Peripheral & CVAD blood Draw - Exam 1

Question 1

When it comes to needles the smaller the number the ….

Answer 1

Bigger the gauge /needle

Question 2

True or false of the vacu holder

Least amount of risk for personal injury

Answer 2

True - less likely to stick self

Question 3

Which needle is highest risk for self injury

Answer 3

Butterfly

Question 4

This needle is good to use for smaller/fragile needles

Answer 4

Butterfly

Question 5

What is our first choice of vein when doing an IV

Answer 5

Median cubital

Question 6

Why is the median cubital our first choice?

Answer 6

Not a lot of tendons or arteries, lowest risk for hitting anything else

Question 7

Which vein is our second choice

Answer 7

Cephalic vein

Question 8

The cephalic vein is more likely to hit what

Answer 8

A nerve

Question 9

Which nerve is our 3rd choice?

Answer 9

Basilic vein

Question 10

When veins are closer to the heart what will they be?

Answer 10

Bigger

Question 11

The farther veins are away from the heart they will be?

Answer 11

Smaller

Question 12

What degree should the needle be in when inserting?

Answer 12

15-20 degrees

Question 13

Why would we avoid an extremity when getting an IV

Answer 13

If they are getting fluids, medication, ect

Question 14

How long do we stop the infusion before we start an IV

Answer 14

2-3 minutes

Question 15

Infusions with heparin should be stopped how long before we go for an IV

Answer 15

10 mins

Question 16

Veins are toward the

Answer 16

Heart

Question 17

Heparin is a

Answer 17

Blood thinner

Question 18

Steps for a CVAD blood draw

Answer 18

1- aspirate to verify blood return
2- flush with 9ml
3- waste 3-5ml and discard
4- collect sample
5- flush with 19ml

Question 19

How much fluid would we flush for a CVAD blood draw?

Answer 19

9ml

Question 20

What must we always do first when starting a CVAD blood draw?

Answer 20

Aspirate to verify blood return

Question 21

How much fluid do we waste before collecting a blood sample from a CVAD blood draw?

Answer 21

3-5ml

Question 22

How much fluid do we flush with after we have collected the sample on a CVAD blood draw?

Answer 22

19ml

Question 23

What type of method would you use during a CVAD blood draw?

Answer 23

Push pause

Question 24

How long do we scrub the hub

Answer 24

15 seconds

Question 25

What must we always do between each syringe?

Answer 25

Clean the site

Question 26

Why would we use the distal lumen for blood draws?

What gauge would we use?

Answer 26

To prevent hemolysis
And
16

Question 27

What must we never do with a patients arm that has a PICC line

Answer 27

Blood pressure

Question 28

To prevent hemolysis what needle would we use

Answer 28

21, 22, or 23
But 21 is most common

Question 29

When transferring blood into test tubes what needle would we use?

Answer 29

Blunt fill need - 18g

Question 30

When putting blood into test tubes what do we do with the tube?

Answer 30

Tilt the tube so that the blood washes down the side of the tube

Question 31

—- slowly when collecting from veins or catheters

Answer 31

Aspirate

Question 32

Blood culture come in

Answer 32

Pairs

Question 33

When blood cultures and lab work is ordered what is the priority?

Answer 33

Blood cultures

Question 34

How much blood do we collect for blood cultures ?

Answer 34

5-10mLs