WEEK ELEVEN

Question 1

another word for phlebotomy

Answer 1

venipuncture

Question 2

collecting blood specimens is under

Answer 2

CLIA waived testing

Question 3

venipuncture

Answer 3

used to collect large volumes of blood

Question 4

evacuated tube/vacutainer

Answer 4

normal or large veins

Question 5

Syringe and needle

Answer 5

collapsing veins

Question 6

butterfly

Answer 6

small veins (25-26 Gauge)

Question 7

who does test orders

Answer 7

providers only

Question 8

fasting

Answer 8

nothing but water for 8-12 hours prior to testing

Question 9

blood tests that are affected by foods and bevs

Answer 9

triglycerides(cholesterol)
glucose)

Question 10

basal state

Answer 10

early morning specimen (after sleep), 12 hours after the last ingestion of food or liquids

Question 11

postprandial

Answer 11

after a meal

Question 12

appropriate supplies for venipuncture

Answer 12

gloves

tourniquet

alcohol wipes, swabs (70% alcohol) chlorhexidine is allergic

non-alcohol swabs (used for blood cultures

non-sterile gauze

cohesive wrap or paper tape

appropriate needle, syringe
blood collection tube

laboratory requisition

cold packs
CHECK FOR ALLERGIES

Question 13

labeling tubes should be completed when

Answer 13

after the procedure

Question 14

label tubes requires

Answer 14

• patients first/last name
• DOB
• ID number
• Date of collection
• Time of collection
• Initials of person collecting specimen

Question 15

venipuncture for newborns to infants to 12 months

Answer 15

require only heel stick capillary specimens

Question 16

venipuncture for 12 months to 2 years

Answer 16

require finger sticks, capillary specimens

Question 17

venipuncture for 2 years and older

Answer 17

regular venipuncture

Question 18

restrictions

Answer 18

fistulas, ports, mastectomy

Question 19

median cubital

Answer 19

preferred

Question 20

cephalic

Answer 20

best choice in obese patients

Question 21

basilic

Answer 21

greatest risk of complications (nerve damage)

Question 22

other veins if antercubital area is inaccessible

Answer 22

hand (use butterfly)
feet veins (under supervision, due to deep vein thrombosis [DVT])

Question 23

tourniquet placement

Answer 23

place 3-4’ above the draw site (max 60 seconds)

Question 24

abnormally high concentration of blood

Answer 24

hemoconcentration

Question 25

vein puncture placement

Answer 25

anchor the vein 1-2' below the draw site (don't palpate the vein)

Question 26

insert needle angle

Answer 26

15 - 30

Question 27

disconnecting the last tube after removing the needle can lead to

Answer 27

hematoma

Question 28

for needlestick injury..

Answer 28

wash the area immediately

Question 29

for patients at risk for uncontrolled bleeding..

Answer 29

take blood thinning medication, hold site for at least 5 mins

Question 30

Yellow

Answer 30

- 1st tube of draw - additive: SPS - prevents clotting and stablizes bacterial growth - used for cultures on blood or body fluid

Question 31

Light blue

Answer 31

- 2nd tube - additive: sodium citrate - must be completely full - used for coagulation testing

Question 32

Red

Answer 32

- 3rd tube - additive: none - used for whole blood collection that is allowed to clot; after blood is centrifuged, and serum poured plastic: silica

Question 33

Gold, Tiger top, Red-grey Marbled

Answer 33

- also called serum separator, marble top and speckled top - additive: SST separates cells from serum - used for chemistry testing

Question 33

Green

Answer 33

- 4th tube - additive: heparin - used for plasma samples - determines several chemical constituents or special hematology testing

Question 34

Lavender tube

Answer 34

- 5th tube - additive: EDTA - used to determine blood cell components - required for a CBC

Question 35

Gray Tube

Answer 35

- 6th tube - additive: sodium Fluoride and potassium oxalate - used for glucose and alcohol blood collections

Question 36

what determines how many times tubes are inverted

Answer 36

the letters of the color word

Question 37

Centrifuging process

Answer 37

- blood tubes rotate at a high rate of speed causing heavy elements to be pulled to the bottom - allow specimen to clot first (30-45 min) - balance tubes from one another with the same volume

Question 38

Aliquoting specimen

Answer 38

- divide one specimen into several - use single use pipette - wear face mask and eye protection - never pour specimens - label new tubes accordingly

Question 39

hemolyzed specimen

Answer 39

the breakdown or destruction of red blood cells; blood cells rupture