a nurse have the right to direct you to not draw a patient?
Yes
41
What does QA assure?
Quality of total testing process
42
What are chemicals that prevent blood clotting called?
Anticoagulants
43
How do transport a specimen that needs to be kept cold?
Placing specimen on ice
44
This tube must contain a ratio of 9 parts blood to 1 part addtitive
Light blue tube
45
Aerobic & Anaerobic bottles are used for?
Blood cultures
46
How many hours of internship must you complete if you have no experience?
40
47
Lack of physical or mental fitness is known as
Incompentance
48
PPE stands for what?
Personal Protective Equipments
49
When should you stop letting blood into a vacuum tube
When tube stops drawing blood
50
How should we mix blood with additives?
Invert 6-8 times
51
What are we doing when we clean a draw site with Isopropyl alcohol?
Disinfection; removing most microorganism
52
Diabetics, end stage HIV pt's, mastectomies, and cancer patients should?
Be drawn with caution bc of nosocomial infection
53
This tube has no additives
Red top tube
54
We can use this tube for Glucose (only) testing?
Gray top
55
What is integrity?
Always doing whats right when it doesn't matter
56
How are Nosocomial infections primarily spread?
Urinary tract infection
57
Your employer must offer education and training on blood borne pathogens _______ per OSHA requirements.
at no cost
58
The agency responsible for setting national standards for lab procedures
CLSI
59
This is an indefensible phlebotomy error
Excessive angle of insertion
60
How long should you flush a mucous membrane after an exposure incident?
15 minutes
61
Define HIPAA
Health Insurance Portability and Accountability act
62
Unsafe acts, needle sticks or other exposures need to be
report to supervisor
63
An unbalanced centrifuge may cause?
Tubes break
64
When you first meet our patient, what should you do./
Patient identification
65
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?
1st tube thrown away and 2nd light blue top gets tested
66
Liver malfunction causes _____________in your blood sample
icterus
67
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?
Dispose equipment, get correct tubes, then redraw
68
What is the primary job of the red blood cell?
Transport oxygen
69
The CLS asks you to prep a slide for them, at what angle should the spreader slide be to get a good smear?
30* angle
70
What time is 8:22 in standard military time?
20:22
71
Pre or Post-analytical phases are where more errors are likely to happen.
True
72
What is the normal prothombin time range?
10-12 seconds
73
Lavender top tubes contain what additive?
EDTA
74
What is the liquid taken from coagulated blood called?
Serum
75
You receive a notice from the lab you have a hemolyzed specimen you drew on a PT. How do you correct the error?
Redraw
76
Can patients refuse blood draws?
Yes
77
____________ is an outline of protective measures to minimize employee exposure to body fluids.
Exposure Control Plan
78
When collecting blood from an artery, what color is it?
Bright red
79
A cancer patient is most predisposed to ___________
Nosocomial infections
80
Employers must keep you records for __________
30 years
81
You can release results directly to the patient upon their request.
No
82
If not already drawn, when can a doctor cancel a blood draw order?
Anytime
83
___________ move blood borne pathogens through the air
Aerosol
84
Can you choose not to draw on an infant?
Yes
85
You have to pull an ammonia test, which tube do you use?
Green top
86
Pink or red tinged plasma or serum are signs of __________
Hemolysis
87
What do you do when you draw the wrong patient?
Redraw on correct patient
88
Damaged blood vessels release?
Von willebrand factor
89
QC samples have known values?
Yes
90
_________ is the proper angle for vacutainer or syringe draw.
30*
91
What is the most common instrument of choice for most blood draws?
Vacutainer closed system
92
You're drawing a patient when you notice a hematoma forming, what should you do?
Discontinue draw and apply pressure
93
The additive in a gray tube is?
Sodium Fluoride and Potassium oxide
94
Doctor orders a CBC, what tube will you pull?
Lavender top tube
95
You've completed a multi tube draw on a patient, what do you do next?
Label each tube individually before leaving
96
Define communicable diseases
A disease that passes from one to another
97
What is the Allen test used for?
Determine if safe to draw from radial artery
98
The patients bill of rights was enacted in
1997
99
Is the patient allowed to participate in treatment making decisions?
Yes

Phlebotomy (1 decks)

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