Phlebotomy

Question 1

Important to be gentle and treat them with compassion, empathy and kindness

Answer 1

pediatric patients

Question 2

Important to treat them with dignity and respect

Answer 2

Geatric patients (elderly)

Question 3

Adult skin puncture may be used in patients who are

CLUE: “Adults do not use BEEV (babe)”

Answer 3

Burned patients
Extreme obesity
Extreme fragility of veins
Vein with therapeutic

Question 4

Depth of puncture
a. adult
b. less than 1 year old (newborns)

Answer 4

a. 2-4mm
b. 2mm

Question 5

site for finger puncture

Answer 5

third finger (middle) and forth finger (ring) of the nondominant hand

Question 6

Where is finger puncture made?

Answer 6

center of the fingertip and perpendicular to the fingerprint lines

Question 7

Skin puncture site for less than 1 year old patient

Answer 7

Lateral and medial of the plantar surface of the heel

Question 8

What technique can increase the free flow of blood for skin puncture?

Answer 8

Warming using heel warmer or washcloth with 42*C for 3-5 minutes

Question 9

Disposal for sharp materials

Answer 9

Red, puncture-resistant containers

Question 10

Finger puncture
a. false increase
b. false decrease

Answer 10

a. WBC count
b. RBC count, hematocrit, hemoglobin and platelet count

Question 11

Newborn screening specimen

Answer 11

Blood spot

Question 12

a. skin puncture method
b. skin puncture sample

Answer 12

a. skin puncture
b. capillary blood

Question 13

a. double pointed needle
b. single pointed needle

Answer 13

a. evacuated tube system (ETS)
b. venipuncture (syringe)

Question 14

ETS is affected by environmental factors such as:

CLUE: “AHAS”

Answer 14

Ambient temperature
Humidity
Altitude
Sunlight

Question 15

__________ of the evacuated is defined by the stability of the additive and vacuum retention

Answer 15

shelf life

Question 16

Ankle and foot should be avoided with patients with

Answer 16

Diabetes mellitus
hypertension

Question 17

Color coded needle
a. 18 gauge
b. 21 gauge
c. 22 gauge
d. 23 gauge

Answer 17

a. pink
b. green
c. black
d. blue

Question 18

Tourniquet application above puncture site

Answer 18

3-4 inches (7.5-10cm)

Question 19

Blood pressure cuff for tourniquet
a. standard
b. range
c. ivy’s method

Answer 19

a. 60mmHg
b. 40-60mmHg
c. 40mmHg

Question 20

Waste disposal
a. yellow bag
b. orange bag
c. red bag
d. yellow with black band
e. green bag
f. black bag

Answer 20

a. yellow bag = infectious waste
b. orange bag = radioactive waste
c. red bag = sharp waste
d. yellow with black band = chemical waste
e. green bag = non-infectious wet waste (biodegradable)
f. black bag non-infectious dry waste (non-biodegradable)

Question 21

Most common type of tourniquet

Answer 21

Strap tourniquet
Non latex

Question 22

Function of antiseptic (70% isopropyl alcohol

Answer 22

Inhibits microbial growth

Question 23

Superior technique in cleaning the venipuncture site

Answer 23

Back and forth friction

Question 24

proper venipuncture procedure

CLUE: “PAVS”

Answer 24

Patient preparation
Assemble of supplies and equipment
Venipuncture
Specimen preparation

Question 25

Most widely used for collecting venous blood sample

Answer 25

Evacuated Tube System

Question 26

Packed cell volume and WBC a. lying b. standing

Answer 26

a. hemodilution= decrease PCV and WBC b. hemoconcentration= increase PCV and WBC

Question 27

How to collect blood in masectomy patient?

Answer 27

1st: draw blood from opposite arm 2nd: in double masectomy, draw blood from back of the hand or skin puncture; do NOT use touniquet

Question 28

How to collect blood in patient with IV line?

Answer 28

1st: draw blood from opposite arm 2nd: in case of both arm, ask the nurse to stop the IV for 2 minutes 3rd: draw blood below the IV line (1-2 inches) and discard 5ml (2-5ml) of blood.