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Chapters 9 10 11
Chapters 9 10 11 Study Guide
66
Health Care
Undergraduate 1
05/29/2008

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Cards

Term
When should hands be decontaminated for Venipuncture?
Definition
Before and After wearing gloves
Term
What should a phlebotomist notice about the veins of a patient prior to venipuncture?
Definition
Veins Should be palpable
Term
If a patient is obese, What is the preferred position for the patient during venipuncture?
Definition
Reclining or in a comfortable chair with arm supports
Term
Prior to venipuncture, what is the most appropriate greeting for a patient named Mr. Smith?
Definition
Hi My name is _________ and i have come to collect a blood sample, can you state your name please?
Term

What should the phlebotomist do if the patient has a cast on both arms?

Definition

Use Dorsal Side of hand or wrist

Term
Where is the basilic vein located?
Definition
Near the median nerve and brachial artery
Term
What is likely to happen if a phlebotomist punctures and artery instead of a vein?
Definition
Excessive bleeding or a hematoma may occur
Term

Why is the median cubital vein the most commonly used for venipuncture?

Definition
easiest and safest vein in which to acquire blood
Term
If a patient complains of severe shooting pain during a venipuncture, what should the phlebotomist do?
Definition
Remove the needle immediately
Term
What should a phlebotomist do if she is the first to notice and identification error that she made herself?
Definition
report it immediately to a supervisor
Term
Why should blood specimens be labeled at the patients bedside prior to leaving the room?
Definition
to avoid specimen mix-ups
Term
What should the phlebotomist do if a patient who needs a venipuncture has very small veins?
Definition
Use a butterfly appartus or a small needle
Term
If a phlebotomist notices that her tourniquet has lost most of its elasticity, what should she do?
Definition
Dispose of it properly and use a new one.
Term
If a patient refuses to have his blod drawn, what should the phlebotomist do?
Definition
Respect the patients rights to Refusal.
Term
If a patients arms are very cold to the touch, what should the phlebotomist do prior to venipuncture?
Definition
Warm the area
Term
If Unsuccessful on the first try, how many more times should a phlebotomist try to stick a patient for venipuncture?
Definition
One more time
Term
What is the best position for the patient during a venipuncture procedure?
Definition
Reclining on a bed
Term
Which tubes are always collected first when multiple tubes of blood are drawn?
Definition
Blood Cultures
Term

the best angle for needle insertion is what?

Definition
15 Degree
Term
what should the phlebotomist do if a patient has preference for performing the capillary puncture on a particular finger of the left hand?
Definition
Try to accomodate their request unless its a non-recommended site
Term
Capillary punctures are different from venipuncture in which way?
Definition
they require a different order of collection of tubes
Term
When is it safe to leave a patient after performing a capillary puncture?
Definition
when the bleeding has stoppped
Term
What can be done to increase the chances of acquiring enough blood from a patients finger that is cold?
Definition

Warm the area.

Term
How should an open lancet be discarded?
Definition
In a puncture resistant bio-hazard container
Term
what is the first step in performing a capillary puncture?
Definition
Greet the patient.
Term
Do phlebotomist always have to wear gloves for capillary punctures?
Definition
yes
Term
Which blood test should not be performed on capillary blood?
Definition
Coagulation Test
Term
Why should adhesive bandages be avoided for infants?
Definition
Risk of aspiration, Swallowing and irritation
Term
Manufactures make puncture devices to control what?
Definition
Puncture Depth and Length.
Term
Povidone-Iodine use for capillary punctures can cause erroneous results for which test?
Definition
Potassium
Term
What is it called when the area around the venipuncture starts to swell with the leakage of blood into the tissue?
Definition
Hematoma
Term
A phlebotomist should attempt to decrease anxiety and stress in a patient since stress and anxiety can lead to what?
Definition
Increase in lactate levels
Term
A solid mass derived from blood constituents that occludes a blood vessel is?
Definition
Thrombus
Term
why do hematomas result during venipuncture?
Definition

The position of the needle partially in the vein during venipuncture

Term
When should a physcian help determine the venipuncture site?
Definition
When the patient has had a double mastectomy
Term
What may cause a transient increase in the WBC count?
Definition

Edema

Term
what is the maximum time a tourrniquet should be left on?
Definition
60 Seconds
Term
What effects on phlebotomy can patients who are marathon runners have?
Definition
Lab values maybe increased or decreased.
Term
What do sclerosed veins feel like?
Definition

Hard

Term
What is the condition called if there are small red spots on the patients arms?
Definition
Petechiae
Term
What may happen to a patient if too much blood is drawn during phlebotomy?
Definition
The patient may become Anemic.
Term
Can misidentification of a patients specimen result in death of another patient?
Definition

Yes

Term
Is the phlebotomist responsible for checking the puncture site afterward to ensure that the bleeding has stopped?
Definition

Yes

Term
During a venipuncture procedure should the needle be inserted with the bevel side_______
Definition
Up
Term
During a venipuncture procedure should the tourniquet be release before or after the needle is withdrawn?
Definition
Before
Term
Can alcohol on a finger durign a finger stick prevent a round drop of blood from forming?
Definition
Yes
Term
How many times can lancets be used finger sticks if they are wiped with alcohol?
Definition
Once
Term
Single Skin punctures yield ___ to ____ ml of blood?
Definition
.5 to 1 ml
Term
What is the single most common cause of iron-defiency anemia in Women?
Definition
Menstrual Blood
Term
What are Thrombi?
Definition

Blood Clots

Term
What is the most common side effect in patients being treated with anticoagulant drugs such as warfarin or heparin?
Definition
Abnormal Bleeding
Term
________ is used with a double-pointed needle?
Definition

Evacuated tube method

Term
What causes pooling of blood in veins?
Definition
Tournoquets
Term
What is syringe method?
Definition
barrel and plunger used to create vacuum.
Term
What is used for decontamination prior to blood culture collection?
Definition
Providone-Iodine
Term
What is used for decontamination prior to blood collection for hematology tests?
Definition
70% Isopropyl Alcohol
Term
the Index finger is referred to as the _______ finger
Definition
Pointer
Term
What is the distal phalanax referred to as?
Definition
Finger Tip Area.
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
Definition
Capillary Action
Term
This type of fluids (excluding blood) are found between and around tissues.
Definition
Interstitial Fluid
Term
_____ is localized leakage of blood into the tissues or into an organ.
Definition
Hematoma
Term
______ are closed constricted veins.
Definition
Occluded
Term
The rupture of blood cells is referred to as _______
Definition
Hemolysis
Term
_______ are blood clots formed somewhere within the cardiovascular system.
Definition

Thrombi

Term
______ is the removal of a breast
Definition
Mastectomy
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