Shared Flashcard Set

Details

Chapter 7
Study Guide questions
100
Medical
Professional
05/09/2014

Additional Medical Flashcards

 


 

Cards

Term
Blood specimen additive that inhibits metabolism of glucose
Definition
NaF
Term
Serum specimen collected in
Definition
SST
Term
Anticoagulants that remove calcium from specimen by forming insoluble calcium salts
Definition
Sodium citrate, EDTA, oxalate
Term
Lavender-stopper tubes used to collect
Definition
Hematology tests
Term
One reason ETS is preferred blood collection system
Definition
Exposure of blood to contaminants is avoided
Term
Measurement of copper, trace element, requires collection in
Definition
Royal-blue top
Term
Blood-to-additive ratio most critical
Definition
Light-blue top
Term
Disinfectant
Definition
Household Bleach
Term
Disinfectant preferred by HICPAC for use on surfaces and instruments
Definition
EPA-registered sodium hypochlorite product
Term
Sink not available, phlebotomist should clean hands with
Definition
Detergent-containing wipes followed by a sanitizer
Term
Properly applied tourniquet should
Definition
Restrict venous and arterial blood flow
Term
Gauge of needle used primarily for infant or child veins
Definition
23
Term
Types of ETS tube additives
Definition

Anticoagulants, Clot activators, Separator gels

All of the above

Term
Plastic red-top tubes contain
Definition
Clot activators
Term
Improper handling or storage of tubes can affect
Definition

Additive integrity, shape of tube, vacuum of tube

All of the above

Term
Test affected by cross-contamination from light-blue top
Definition
Calcium
Term
Using needle smaller than 23 gauge increases chance of hemolyzing specimen
Definition
TRUE
Term
Carryover of additive unlikely to affect a partial thromboblastin time
Definition
NaF
Term
Used to obtain high degree of antisepsis
Definition
Povidone-iodine
Term
Preferred solution to use to clean up blood spills
Definition
EPA-approved bleach product
Term
Antiseptics are
Definition
Safe for human skin
Term
Gauge of a needle relates to
Definition
Diameter
Term
Multi-sample needles available in gauges
Definition
20-22
Term
Plays no role in deciding what size tubes to use for ETS blood collection
Definition
Patient allergy to antiseptics
Term
Stopper color used to identify coagulation
Definition
Light blue
Term
Tube to yield a serum sample
Definition
Red tube
Term
Tube stopper color indicating prescence or absence and type of additive in tube
Definition
Royal Blue
Term
Heparin prevents blood from clotting by
Definition
inhibiting thrombin
Term
Department to conduct test on SPS tube
Definition
Microbiology
Term
Tube with royal-blue top and lavender label contains
Definition
EDTA
Term
Substance that is anticoagulant
Definition
Oxalate
Term
Substance contained in serum separator tube
Definition
Thixotropic gel
Term
Purpose of antiglycolytic agent
Definition
Prevents glucose
Term
Best tube to collect ETOH specimen
Definition
Gray top
Term
Tubes needed to collect CBC, PTT, and STAT
Definition
Light-blue, Green, Lavender
Term
Test collected in light-blue top
Definition
Prothrombin time
Term
STAT test collected in lithium heparin tube
Definition
Electrolyte panel
Term
Stopper color indicates EDTA
Definition
Lavender
Term
Anticoagulant contained in Plasma Separator Tube
Definition
Heparin
Term
Purpose of Sodium Citrate
Definition
Protect coagulation factors
Term
An anticoagulant is unable to
Definition
Inhibit the metabolism of glucose
Term
Gel separator tube containing EDTA
Definition
PPT
Term
Additive contains a substance inhibiting phagocytosis of bacteria by white blood cells
Definition
Sodium polyanethol sulfonate
Term
Test most affected by tissue thromboplastin contamination
Definition
Coagulation
Term
Test most affected by carryover of K2EDTA
Definition
Potassium
Term
Fewest number of tubes needed to collect a CBC and protime when using butterfly on a patient who is difficult draw
Definition
Three
Term
Trace element specimen tube should be collected
Definition
Separately or by seringe
Term
Pink-top tube containing EDTA primarily used for
Definition
Blood bank tests
Term
Tubes to collect PT, STAT, Lytes, and BC
Definition
Yellow, light-blue, PST
Term
Additive free tube
Definition
Red Glass
Term
Stopper color containing either of two different form of anticoagulant salt
Definition
Green
Term
Additive found in 4 different tubes with different colors
Definition
EDTA
Term
Stopper color same for two different additives used by two departments
Definition
Yellow
Term
Tubes with different-colored stoppers go to chemistry department
Definition
12
Term
Additive most commonly used for chemistry test
Definition
Heparin
Term
Which three tests most likely had questionable results and needed redrawn
Definition
Potassium, PTT, and PT
Term
Tube added to ones collected to check for metal poisoning
Definition
Royal blue
Term
Tube/additive used to collect DNA tests
Definition
Yellow/ACD
Term
Electrolytes should never be collected in
Definition
Gray-top tube
Term
Item unnecessary when performing routine venipuncture
Definition
Skin disinfectant
Term
Evacuated tubes fill automatically when stopper pierced
Definition
Premeasured vacuum in each tube
Term
Adhesive bandages are choking hazard and shouldn't be used on children 2 and under
Definition
TRUE
Term
Underfilled additive tube will have incorrect blood to additive ratio
Definition
TRUE
Term
Phlebotomist has dermatitis
Definition
Wear a barrier hand cream or lotion
Term
Decontamination of hands after glove removal essential
Definition
Hand contamination might not be visible to naked eye
Term
After blood spill, disinfectant applied and must sit how many minutes to be effective
Definition
10 minutes
Term
Purpose of trans-illumination device
Definition
Locate veins for venipuncture
Term
Needle safety features work by
Definition

Covering or shielding the needle

Retracting the neede after use

Usind device to blunt the needle

 

ALL OF THE ABOVE

Term
OSHA require that after use
Definition
Tube holders with needles attached be disposed of as a unit
Term
Tubes designed by manufacturer to be "short draw"
Definition
Made to fill only partially
Term
Ok to transfer blood from tube into another tube if additives are same
Definition
FALSE
Term
Solution used to clean site before routine venipuncture
Definition
70% isopropyl alcohol
Term
Gauze pads better choice than cotton balls
Definition
Cotton ball fibers can stick to the site
Term
ClSI standards advise against using these on children 2 and under
Definition
Adhesive bandages
Term
Deleted from list of required characteristics of sharps container
Definition
Red in color
Term
Best if tourniquets are
Definition
Used once and then discarded
Term
Vigorously mixing a specimen can cause hemolysis
Definition
TRUE
Term
Criterion used to decide which needle gauge to use
Definition
Size and condition of vein
Term
Needle gauge with largest bore or lumen
Definition
18
Term
SLanted tip of a needle
Definition
Bevel
Term
Purpose of rubber sleeve covering tube end of needle
Definition
Prevent leakage of blood during tube changes
Term
Phlebotomy needle that doesn't have safety feature
Definition
Must be used with holder that has safety feature
Term
Mixing additive tubes properly involves
Definition
Turning the wrist 180 degrees and back
Term
Cleaning agent in hand sanitizers
Definition
Alcohol-based
Term
Important to fill oxalate tubes to stated fill capacity because excess oxalate
Definition
Causes hemolysis of blood specimens
Term
Glass particles present in SST
Definition
Activate clotting
Term
Tourniquet should not be left on longer
Definition
1 minute
Term
Tube filled first
Definition
Blood culture
Term
Part of syringe that shows measurements in cc or ml
Definition
Barrel
Term
Part of evacuated tube holder meant to aid in smooth removal of tube
Definition
Flange
Term
Best choice of equipment for drawing difficult veins
Definition
Butterfly and ETS holder
Term
Mixing equipment from different manufacturer's
Definition
Improper fit of needle
Term
Most likely to increase chance of hemolyzing specimen if using
Definition
25-gauge butterfly needle to collect from small child
Term
Purpose of tourniquet in venipuncture procedure
Definition
Enlarge veins so they are easier to find and enter
Term
If blood pressure cuff used, pressure must be
Definition
Below patient's diastolic pressure
Term
Needle safety devices must
Definition
Create a barrier between a user's hand and the needle after use
Term
ETS holder and syringe transfer device look similar, difference is
Definition
Permanently attached needle with a sleeve inside the transfer device
Term
PT and platelet count ordered on 80-year old female patient
Definition
No tube was drawn to remove air from butterfly tubing
Term
If microclots are detected in a hematology specimen, it cannot be used and must be recollected
Definition
TRUE
Term
Head space in evacuated tube is
Definition
Consistent amount of airspace left when tube is filled properly
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