That Doesnt Go There Flashcards

1
Q

The most common site for venipuncture is __

A

Anticubital (AC) Space

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2
Q

If a patient is nervous or has fainted from venipuncture in the past, they should be placed in a __ position.

A

Semi-Fowler

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3
Q

How should a patient’s arm be positioned to prevent venous reflux?

A

Downward position so the tube remains below the venipuncture site and fills from the bottom up

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4
Q

What is the correct tourniquet tension?

A

Tension should slow venous flow without affecting arterial flow. It should fit snugly and not pinch the patient’s skin

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5
Q

Where should a tourniquet (for venipuncture) be placed?

A

3-4 inches above the bend in the elbow

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6
Q

How long should a tourniquet be left in place? Why?

A

Not longer than 1 minute.
For patient comfort.
To avoid venous stasis - plasma filters into the tissues causing hemoconcentration

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7
Q

The best vein to use in the AC space is the __

A

Median cubital

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8
Q

The cephalic vein is located __

A

on the thumb side (lateral) of the AC space

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9
Q

What color Vacutainer is used for a CBC sample?

A

Lavender

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10
Q

What color Vacutainer is used for blood alcohol, drug tests or oral glucose tolerance tests?

A

Grey top

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11
Q

What order are tubes drawn for multiple specimen orders?

A

Blood culture, coagulation tube, serum, anticoagulant

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12
Q

What order do you draw anticoagulant tubes?

A

Green, lavender, royal blue, grey

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13
Q

Why do you draw anticoagulant tubes in a specific order?

A

To prevent cross-contamination among different anticoagulants, which may lead to inaccurate test results

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14
Q

What is the angle of insertion for IM, SQ, and ID injections?

A

IM - 90 degrees
SQ - 45 degrees
ID - 10-15 degrees

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15
Q

What is the needle gauge ranges for SQ, IM and ID injections?

A

SQ - 23G-25G
IM - 18G-23G
ID 25G-27G

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16
Q

What is the fluid max for SQ, IM, and ID injections?

A

SQ - 1mL
IM - 3mL
ID - 0.01-0.02mL

17
Q

What is the proper way to mix a vial of reconstituted drugs?

A

Roll the vial. Shaking can cause bubbles

18
Q

How far do you insert a rectal thermometer?

A

1 inch

19
Q

Where is a apical pulse taken?

A

5th intercostal space, at the junction of the left midclavicular line

20
Q

What is the average respiratory range for a toddler?

A

23-35

21
Q

What is an acceptable SpO2?

A

96% and up

22
Q

What is an area you would not shave for wound care?

A

Eye - lid margin and brow

23
Q

How long do you have to send out a blood specimen?

A

Up to 24 hours at room temp

24
Q

What temp do you store wound specimens/microbiologic specimens?

A

Store between 36F & 46F

25
Q

Microbiologic specimens should be transferred to a lab within __

A

24hours