phlebotomy Chapter 9 review
A patient has several short lengths of IV type tubing protruding from his chest. This is most likely a/an
CVC
Which activity is least likely to lead to failure to draw blood?
Choosing a vein that has patency.
Which activity can contaminate a blood specimen and affect the testing performed on it?
Cleaning the site with alcohol before drawing an ETOH specimen, Collecting blood cultures before the providone-iodine is totally dry, Using providone-iodine to clean the site to a finger puncture.
Which of the following specimen conditions would lead you to suspect that the patient was not fasting when it was collected?
Cloudy white serum
How long must you stay with someone after they have fainted?
15 minutes
According to CAP guidelines, drugs that interface with blood tests should be stopped
4 to 24 hours prior to the test
Which of the following specimens would most likely be rejected for testing?
A templates potassium specimen
A patient's arm is in anatomical position. There appears to be a loop under the skin between the wrist and the elbow. You feel a buzzing sensation when you touch it. What you are most likely feeling is a:
AV graft
Peak levels of this analyte typically occur around 0800 hours.
Cortisol
Jaundice-Icetric
Cortisol level is at highest state when you wake up and you have fasted all night
Results of this test have a direct correlation with the patient's age
Creatinine clearance test
All of the following describe accessing an artery EXCEPT:
Dark red blood
hemoconcentration
Decrease in blood fluid with an increase in non filterable components
An AV fistula is most commonly used for
Dialysis access
A patient complains of extreme pain when you insert the needle during a venipuncture attempt. The pain does not subside, but the patient does not feel any numbness or burning sensation. You know the needle is in the vein because the blood is flowing into the tube. You have only two tubes to fill, and the first one is almost full. What should you do?
Discontinue the draw and attempt collection at another site.
A phlebotomist needs to collect a plasma specimen for a coagulation test. The patient has an IV in the left arm near the wrist and a gemstones in the antecubital area of the right arm. Which of the following is the best place to collect the specimen ?
Distal to the hematoma
When the arm of the patient is swollen with excess fluid, the condition is called
Edema
Which of the following is most likely to affect test results?
Edema
Which of the following would be most likely to allow reflux to occur during venipuncture?
Filling the tube stopper end-first
Which of these tests are most affected if the patient is not fasting?
Glucose and triglycerides
Underfilling this tube will most likely result in a hemolyzed specimen.
Gray top
Most test results reference ranges are values for
Healthy individuals
A person at a higher elevation will have:
Higher RBC count
A hematoma may result from
INADEQUATE SITE PRESSURE APPLIED AFTER A VENIPUNCTURE, NEEDLE PENETRATION THROUGH THE BACK WALL OF THE VEIN, USING A NEEDLE THAT IS TOO LARGE FOR THE SIZE OF A VEIN
Which of the following situations can result in hemoconcentration?
Leaving the tourniquet on over 1 minute
The best way to keep a vein from rolling is to:
Make certain to anchor it well.
A fistula is a(n)
Permanent fusion of an artery or vein
While you are in the middle of drawing a blood specimen, your patient starts to faint. The first thing you should do is:
Quickly release the tournament and remove the needle.
You insert the needle in a patient's arm and properly engage the tube. No blood flows into the tube. You make subtle needle adjustments and there is still no blood flow. Which of the following is the best thing to do next?
Try a new tube in case it is a vacuum problem.
You are in the process of collecting a specimen by venipuncture. You hear a hissing sound, there is a spurt of blood into the tube, and blood flow stops. What has most likely happened?
Tube vacuum escaped
Which of the following tests is affected the most if collected from a crying infant
WBC count
bilirubin
a product of the breakdown of RBCs
lipemia
abnormally increased blood lipid content
When does basal state occur?
after sleeping
peranalytical
before anaysis
Thrombosed
clotted
If you draw blood from a small vein, it will likely
collapse
reference range
comparison become a range of values with high and low limits
Blood loss to a point where life cannot be sustained is called:
exsanguination
lipid
fat soluble
diurnal/ circadian
happening daily; having 24 hour cycle
sclerosed
hardened
an arm that is paralyzed
has no function
If a venipuncture fails to draw blood and the phlebotomist senses a slight vibration of the needle, this could be a sign that the needle
is up against a valve
A bariatric phlebotomy chair is designed for individuals who are
overweight
The serum or plasma of a templates specimen would most likely look:
pinkish to red.
postural pseudoanemia
posture related false anemia
jaundice ( icteric)
relating to or marked by jaundice and is used to describe serum, plasma or urine specimens that have abnormal deep yellow to yellow- brown color due to high bilirubin levels
Basal state is when:
resting metabolic state of the body early in the morning after fasting for approximately 12 hrs
Lipemic
serum cloudy white ( milky) clue that the patient has not been fasting
Tiny red spots that appear on a patient's arm when the tourniquet is applied are a sign that the
site may bleed excessively
hematoma
swelling or mass of blood that can be caused by blood leaking from a venipuncture
The medical term for fainting
syncope
Veins that feel hard and cord-like when palpated may be
thrombosed
A patient has had a mastectomy on the left side and has an IV midway down the right arm. Where is the best place to perform a venipuncture?
Below the IV on the right arm.
Petechiae are on the patient's arm after the tourniquet is removed, what is this a sign of?
Site may bleed excessively
Which of the following is a clue that you have accidentally punctured an artery instead of a vein?
The blood spurts into the tube.
