final review ch 9-19 Flashcards

(56 cards)

1
Q

what should a phlebotomist not do to prevent moving of needle in patients arm

A

anchor hand on patients arm while pulling tube straight out of holder

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2
Q

what should you not do when collecting for a micro collection

A

squeeze and scrape to collect drop

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3
Q

features of dermal puncture devices do not include

A

uniform depth

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4
Q

for a dermal puncture, what order do you collect an H&H, BUN and creatinine

A

H&H, BUN, and creatinine
lavender and gold

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5
Q

for a BAC, what cleaning agent can you use when a patient is allergic to iodine

A

chlorhexidine gluconate

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6
Q

best area to draw for geriatric patients

A

antecubital fossa

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7
Q

what happens to geriatric patients veins

A

become more elastic

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8
Q

why do you discard first sample drawn from heparin or saline lock

A

potential dilution of sample

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9
Q

what fecal specimen is used to find presence of parasites and eggs

A

random fecal

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10
Q

what is a timed urine test

A

creatinine

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11
Q

“snapshot” of inner workings of body

A

urine specimen

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12
Q

how long does a red top tube take to clot

A

30-45 mins

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13
Q

max amount of time before specimen needs to be delivered to lab

A

45 mins

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14
Q

what can you not use to test for pregnancy

A

sputum (spit/ saliva)

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15
Q

what samples are collected for ACT testing
(activated clotting time)

A

sodium citrate, dermal puncture, whole blood

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16
Q

purpose of palpating vein

A

find placement, width/ depth, and position

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17
Q

purpose of flanges

A

to stabilize the pushing and pulling of tubes

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18
Q

when should safety device be activated

A

immediately after removing needle

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19
Q

when do you label blood collection tubes

A

immediately after removing needle

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20
Q

what does the width have t do with dermal punctures

A

wider cut = more capillaries cut- more blood

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21
Q

expected normal range for bleeding time test

A

2-10 mins

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22
Q

what happens if you squeeze/ milk capillary puncture site

A

contamination

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23
Q

what do you use when patient is allergic to iodine

A

chlorhexidine gluconate

24
Q

barriers to blood flowing when attempting to draw blood

A

going too deep, not deep enough in vein, readjusting or missing vein

25
what can cause a hematoma
moving too slow, missing vein, fishing around, removing tourniquet after needle is removed
26
what collection method is primarily used in peds
dermal puncture
27
basal state
abstinence of eating/ drinking and exercise. steady state after 8 hours
28
what purpose will a doctor order a digoxin level and is it a times test
yes, timed- for therapeutic drug monitoring and to see peak and trough levels
29
what’s the difference between aerobic and anaerobic
anaerobic- can’t tolerate oxygen, aerobic- can tolerate oxygen (think aerobic first- sucks out oxygen to allow anaerobic to not be compromised)
30
what blood culture bottle is drawn first when using winged infusion set
aerobic
31
what time is best for urine sample to detect UTI
morning
32
can you use a random fecal specimen to test for parasites
yes
33
common times urine test
creatinine protein clearance (24 hours)
34
what can cause extreme hemolysis
shaken too much, extreme temps, traumatic collection
35
what is lipemia
fats in serum
36
purpose of barcode specimen label
to identify, track and catalog sample
37
pneumatic tube system
transport of specimen in sealed container within network of tubes
38
point of care
performance of test immediately after obtaining sample
39
what must match patients ID and requisition form prior to blood draw
name, DOB, patient ID, bed/ room #
40
what are some reasons you won’t use expired blood collection tube
lower vacuum in tube - lab will reject microclots risk increase
41
what is assault in phlebotomy
unjustifiable attempt to touch another person or threat to do so
42
battery in phlebotomy
intentional touching of another person without consent
43
which vein lies next to brachial artery
bascilic
44
what parts of the heel are acceptable areas for heel sticks
medial and lateral borders of foot
45
what is altered in hemoconcentration
formed ratio of elements
46
what type of tests are ordered “timed”
TDM- therapeutic drug monitoring
47
what info might H&H provide for physician
hemoglobin and hematocrit, whole blood, dermal puncture and coagulation tube
48
quality control
quantitative methods to measure QUALITY OF PROCEDURE ex: making sure equipment is calibrated (think like chores)
49
quality assurance
methods used to guarantee QUALITY PATIENT CARE (think like marking off chore chart)
50
what steps in patient testing fall under pre analytical
prep, requisitions, collection
51
examples of pre analytical variables
specimen collection, site placement, tourniquet, cleaning of site
52
why can’t you draw on the side of a mastectomy
it’s painful and higher risk of infection for patient
53
is it appropriate to set your tray on patients bed
no- breach of standard. you and patient at risk of accidental needle stick, it’s unsafe and unsanitary
54
purpose of requisition
identify patient name, DOB, what tests will be done and tool collection
55
definition of hemoconcentration
increased ratio of formed elements in blood
56
negligence
failure g preform action that’s consistent with the standard of care