Venipuncture

Question 1

is the most integral part in any laboratory procedures

Answer 1

specimen collection

Question 2

it is but proper that the specimen to be collected should be, as much as possible, have the same _____ as when it is inside the body.

Answer 2

integrity

Question 3

Venipuncture using the ______ system is a closed system with sterile evacuated tubes, blood flows directly into the tube and no messy specimen transfer is needed.

Answer 3

vacutainer system

Question 4

veni using vacutainer system will draw blood automatically in accordance with the amount of _____ incorporated because it has vacuum inside its system

Answer 4

anticoagulant

Question 5

in veni using vacutainer, blood comes into ___ contact with the ___

Answer 5

direct contact with the additive

Question 6

preserves the integrity of the specimen and ensure more accurate results (vacutainer system)

Answer 6

blood comes into direct contact with the additive

Question 7

it can be used in collecting multiple specimens for different laboratory tests in one puncture wound only

Answer 7

vacutainer system

Question 8

materials for vacutainer system

Answer 8

-vacutainer adaptor
-gloves
- vacutainer needles and tube
- tourniquet
- cotton swab

Question 9

venipuncture using the syringe is usually used for

Answer 9

beginners and for veins which are not very prominent

Question 10

one would know if the vein of the patient is hit by the needle since a little amount of blood would appear in the hub of the syringe needle

Answer 10

syringe

Question 11

how would u know if the vein is hit when using syringe

Answer 11

blood in the hub

Question 12

one must have a steady grip on the ___

Answer 12

barrel

Question 13

offers a disadvantage when using syringe

Answer 13

moving of barrel during the pulling of the plunger

Question 14

materials for venipuncture using syringe

Answer 14

• syringe
• gloves
• tourniquet
• cotton swab

Question 14

make sure to note the ___ of the vacutainer tube before using

Answer 14

expiry date

Question 15

make sure that the syringe you are about to use has not been ____

Answer 15

previously opened nor broken

Question 16

1st step in vacutainer system technique

Answer 16

identify the patient. this is the most important step in the procedure

Question 17

2nd step in vacutainer system technique

Answer 17

Assemble the equipment.

Question 18

insert the ____ end of the vacutainer needle into the vacutainer ____

Answer 18

shorter end into holder/adaptor

Question 19

the end of the needle is generally covered by ___ to prevent blood from leaking the needle when collecting more than one tube of blood

Answer 19

rubber like sleeve

Question 20

insert the first tube into the vacutainer holder until ____

Answer 20

the top is even with the line on the holder

Question 21

do not puncture the top of the needle inside because ___

Answer 21

puncturing the top causes loss of the vacuum

Question 22

3rd step in vacutainer technique

Answer 22

apply tourniquet 3-4 inches above the elbow

Question 23

the patient’s arm should be in a ___ position

Answer 23

slightly downward

Question 24

why should the patients arm be positioned slightly downard

Answer 24

so that when blood enters the vacutainer tube it will go directly to the bottom of the tube and not remain at the top where it might flow back into the patient’s vein.

Question 25

4th step in vacutainer technique

Answer 25

ask the patient to make a fist (massage or tap site with index and 3rd finger for veins to dilate)

Question 26

makes the vein more easily palpable

Answer 26

asking the patient to make a fist

Question 27

if veins are still not palpable you may apply a ____ about ___ to the site or allow it to hang in a ____ position so that the veins will fill to capacity with blood

Answer 27

warm moist cloth (40 degree C) hang in vertical position

Question 28

5th step in vacutainer technique

Answer 28

select a suitable vein to puncture

Question 29

The veins of the arm, which are the site of the majority of venipunctures,

Answer 29

cephalic, median cubital, basilica

Question 30

6th step in vacutainer technique

Answer 30

cleanse the site with 70% alcohol after the suitable vein has been chosen

Question 30

generally preferred vein because this is the largest and best anchored.

Answer 30

median cubital

Question 30

grasp the patient's arm ____ the puncture site, pulling the skin tight with your thumb

Answer 30

1-2 inches below

Question 31

hold the vacutainer assembly with the ____ hand, between the ___ and ___ fingers

Answer 31

opposite hand, between the thumb and last three fingers

Question 32

when holding the vacutainer assembly, rest the **index finger** against the ___ of the needle to serve as a guide

Answer 32

hub

Question 33

make sure that the syringe has been inspected and tested by pulling and pushing the plunger back and forth ____

Answer 33

3 to 5 times.

Question 34

If bleeding has ceased, apply hypoallergenic tape over the pad at site and advise the patient to leave it on for ___ minutes.

Answer 34

15 minutes

Question 35

Make sure that in transferring, the specimen will touch the __ side of the test tube. This is to avoid ___

Answer 35

inner side, to avoid hemolysis