Basics of Phlebotomy Flashcards

(130 cards)

1
Q

What is the civilian time equivalent of 1448?

A

2:48pm

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2
Q

What services must be present in a healthcare facility to be considered a hospital?

A

Organized medical staff
Therapeutic and diagnostic services
Permanent inpatient beds with 24-hour nursing services

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3
Q

What consent is applicable after the patient comes to the laboratory, sleeves rolled up, with the physician’s order?

A

Informed Consent

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4
Q

What Terms about blood is defined correctly?

A

Apheresis is the removal of whole blood from a patient or donor.
Coagulation is the process by which a clot forms in the blood.
Blood doping is the injection of blood cells or blood substitutes to increase athletic endurance by boosting the blood stream’s oxygen-carrying capacity.

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5
Q

What is to be done after a patient adamantly refuses to have his/her blood drawn?

A

Notify the physician and nurse, then wait for further instructions.

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6
Q

What does the prefix Lysis Mean?

A

Combine

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7
Q

What describes a suffix as an element of a word?

A

Follows the root of the word.

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8
Q

What is the primary responsibility of a phlebotomist?

A

Controlling preanalytical variables

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9
Q

What about identifying a patient and verifying the name and date of the patient’s birth is correct?

A

The Patient must be actively involved in the identification process.
You must ask the patient to state his or her full name and date of birth.
According to the CLSI guideline GP33-A, you can ask the patient to spell the last name.

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10
Q

What is the process that involves the regulation of a specific variable in any system within the body of an organism and is defined as the overall well-being of the body?

A

Homeostasis

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11
Q

What is true about the history of the bloodletting?

A

Egyptians, Greeks and Romans used bloodletting to rid the human body of evil, while the Mesopotamians and Mayans used it for ritualistic purposes.

In the fifth century, Greeks helped bloodletting become an actual medical procedure, allowing it to spread through other civilized areas.

The ultimely death of the first United States President, George Washington, was thought to be excessive bloodletting. He died in 1799 after 9 pints of blood were taken to treat a throat infection.

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12
Q
Unlabeled Specimens
Improper Specimen Storage
Contaminated Urine Specimens
Incorrect timing of blood draw
Blood Clot in the anticoagulated tube
Incorrect blood volume (to little or to much)

Many Factors are involved when the lab rejects a specimen. How many factors of those above are the reason for specimen rejection?

A
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13
Q

Which of the following does not carry oxygenated blood?

A

Pulmonary Artery

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14
Q

What is incorrect about nonverbal communication?

A

Nonverbal communication is limited, and phlebotomists can learn much about patients’ feelings by verbal communication

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15
Q

What is a heart disorder characterized by fluid buildup in the lungs?

A

Congestive heart failure

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16
Q

What is the military equivalent of 11:28am?

A

1128

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17
Q

Which double membrane-bound organelle found in all eukaryotic organisms is responsible for the production of ATP where it is most abundantly found?

A

Mitochondria

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18
Q

What is the process where the body maintains a state of equilibrium?

A

Homeostasis

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19
Q

What is the purpose of the pulmonary (respiratory) system?

A

Carry oxygen to and from the lungs

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20
Q
AHA: American Hospital Association
AMA: American Medical Association
CHC: Community Health Center
EHR: Electronic Health Record
PCP: Primary Care Physician
PHI: Protected Health Information
PHR: Personal Health Record
PHS: Public Health Service
PSC: Patient Service Centers

How many acronyms about the Health Care Structure given above are correct?

A

9

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21
Q

What is the name of the cells, which are also known as white blood cells (WBCs), found in the immune system responsible for protecting the body from foreign invaders and infectious diseases?

A

Leukocyte

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22
Q

What Laboratory analyses for urologic disorders can be performed by microbiology?

A

C&S

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23
Q

What is the smallest blood vessel?

A

Capillary

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24
Q

Define Thrombocyte

A

A platelet that is important for blood clotting

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25
What is a white blood cell?
A colorless or white cell in the blood with a nucleus and cytoplasm
26
What is whole blood?
Blood where none of the elements (white blood cells, red blood cells, and platelets) have been removed.
27
What are the symptoms of the latex allergy?
Skin Redness Difficulty Breathing Runny nose, Itchy eyes
28
What abbreviation is not on the Joint Commission "Do Not Use" list?
MP
29
What is defined as the failure to act consistently with the accepted standard care?
Negligence
30
What refers to the "malpractice" of healthcare?
Professional Negligence
31
What chamber chamber does blood come from going to the aorta?
Left Ventricle
32
What is the name of the system that monitors institutions that train professionals?
Accreditation
33
Define Blood Culture
A laboratory test used to check for bacteria or other microorganisms in a blood sample.
34
Define Chemical reagent strip testing
a urine collection method that may be ordered to diagnose urinary tract infection or to evaluate the effectiveness of drug thereapy
35
What is Culture and Sensitivity?
a test performed to test for infections
36
What laboratory tests is not helpful in the diagnosis of HIV infection?
APTT
37
What is the meaning of the prefix anti-?
Against
38
What is not found in whole blood?
Casts
39
What is true when performing a dermal puncture?
The puncture must be perpendicular to the whorls of the fingerprints
40
What is the thick muscle layer of the heart?
Myocardium
41
What kinds of consequences requires a change of custody for a specimen?
Legal
42
What organizations prepares the guidelines and principles of laboratory practice to assure the quality and integrity of phlebotomy?
CLSI: The Clinical and Laboratory Standards Institute
43
What is not an example of medical negligence?
The phlebotomist fails to obtain a specimen from a combative patient.
44
How long does it take for the body to replace 500mL of blood?
6-8 weeks
45
What part of a call contains the chromosomes or genetic material?
Nucleus
46
What is required for the patients result to be legally released in public?
Provide written consent
47
What is the site where most gas exchange between blood and tissue takes place?
Capillaries
48
What are valid laboratory abbreviations?
LIS: Laboratory information system MLS: Medical Laboratory Scientist GLPs: Good Laboratory Practices
49
What does the abbreviation "NPO" mean?
Nothing by mouth
50
What defines the structure and determines the meaning of a medical term?
Suffix first, prefix next, and root word last
51
Define Hemolysis
The destruction of red blood cells
52
Define Hematoma
the collection of blood underneath the skin, also known as a bruise
53
Define Hemoconcentration
the excessive accumulation of blood into an area of the body, usually caused by a tourniquet left on too long or a patient pumping there fist.
54
What Abbreviations about blood is correct?
BAC: Blood Alcohol concentration BBP: Bloodborne Pathogen ACT: Activated clotting time
55
What is true when you communicate verbally with a patient?
Use nonmedical terms so a patient understands Never give false reassurance to patients such as "it won't hurt" Explain the procedure to gain the confidence and cooperation of the patients
56
What term refers to the volume percentage of packed red blood cells in a blood sample?
Hemocrit
57
Define Antibody
A type of protein the immune system produces to neutralize a threat of some kind.
58
Define Antigen
any substance capable of inducing a specific immune response and triggering an antibody's production specific to that substance.
59
Define Immunocompromised
the impairment of the immune response usually due to the disease, medication, therapy, or surgery.
60
What are the responsibilities of the Bureau of the Fiscal Service or commonly known as Fiscal Services, which is an agency of the United States federal government?
Admitting, medical records, and billing
61
What are the legal responsibility of a phlebotomist while does there job?
Follow the standard of care Maintain patient confidentiality Maintain the integrity of the doctor-patient relationship
62
What does TSH stand for in phlebotomy?
Thyroid Stimulating Hormone
63
Define Accession
The process of recording in the order it was received
64
Define Requistion
The form which is used to enter the test orders
65
Define Bedside Manner
The behavior of a healthcare provider toward a patient
66
What is required in the patient's requisition of information?
Patients Full Name Ordering Physicians' Name Type of test to be performed
67
What medication does not interfere with the bleeding time test?
Ethanol
68
What is the significant difference between plasma and serum?
Plasma contains fibrinogen; the serum does not
69
What prefix does thromb- refer to?
Clotting
70
What is not a proper telephone protocol?
Hang up on angry callers
71
What explanation about touching is not correct?
Phlebotomist's touching to the patient is kind of social touching
72
What is the meaning of the suffix -tomy?
Study of
73
What is the real definition of minor?
Has not reached the age of majority
74
What is the principal defense against a malpractice suit?
Showing that the standard of care was followed
75
Which dept is responsible for studying the diagnosis, cause, treatment, and prevention of blood-related diseases, mostly responsible for conducting complete blood count (CBC)
Hematology Dept
76
What are the duties of a phlebotomist?
Providing patients with containers for the collection of random samples. Always confirming with the patients that they have understood the instructions. Providing instructions to the health-care provider's office personnel when it is requested.
77
What is the blood volume of an infant weighing 6 lbs? | 100ml of blood is usually measure for every kilogram
270ML
78
What does lymph originate from?
Tissue Fluid
79
In Phlebotomy, what does the abbreviation PP stand for?
Post-Prandial
80
What is not right about the serum and plasma?
Plasma is obtained after the clotting of blood, while serum is derived before the blood's coagulation
81
What is the plural form of atrium?
Atria
82
What other department is also allowed to draw arterial blood gases aside from the laboratory?
Respiratory Therapy Dept
83
What agency is handling all disaster situations?
FEMA
84
If a phlebotomist ignores the refusal or forcibly tries to collect a sample from a patient who refuses to have blood draw, what charges can he/she be accused of?
Assault and Battery
85
What lab abbreviation defines the laboratory word "PT"
Prothrombin Time
86
What is the functional unit of the nervous system that is an electrically excitable cell that transmits and processes information using electrical and chemical signals?
Nueron
87
What is the chemistry dept section usually associated with drug analysis since they are concerned with studying the detection, nature, and adverse effects of different chemicals on living organisms?
Toxicology
88
Define Unopette System
a method for diluting blood when preparing it for counting blood cells
89
What test can use the Unopette System?
Hematology
90
What is a medical field that involves the use of radioisotopes to perform tests for the diagnosis and treatment of diseases?
Nuclear Medicine
91
Under the HIPAA act, what element is not necessarily considered a piece of protected health information?
Patient's employment records
92
What chamber does the deoxygenated blood enter?
Right Atrium
93
What case will most probably let the patient feel in control? (under the right to refuse treatment, medication, blood work)
Agree with the patient that it is his right to refuse to have a blood specimen drawn
94
What must they consult, if phlebotomists want to compare previous patient data with current patient data?
Delta Check
95
What kinds of information can be disclosed according to the patients rights?
All Health-related information
96
Define Hemochromatosis
High Iron count, iron overload
97
Define Sickle Cell Anemia
Abnormal hemoglobin, inherited red blood cell disorder
98
Define Polycythemia Vera
High red blood cell county, the bone marrow makes to many read blood cells
99
What is listed in the proper order of blood flow?
Capillary, venule, vein
100
What part of the circulatory system does the exchange of gas occur and is considered the smallest type of blood vessel that is only one layer thick?
Capillaries
101
What things are right about anticoagulants?
The most common side effect of treat with anticoagulant medicine is bleeding. Anticoagulants such as heparin or warfarin (Coumadin) slow down your body's process of making clots. They're given to people at high risk of getting clots to reduce their chances of developing severe condition such as strokes or heart attacks.
102
What body organs is mainly affected in a person with a pulmonary disease?
Lungs
103
What type of muscle is found on the walls of blood vessels?
Visceral
104
What does not have a valve?
Capillaries
105
Which test is collected first during a dermal puncture?
Blood Smear
106
What is the time interval that is the typical result for an average bleeding time (BT)?
2-10 Minutes
107
What causes the P waves in an ECG?
Atrial Contractions
108
What solution can produce a 1:10 solution of bleach?
10mL bleach to 90mL of water
109
What finger is commonly used and preferred for capillary collection?
Ring finger
110
Norma is scheduled for a blood test. The procedure indicates that the volume ratio for the serum to the specimen is 1:1. The requires 3mL of serum. The lab, then, requires that the amount of blood be collected should be 250% of the needed specimens volume. What tube size should be used to collect the specimen?
15mL
111
Gerry, a phlebotomist, has a patient who refuses to have blood drawn from him. What action should be taken?
He should ensure that he notifies the patients doctor promptly
112
Define Superior
Higher
113
Define Inferior
Lower
114
Define Anterior
Toward the Front
115
Define Posterior
Toward the rear
116
Define Medial
Toward the Middle, close to the center of the body
117
Define Lateral
Toward the Side, away from the center of the body
118
A phlebotomist ignores a patient who refuses a procedure and continues to prepare for the process. What can the phlebotomist be accused of?
Assault
119
A typical adult has an average blood volume of 70mL per kilogram. The blood volume varies depending on many aspects like diet and family history. What is an average man's blood volume if he weighs 130pds?
4.1 L
120
What orange system does the hematopoiesis occur?
Skeletal System
121
How many MM/CM is the maximum depth of a heel puncture?
2.0 mm
122
What is a blood test that is usually handled by the coagulation dept that measures the time the blood takes to clot and check if medicine used to prevent blood clots work?
Prothrombin Times
123
Where are heel sticks usually located?
At the lateral or medial borders of the plantar surface
124
What lab test should be performed to screen pancreatitis?
Serum amylase
125
What percent of the total blood volume is constituted by plasma?
55%
126
What leukocytes protects the body by ingesting or phagocytosing harmful foreign particles such as dead cells and bacteria?
Neutrophils
127
What is produced with the help of Helper T Cells?
Antibodies
128
Where does a tort originate?
Civil Action
129
What is the allowed maximum elapsed time between the time a sample is collected and the time the plasma or serum is separated from the formed elements?
2 Hours
130
What type of tissue supports, connects, binds, or separates organs and other tissues from each other?
Connective Tissue