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Proper ID of Patients and specimens, Order of Draw
Homework 3
47
Health Care
Undergraduate 1
02/18/2011

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Cards

Term
If low birth weight infants have too much blood drawn, they might be in danger of___
Definition
becoming anemic
Term
Which of the following tubes must be collected first?
Definition
Yellow topped evacuated tubes
Term
Skin puncture on adults most often involves one of the fingers. The one used most often is the distal portion of the
Definition
third or fourth finger
Term
For collection of serum, the color coding for a stopper of a tube with no additive is
Definition
red
Term
What should the phlebotomist do with the first drop of blood after a finger stick is performed?
Definition
Wipe it off with a gauze
Term
Which is the preferred site for a heel stick?
Definition
medial or lateral aspect
Term
Neonatal blood screening is used to identify all of the following except
Definition
Acromegaly
Term
EMLA is sometimes used for pediatric venipuncture procedures. EMLA is a:
Definition
Topical anesthetic applied to the child's arm before venipuncture
Term
Excessive massaging or milking of the finger during a skin puncture procedure can cause
Definition
hemolysis and contamination of the specimen with tissue fluids.
Term
When using an evacuated tube for collection of blood for CBC test, you should use a
Definition
Lavendar top tube
Term
A sphygmomanometer is a
Definition
blood pressure cuff
Term
Diabetes mellitus is caused by the inability of the pancreas to make or to use which substance
Definition
Insulin
Term
The most important step in the performance of a venipuncture is?
Definition
Patient identification
Term
The standard point of the lancet to be used, especially when collecting blood from a newborn's heel, is _____ in length.
Definition
2.0 mm or less
Term
A possible cause of fibrin strands in serum tubes after centrifuging is
Definition
insufficient clotting time
Term
To determine the size of the needle, remember that the higher the gauge number the:
Definition
Smaller the needle bore
Term
The term "buffy coat" refers to
Definition
Leukocytes and platelets
Term
The cephalic, median cubital, and basilic veins are ___ used for venipuncture.
Definition
Primarily
Term
During a venipuncture to secure the needgle during insertion into the tube stopper you need a
Definition
holder
Term
Which of the following lab tests results are affected most if the patient is not fasting:
Definition
triglycerides and glucose
Term
Pre warming an infants heel may be needd to obtain an adequate sample of blood. One method is to heat a surgical towel or wash cloth with warm water, but not to exceed ___ to prevent burning.
Definition
42 degrees C
Term
Blood presure and venipuncture should not be performed on an arm if the patient
Definition

had breast surgery on that side

has an IV infusing on the hand

has a full arm cast

ALL OF THE ABOVE

Term
When blood seeps into the surrounding tissue, it is called a
Definition
hematoma
Term
Na+, K+, and HCO- are usually referred to as:
Definition
Electrolytes
Term
Which of the following anticoagulant allows preparation of blood films with minimal distortion of WBCs?
Definition
EDTA
Term
The rubber sleeve on a vacutainer needles makes it possible for
Definition
use with multiple tubes
Term
When collecting blood for a hematocrit test, use a _____ top evacuated tube.
Definition
Lavendar
Term
What type of specimen is needed for guaic test?
Definition
Feces
Term
Why are capillary gasses less desirable than arterial blood gasses (ABGs)?
Definition

Skin puncture blood contains tissue fluid

Skin puncture blood is only partly arterial in composition

The blood is exposed to air during collection

ALL OF THE ABOVE

Term
The symbol Na+ stands for
Definition
Sodium
Term
Symbol Cl-
Definition
Chloride
Term
Symbol HCO-
Definition
Bicarb
Term
What type of specimen is needed for guiac test?
Definition
feces
Term
Why are capillary gasses less desirable than arterial blood gasses (ABGs)?
Definition

skin puncture contains tissue fluid

skin puncture blood is only partly arterial in composition

the blood is exposed to air during collection

ALL OF THE ABOVE

Term
Autologous Donation is:
Definition
process by which someone donates his or her own blood
Term

Which type of tube is needed to collect blood for T & C?

 

Definition
plain red or pink
Term
A microcollection reservoir tht contains a fluid for direct dilution of the specimen is a
Definition
micropipete
Term
The veins primarily used to draw blood are:
Definition

2, 3, and 4

Cephalic, median cubital, basilica

Term
The best angle for using two glass slides to make a blood smear is approximately
Definition
30 degrees
Term
Skin punctures are used when
Definition

The patient is an infant

only a small amount of blood is needed

the veins need to be preserved for IV therapy

ALL OF THE ABOVE

Term
When  skin puncture is performed on an infant or a child, which of the following specimens is collected first?
Definition
Hematology specimens
Term
As a general rule, how many (max) collection attempts would be recommended for the same patient at one sitting, by the same phlebotomist?
Definition
No more than 2
Term
The optimal depth of a dinger stick in a child is:
Definition
2.0 mm
Term
Which of the following evacuated tubes is preferred for the collection of a blood culture specimen?
Definition
Yellow top evacuated tube
Term
According to CLSI: Chlorhexadine gluconate is the recommended blood culture site disinfectant for
Definition
Infants 2 months and older
Term
Blood cultures are typically ordered ____ anticipated fever spikeswhen bacteria are most likely to be present.
Definition
before
Term

Arrange in order of draw:

Red

Green

PST / Light Green

SST / Straw yellow

Lavendar

Light blue

Definition

Light blue

Red

SST / Straw yellow

PST / Light green

Green

Lavendar

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