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Chapter 9
Study Guide questions
100
Medical
Professional
05/24/2014

Additional Medical Flashcards

 


 

Cards

Term
Preanalytical phase begins for lab
Definition
Test is ordered by a patient's physician
Term
Diurnal variations associated with some blood components
Definition
Normal fluctuations throughout the day
Term
Swollen
Definition
Edematous
Term
Lipemia results from
Definition
High fat content of the blood
Term
Lymphostasis
Definition
Obstruction of the flow of lymph
Term
Nervous system response to abrupt pain, stress, trauma
Definition
Vasovagal syncope
Term
Small red spots on arm below tourniquet
Definition
Petechiae due to capillary or platelet defects
Term
Venous stasis
Definition
Stoppage of the normal venous blood flow
Term
Exsanguination
Definition
Life-threatening loss of blood
Term
Vein thrombosed
Definition
Clotted
Term
Hemoconcentration from prolonged tourniquet increases
Definition
Non-filterable analytes
Term
Test requiring patient's age for results
Definition
Creatinine clearance
Term
Test most affected by altitude
Definition
RBC count
Term
Persistent diarrhea in absence of fluid replacement can cause
Definition
Hemoconcentration
Term
Lipemic specimen indicates
Definition
Patient was not fasting
Term
12-hour fast required
Definition
Triglycerides
Term
Tests influenced by diurnal variations ordered
Definition
Timed
Term
Drug known to interfere with a blood test should be discontinued
Definition
4-24 hours before
Term
Analyte that can remain elevated for 24 hours after exercise
Definition
Ck
Term
Hormone most affected by prescence of fever
Definition
Insulin
Term
Analyte has higher reference range for male than female
Definition
Hematocrit
Term
Icteric blood specimen indicates
Definition
Bilirubin test results could be elevated
Term
Pregnant patients have lower reference ranges
Definition
Increased body fluids dilute RBCs
Term
Analyte increased in chronic smokers
Definition
Hemoglobin
Term
Scarred or burned areas should be avoided
Definition
Circulation is typically impaired
Term
Vein that feels hard, cord-like, lacks resiliency
Definition
Sclerosed
Term
Collect specimen in arm with hematoma
Definition
Collect distal to it
Term
Collecting blood specimen on arm same side as mastectomy without permission
Definition
Tourniquet application may injure it
Term
IV in patient's left wrist, no suitable antecubital or hand
Definition
Perform fingerstick on right hand
Term
When selecting a venipuncture site
Definition
No active av shunt or fistula
Term
Type of line used to monitor blood pressure and collect blood gas
Definition
A-line
Term
Type of CVC
Definition
Broviac
Term
Venipuncture site continues to bleed after 5 minutes
Definition
Report it to patient's physician or nurse
Term
During a draw, patient feels faint
Definition
Discontinue draw and lower his head
Term
Outpatient feels nauseated before blood draw
Definition
Advise to begin slow, deep breathing
Term
Site could be used for venipuncture
Definition
Petechiae appear below the tourniquet
Term
Can cause hematoma to form during venipuncture
Definition
Failing to apply adequete pressure after draw
Term
Enema brought on by the withdrawal of blood
Definition
Iatrogenic
Term
Blind or deep probing for vein
Definition
Arterial puncture
Term
Best way to avoid reflux
Definition
Make certain that tubes fill from bottom up
Term
Least likely to impair vein patency
Definition
Probing to locate missed vein
Term
Serum or plasma of a hemolyzed specimen appears
Definition
Pink or reddish
Term
Ratio of blood to anticoagulant is most critical
Definition
Prothrombin Time
Term
Least likely to cause contamination
Definition
Cleaning finger stick site with isopropyl alcohol
Term
Needle that has gone through back wall of vein may cause
Definition
Blood to enter tube slowly or not at all
Term
Most apt to be the cause of vein collapse
Definition
Tube vacuum is too great for the size of vein
Term
When confronted with damaged veins, select site proximal to
Definition
FALSE
Term
Hand or fist pumping can elevate potassium levels by 50%
Definition
FALSE
Term
Cholesterol levels can elevate 5% after 2 minutes of tourniquet application
Definition
TRUE
Term
Most reference ranges are based on normal lab values for
Definition
Healthy people
Term
Patient with high degree of jaundice
Definition
Yellow skin and sclerae
Term
Hematoma
Definition
Swelling or mass of blood
Term
Mastectomy is medical term for breast
Definition
Removal
Term
Product of breakdown of RBCs
Definition
Bilirubin
Term
Patient goes into convulsions. Last tubes started to fill. Wrong thing to do
Definition
Complete draw as quickly as possible
Term
IV in left forearm and large hematoma in AC of right arm
Definition
Right arm distal to hematoma
Term
Not true of hematomas
Definition

It is a swelling or mass of blood

It can lead to inaccurate test results

It can cause an obstruction of blood flow

 

ALL OF THE ABOVE

Term
Medical term for fainting
Definition
Syncope
Term
Patient closest to basal state
Definition
Awakened for blood draw at 0600 after fasting since 0800 last night
Term
Best specimens to establish inpatient ref ranges
Definition
Basal-state sepecimens
Term
Serum or plasma of lipemic patient
Definition
Cloudy white
Term
Blood component exhibits diurnal variation, with peak in morning
Definition
Cortisol
Term
Test result can be falsely decreased
Definition
Drug competes with test reagents for test analyte
Term
Changes occur when patient goes from supine to standing
Definition
Non-filterable elements increase
Term
Not a good idea to collect CBC from screaming infant
Definition
WBCs may be temporarily elevated
Term
Factor known to affect basal state and accounted for
Definition
Geographic locale
Term
Temperature and huidity control in lab important
Definition
Maintains integrity of specimens
Term
Drawing blood from edematous extremity
Definition
Erroneous specimen results
Term
Vein often easiest to feel on obese patient
Definition
Cephalic and Median
Term
Collect protime from patient with IVs in both arms
Definition
Below on of the IVs
Term
Vascular access pathway surgically created to provide access for dialysis
Definition
AV shunt
Term
Specimen collected from heparin lock
Definition
Draw 5 ml, discard tube before specimen tubes are filled
Term
Subcutaneous vascular access device consisting of small chamber attached to indwelling line
Definition
Implanted port
Term
Way to bandage site when patient allergic to adhesive
Definition
Wrap with self-adhering material
Term
Be careful equipment brought into room if patient allergic
Definition
Latex
Term
Patient should be asked to lie down for draw
Definition
History of syncope
Term
Patient becomes weak and pale after draw
Definition
Have patient lie down until recovered
Term
Pain associated with venipuncture can be minimized by
Definition
Putting the patient at ease with small talk
Term
Vein with walls that have temporarily drawn together and shut off blood flow
Definition
Collapsed vein
Term
Skin around venipuncture site starts to swell
Definition
Stop draw at once and apply pressure to the site
Term
Best indication accidentally punctured artery
Definition
Blood pulses into tube
Term
Suspect accidentally collected arterial specimen instead of venous specimen
Definition
See if lab will accept it, and label appropriately
Term
Infection of venipuncture site result from
Definition
Touching site after cleaning it
Term
Patient complains of marked pain when needle inserted
Definition
Discontinue venipuncture immediately
Term
Stinging senasation when needle is first inserted
Definition
Not letting alcohol dry thoroughly
Term
Prolonged tourniquet application can affect blood composition
Definition
Hemoconcentration
Term
Least likely to cause specimen hemolysis
Definition
Transferring blood from syringe to tube
Term
Tried twice to collect lt. blue top, both times only partially filled
Definition
Have someone else collect the specimen
Term
Needle is in vein and blood flow established, hissing sound heard
Definition
Bevel came out of skin and tube vacuum escaped
Term
When vein rolls, needle typically
Definition
Slips beside instead of in vein
Term
Needle inserted, tube filling slowly. Hematoma starts to form
Definition
Needle only partially in vein
Term
Events occur including tube removal and bevel rotated, and still nothing
Definition
Try a new tube in case it is a vacuum issue
Term
Redirect twice and determine needle beside vein
Definition
Discontinue draw and try again at new site
Term
Jaundice in patient may indicate inflammation of colon
Definition
FALSE
Term
Never perform venipuncture through hematoma
Definition
TRUE
Term
Never apply tourniquet on arm with a shunt
Definition
TRUE
Term
If patient vomits during procedure, leave needle in until they are done, then complete the procedure
Definition
FALSE
Term
Never pour two partially filled additive tubes together to fill one tube
Definition
TRUE
Term
Tube vacuum may hold the vein wall against needle bevel
Definition
TRUE
Term
Blood that pools beneath vein can put pressure on underlying nerves
Definition
TRUE
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