General Phlebotomy Flashcards
(98 cards)
1
Q
Depth of a heel stick should not exceed
A
2.0mm
2
Q
Additive of red/gray, red/black, SST is
A
Thixotropic Gel (For Serum Separation)
3
Q
This can happen is tourniquet is left on too long
A
Hemoconcentration
4
Q
You collect a STAT Electrolytes in a
A
Green Tube
5
Q
Test where blood & urine are collected over specific intervals
A
GTT (Glucose Tolerance Testing)
6
Q
A Hematoma can be prevented by
A
Applying pressure to the site
7
Q
Most frequently occurring lab nosocomial infection
A
HBV
8
Q
Selerotic Veins
A
Are Hard & Cord-like
9
Q
A Fomite is
A
Inanimate things that cause disease
10
Q
Tubes containing Anti-Coagulants are inverted how many times
A
8
11
Q
Function of Thrombocytes is
A
Clotting or repairing blood vessels
12
Q
Warming the site prior to dermal puncture
A
Increases blood flow to the site
13
Q
Most common cause of Blood Culture contamination is
A
improper skin preparation
14
Q
Blood in urine is called
A
Hematuria
15
Q
“Butterfly” is also known as
A
WIS (Winged Infustion Set)
16
Q
Additive for Green tube
A
Li / Na Heparin (Lithium Heparin / Sodium Heparin)
17
Q
Excessive water between tissue
A
Edema
18
Q
Red Blood Cells are
A
Erythrocytes
19
Q
If blood is drawn from wrong patient you should
A
Immediately redraw specimems
20
Q
Antiglycolytic agent the preserves glucose stability for (3) days
A
Na Fl (Sodium Flouride)
21
Q
Hypoglycemia is
A
Low Blood Sugar
22
Q
Your pt’s blood has been collected 3 times and every time the specimen hemolyzed. Possible Cause?
A
A 25G needle has been being used
23
Q
21G, 23G, 18G, 16G - which is the smallest needle
A
23G
24
Q
If pt has IV in an arm; where should you draw from?
A
the opposite arm or above the IV
25
Adequate rest & no food for 12 hours; this is considered to be in a
Basal State
26
Proper way to dispose of a needle
Put in sharps container without recapping, immediately after withdrawal from pt
27
Correct ending for venipuncture
Remove tourniquet, remove tube, remove needle, apply pressure
28
Most commonly used vein for venipuncture
Medial Cubital
29
Most common complication from phlebotomy
Hematoma
30
ERS collection tube is
Lavender
31
Additive for Light Blue
Na Citrate (Sodium Citrate)
32
Destruction of Red Blood Cells
Hemolysis
33
OSHA require health care workers to be vaccinated against
Hepatitis B Virus
34
PT/PTT, CBC, Ammonia Level, Cardiac Enzymes. Put in proper Order of Draw
Light Blue + Red + Green + Lavender
35
Additive for Gray Tube
(K) Oxalate (Potassium Oxalate)
36
Medial line extending from great toe & lateral line extending from the fourth & fifth toe
Boundaries for Heel Stick
37
Patient admitted to ER is unconscious & unidentifiable. What system is used to ensure pt identification?
3 part ID system that uses a temp armband & labels for specimens & blood transfusions
38
The purpose of a tourniquet
To enlarge vein so they are easier to locate
39
Collection device used for skin puncture
Capillary Tubes
40
If a tourniquet is tied too tight, the capillaries rupture causing
Petechiae
41
An obese pt needs a CBC drawn; which vein is most likely to be used?
Cephalic Vein
42
You are drawing an in-patient for a CO-AG (coagulation) study. What color tube would you use and how far would you fill it?
light blue, filled completely
43
Means of IDing a pt in a clinical lab (out-patient)
Asking his/her name
44
Excessive squeezing of a finger in a capillary pucture can be
Contaiminated with tissue Fluid
45
Giving pt adequate info concerning the method, risk & consequences prior to a procedure is called:
Informed Consent
46
Your pt jerks during a draw and you get stuck with the needle. You should
Wash wound with soapy water as soon as possible and report incident to your supervisor
47
CDC is
Center for Disease Control and Prevention
48
Innermost layer of a blood vessel is
Endothelial
49
Tube used for Gluclose Testing
Gray
50
Microorganisms that cause disease are
Pathogenic
51
A pt is taking asprin for arthritis. You should be concerned with
Bleeding Time
52
Pt suffering from seasonal allergies. What would be the picture of her WBC differential count?
Increased Eosinphils
53
What barrier protection is required when performing a venipuncture
Gloves
54
The Patient Bill of Rights gives the patient the right to
Refuse Treatment
55
You are on night shift and receive orders for all of the following tests within minutes of one another. Which has the greatest collection priority?
STAT Electrolytes in the ER
56
You are asked to collect a pt in the Oncology Dept. The pt is most likely being treated for:
Cancer
57
A PKU is being drawn. This speciemen is
Blood collected from the newborn's heel
58
Called to ER to draw a CBC & Forensic Alcohol from a pt involved in an auto accident. Pt asks what blood tests the MD ordered. You should
You are not allowed to reveal that information
59
Infections contracted in a health care setting
Nosocomial Infection
60
Which tube will give you a serum specimen
Red/Gray Top (SST)
61
12-year-old female had a pregnancy test drawn. She returned to lab w/o her parents. You overheard the results were positive and she wants to know the results. You should
Tell her she needs to contact her physician to obtain results
62
Additive for Pink Tube
EDTA
63
What information IS NOT placed on a specimen
Diagnosis
64
Blood in an average adult body
5.0 L
65
How far above the collection site is the tourniquet placed
4" to 6"
66
Best sample for determinations of blood pH and blood gases?
Aterial Blood
67
Appropriate tube to draw blood for a Lead Level
EDTA or Heparin
68
Failure to give pt appropriate care is called
Negligence
69
Clean Catch midstream unrine sample is used for
Microbiological urine testing
70
A capillary is defined as
Microscopic vessel
71
The purpose or the accession number
Provides unique tracking number for the specimen with its test order
72
The BBP OSHA regulations require this to prevent needle stick injuries
Use of approved needle safety devices manufactured to cover the exposed needle immediately after procedure
73
A pt you were going to draw in the trauma room dies. A family member asks how their loved one is doing. You should
Tell them the physician will be with them momentarily
74
Function of Neutroophils
Phagocytes (engulf bacteria)
75
Group of tests requested as one unit is called
Profile
76
Excessively milking finger during skin puncture can result in
Hemolysis & contamination with tissue fluids
77
When inserting a needle the bevel should be facing
Upwards
78
If a pt has a syncopal episode during a blood draw, you should
Remove needle then remove tourniquet
79
This governs the size / guage needle you use
Size & Condition of the vein
80
The fluid portion of unclotted blood
Plasma
81
Tube for PT & PTT
Light Blue
82
Vascular phase of hemostasis is characterized by
Blood vessels constrict in response to injury
83
Lipemic blood is described as
Serum with milky appearance
84
Complication results from repeated draws from the same vein
Phlebitis
85
Referred as a Serum Separator (SST)
Red/Gray Tube
86
Post-prandal means
After a meal
87
Proper technique in obtaining capillary blood
Wipe off the first drop of blood
88
A tourniquet can stay in place no longer than
one minute
89
Most critical mistake a Phleotomist can make
Failing to properly identify patient
90
These have valves
Veins
91
A multi-sample needle is used
When more than one tubeis being collected
92
Cyanotic is
Bluish color due to the lack of O2 in blood
93
Life span of an Erythrocyte
120 days
94
Point of care testing
Typically performed at patient's bedside
95
Dept in lab that would analyze CBC & ESR
Hematology
96
Department of Lab that wouod analyze a blood pregnancy test
Chemistry
97
Formed cellular Elements of blood consititute
45% of blood
98
The most important means of stopping the spread of infection is
Washing your hands
