Module 5 Part IV and V

Question 1

Adhesive Allergy

• One solution is to place a clean, folded gauze over the site and wrap with self-adherent bandaging material such as ___
• Wrap the bandage not too tightly, and the patient should be instructed to remove it in ___
• Instruct the patient to hold pressure for ___ in lieu of applying a bandage

Answer 1

• Coban
• 15 minutes
• 5 minutes

Question 2

3 types of allergies

Answer 2

1. Adhesive
2. Antiseptic
3. Latex

Question 3

Excessive bleeding

Some patients, particularly those on ___, may take longer to stop bleeding

Answer 3

Aspirin or anticoagulant therapy

Question 4

Excessive bleeding (What to do)

• Apply pressure onto puncture site until the bleeding stops
• Appropriate personnel should be notified immediately if the bleeding continues after ___

Answer 4

5 minutes

Question 5

Loss of consciousness and postural tone resulting from insufficient blood flow to the brain

Answer 5

Fainting or syncope

Question 6

Fainting can last for?

Answer 6

A few seconds to half an hour

Question 7

Any patient has the potential to faint ___, ___, or ___ venipuncture

Answer 7

• Before
• During
• Immediately following

Question 8

Sudden faintness due to a nervous system response to abrupt pain, stress, or trauma

Answer 8

Vasovagal syncope

Question 9

Fainting (Note)

Use of ___ to revive patients can have unwanted side effects such as respiratory distress in asthmatic individuals and is not recommended

Answer 9

Ammonia inhalants

Question 10

Fainting (Note)

When a patient who regains consciousness after fainting, instruct her to remain in the area at least for ___. He should be instructed not to operate a vehicle at least ___

Answer 10

• 15 minutes
• 30 minutes

Question 11

• Excessive, deep, blind, or lateral redirection of the needle in the puncture site
• Painful and can cause injury to arteries, nerves, and other tissues

Answer 11

Probing

Question 12

Tiny, non-raised, red spots that appear on the patient’s skin when a tourniquet is applied

Answer 12

Petechiae

Question 13

Petechia are most commonly as a result of ___ or ___

Answer 13

• Capillary wall defects
• Platelet abnormalities

Question 14

Most common complication of venipuncture

Answer 14

Hematoma formation

Question 15

Caused by blood leaking into the tissues during or following venipuncture and is identified by rapid swelling at or near
the venipuncture site

Answer 15

Hematoma

Question 16

• Are painful and often result in unsightly bruising
• Can also cause compression injuries to nerves and lead to lawsuits

Answer 16

Hematoma

Question 17

Hematoma (What to do)

• Ice applied in the ___ helps manage the swelling and discomfort
• After 24 hours, application of ___, moist compress can encourage the resorption of accumulated blood

Answer 17

• First 24 hours
• Heat or warm

Question 18

Blood loss to a point where life cannot be sustained is called ___

Answer 18

Exsanguination

Question 19

Life is threatened if ___ of a patient’s blood volume is removed at one time or over a short period of time

Answer 19

More than 10%

Question 20

Inadvertent arterial puncture is most often associated with deep or blind probing, especially in the area of the ___, which is in close proximity to the ___

Answer 20

• Basilic vein
• Brachial artery

Question 21

A main nerve that is possibly injured during venipuncture is the ___

Answer 21

Median cutaneous nerve

Question 22

Meaning

Blood can “reflux”

Answer 22

Flow back

Question 23

Reflux of additive

Some patients have had adverse reactions to tube additives, particularly ___, that were attributed to reflux

Answer 23

EDTA

Question 24

Blood loss as a result of blood removed for testing is called ___

Answer 24

Iatrogenic blood loss

Question 25

Fainting

In-patients who typically are already ___, rarely faint during blood draws. Outpatients are more likely to faint because they are usually ___ up during venipuncture.

Answer 25

• Lying down
• Sitting

Question 26

9 Steps to Follow if a Patient Starts to Faint During Venipuncture

Answer 26

1. Release the tourniquet and swiftly remove and discard the needle
2. Apply pressure to the site
3. Talk to the patient
4. Physically support the patient
5. If necessary, request permission and provide an explanation before loosening a tight collar or tie
6. Apply a cold compress
7. Ensure someone remains with the patient until full recovery
8. Call first aid personnel
9. Document the incident

Question 27

Pain

Warning the patient prior to needle insertion helps avoid a ___

Answer 27

Startle reflex

Question 28

T or F

Seizures are proven to have been caused by venipuncture

Answer 28

False