Week 5 Quiz QA

Question 1

What system are we using to draw blood

Answer 1

vacutainer

Question 2

what is the benefit of the vacutainer

Answer 2

applies constant pressure to vein, drawing blood at steady rate to prevent hemolysis

Question 3

Aside from preventing hemolysis, what else is vacutainer good for?

Answer 3

filling multiple tubes of blood.

Question 4

who is a vacutainer not appropriate for

Answer 4

someone without good veins, ones that collapse.

Question 5

what should be remembered when incerting and removing tubes

Answer 5

To put counter pressure on the flared ends of the holder

Question 6

What is the range of needle size for vacutainer

Answer 6

18-25, ususally 21-23 are used

Question 7

what does gauge mean

Answer 7

smaller number is larger needle width.

Question 8

how long are the needles?

Answer 8

1-1.5 inches long

Question 9

What length of needles are ususally used?

Answer 9

One inch, they are easier to control and less intimidating

Question 10

What is the first step to venipuncture

Answer 10

assemble equipment: towel, gloves, alcohol, cotton balls, tape, turniquet, vacutainer needle and holder, test tube rack and tubes and sharps container

Question 11

How many tubes should you have

Answer 11

always have two of each kind that you will use.

Question 12

what side is the sharpes container on?

Answer 12

The dominant side

Question 13

what side does the tube rack and supplies go on

Answer 13

the non dominant side.

Question 14

What should you do when you meet the patient

Answer 14

greet them, evaluate their emotional status, if they are prone to faining, have them lye down.

Question 15

what should you ask patient

Answer 15

full name, date of birth, write on towel or paper

Question 16

What should you do after you pick your vein?

Answer 16

clean site with alcohol,

Question 17

Are you wearing gloves when you pick your vein?

Answer 17

No, pick it with out gloves, remove tourniquet, clean site then wash hands and apply gloves.

Question 18

After you apply gloves, what do you do?

Answer 18

Apply the turniquet again, then assemble the needle, remove cap and place container in holder.

Question 19

When can you set the needle down?

Answer 19

only if you have not removed the lid

Question 20

which hand should you pick up the needle with?

Answer 20

Your dominant hand, the dominant hands only job is to hold needle.

Question 21

What should you do before palpating vein with glove on?

Answer 21

put some alcohol on fingers, dab off excess, then palpate.

Question 22

what direction should bevel be pointing?

Answer 22

up

Question 23

how do you anchor skin

Answer 23

pull up above site and lateral to site

Question 24

what angle are you entering skin at?

Answer 24

20-30 degrees, then decrease angle to 15-20

Question 25

How should you hold vacutainer?

Answer 25

Hold between thumb and forefinger tightly, two fingers between patient arm and container,

Question 26

How can we decrease movement of needle in patients arm?

Answer 26

steady downward pressure between two lower fingers and patient arm

Question 27

what hand do you use to push tube into holder

Answer 27

the non dominant hand, the one anchoring the vein

Question 28

what is very importain when pushing the tube in?

Answer 28

to use the flared end of container to apply counter pressure

Question 29

what if I don’t get blood?

Answer 29

gently palpate for vein above site, withdraw very slightly, if no blood, aim needle toward vein, incert slightly.

Question 30

what should you do if you remove needle to much and can see bevel

Answer 30

remove needle completely, and start over on other arm with new equipment

Question 31

what if you don’t get blood after re-aim?

Answer 31

remove tourniquet, disengage tube then withdraw needle

Question 32

when do you remove touriniquet?

Answer 32

when the last tube is filling, or the first if there is only one.

Question 33

what do you do with filled tube

Answer 33

invert it 8 times

Question 34

how should you apply cotton ball?

Answer 34

hold above site without pressure, remove needle, close on table, put in container, and apply pressure to site. Smooth motion.

Question 35

what do you do now?

Answer 35

have patient hold site, you label tubes,

Question 36

what should you do before taping cotton ball down?

Answer 36

make sure bleeding has stopped.