Term
When should hands be decontaminated for Venipuncture? |
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Definition
Before and After wearing gloves |
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Term
What should a phlebotomist notice about the veins of a patient prior to venipuncture? |
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Definition
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Term
If a patient is obese, What is the preferred position for the patient during venipuncture? |
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Definition
Reclining or in a comfortable chair with arm supports |
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Term
Prior to venipuncture, what is the most appropriate greeting for a patient named Mr. Smith? |
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Definition
Hi My name is _________ and i have come to collect a blood sample, can you state your name please? |
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Term
What should the phlebotomist do if the patient has a cast on both arms? |
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Definition
Use Dorsal Side of hand or wrist |
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Term
Where is the basilic vein located? |
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Definition
Near the median nerve and brachial artery |
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Term
What is likely to happen if a phlebotomist punctures and artery instead of a vein? |
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Definition
Excessive bleeding or a hematoma may occur |
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Term
Why is the median cubital vein the most commonly used for venipuncture? |
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Definition
easiest and safest vein in which to acquire blood |
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Term
If a patient complains of severe shooting pain during a venipuncture, what should the phlebotomist do? |
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Definition
Remove the needle immediately |
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Term
What should a phlebotomist do if she is the first to notice and identification error that she made herself? |
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Definition
report it immediately to a supervisor |
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Term
Why should blood specimens be labeled at the patients bedside prior to leaving the room? |
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Definition
to avoid specimen mix-ups |
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Term
What should the phlebotomist do if a patient who needs a venipuncture has very small veins? |
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Definition
Use a butterfly appartus or a small needle |
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Term
If a phlebotomist notices that her tourniquet has lost most of its elasticity, what should she do? |
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Definition
Dispose of it properly and use a new one. |
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Term
If a patient refuses to have his blod drawn, what should the phlebotomist do? |
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Definition
Respect the patients rights to Refusal. |
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Term
If a patients arms are very cold to the touch, what should the phlebotomist do prior to venipuncture? |
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Definition
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Term
If Unsuccessful on the first try, how many more times should a phlebotomist try to stick a patient for venipuncture? |
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Definition
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Term
What is the best position for the patient during a venipuncture procedure? |
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Definition
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Term
Which tubes are always collected first when multiple tubes of blood are drawn? |
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Definition
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Term
the best angle for needle insertion is what? |
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Definition
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Term
what should the phlebotomist do if a patient has preference for performing the capillary puncture on a particular finger of the left hand? |
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Definition
Try to accomodate their request unless its a non-recommended site |
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Term
Capillary punctures are different from venipuncture in which way? |
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Definition
they require a different order of collection of tubes |
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Term
When is it safe to leave a patient after performing a capillary puncture? |
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Definition
when the bleeding has stoppped |
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Term
What can be done to increase the chances of acquiring enough blood from a patients finger that is cold? |
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Definition
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Term
How should an open lancet be discarded? |
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Definition
In a puncture resistant bio-hazard container |
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Term
what is the first step in performing a capillary puncture? |
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Definition
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Term
Do phlebotomist always have to wear gloves for capillary punctures? |
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Definition
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Term
Which blood test should not be performed on capillary blood? |
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Definition
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Term
Why should adhesive bandages be avoided for infants? |
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Definition
Risk of aspiration, Swallowing and irritation |
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Term
Manufactures make puncture devices to control what? |
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Definition
Puncture Depth and Length. |
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Term
Povidone-Iodine use for capillary punctures can cause erroneous results for which test? |
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Definition
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Term
What is it called when the area around the venipuncture starts to swell with the leakage of blood into the tissue? |
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Definition
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Term
A phlebotomist should attempt to decrease anxiety and stress in a patient since stress and anxiety can lead to what? |
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Definition
Increase in lactate levels |
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Term
A solid mass derived from blood constituents that occludes a blood vessel is? |
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Definition
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Term
why do hematomas result during venipuncture? |
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Definition
The position of the needle partially in the vein during venipuncture |
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Term
When should a physcian help determine the venipuncture site? |
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Definition
When the patient has had a double mastectomy |
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Term
What may cause a transient increase in the WBC count? |
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Definition
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Term
what is the maximum time a tourrniquet should be left on? |
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Definition
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Term
What effects on phlebotomy can patients who are marathon runners have? |
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Definition
Lab values maybe increased or decreased. |
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Term
What do sclerosed veins feel like? |
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Definition
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Term
What is the condition called if there are small red spots on the patients arms? |
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Definition
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Term
What may happen to a patient if too much blood is drawn during phlebotomy? |
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Definition
The patient may become Anemic. |
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Term
Can misidentification of a patients specimen result in death of another patient? |
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Definition
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Term
Is the phlebotomist responsible for checking the puncture site afterward to ensure that the bleeding has stopped? |
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Definition
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Term
During a venipuncture procedure should the needle be inserted with the bevel side_______ |
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Definition
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Term
During a venipuncture procedure should the tourniquet be release before or after the needle is withdrawn? |
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Definition
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Term
Can alcohol on a finger durign a finger stick prevent a round drop of blood from forming? |
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Definition
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Term
How many times can lancets be used finger sticks if they are wiped with alcohol? |
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Definition
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Term
Single Skin punctures yield ___ to ____ ml of blood? |
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Definition
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Term
What is the single most common cause of iron-defiency anemia in Women? |
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Definition
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Term
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Definition
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Term
What is the most common side effect in patients being treated with anticoagulant drugs such as warfarin or heparin? |
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Definition
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Term
________ is used with a double-pointed needle? |
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Definition
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Term
What causes pooling of blood in veins? |
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Definition
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Term
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Definition
barrel and plunger used to create vacuum. |
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Term
What is used for decontamination prior to blood culture collection? |
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Definition
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Term
What is used for decontamination prior to blood collection for hematology tests? |
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Definition
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Term
the Index finger is referred to as the _______ finger |
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Definition
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Term
What is the distal phalanax referred to as? |
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Definition
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Term
___________ is the term used to refer to microcollection procedures that indicates free flowing movement of blood into the capillary tube without the use of suction |
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Definition
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Term
This type of fluids (excluding blood) are found between and around tissues. |
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Definition
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Term
_____ is localized leakage of blood into the tissues or into an organ. |
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Definition
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Term
______ are closed constricted veins. |
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Definition
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Term
The rupture of blood cells is referred to as _______ |
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Definition
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Term
_______ are blood clots formed somewhere within the cardiovascular system. |
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Definition
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Term
______ is the removal of a breast |
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Definition
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