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59 Cards in this Set
- Front
- Back
- 3rd side (hint)
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By using a tube containing an anticoagulant |
How is whole blood obtained |
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True |
Removing the plastic holder from the needle for reuse is a technique that violates OSHA standard. T/f |
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The size of the pts veins |
The size of the evacuated tube you choose to obtain a venous blood specimen depends on what |
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Menstruation |
Blood may normally be present in the urine owing to what |
Womens monthly |
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No smoking, food, or minimize activity |
What are some (three) restrictions that must be followed by the pt during a glucose tolerance test |
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Glucose tolerance test, comprehensive metabolic profile, triglycerides |
What are some (three) tests that require fasting |
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True |
Splashing blood in your eyes is an example of an exposure incident. T/ f |
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True |
Eating in the laboratory is a violation of OSHA standard. T/f |
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3% |
You check the req and note that a baby weighing 3.2 kg has already had 2.4ml of blood drawn today. You need to collect another specimen. What is the preferred maximum amt of blood you can safely withdraw from pt in 24 hours |
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Amniotic fluid |
What fluid specimen needs to be protected from light |
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Red |
What capillary tube is collected last during a dermal puncture procedure. Order of draw: platelet counts (lavendar), CBCs (lavendar), and other hematology tests (lavendar). Then followed by chemistry tests |
Red doesn't have additives |
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SST |
What tube does not require the serum to be transferred to another labeled tube w/in 2 hrs to avoid falsely increased or decreased lab values |
Serum seperator |
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Reject the specimen |
The nurse delivers an ammonia to the lab that was drawn by the dr 45 min ago. What should the phlebotomist do |
Ammonia is green top. Green is stat |
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By keeping the pt arm in a downward position |
Venous reflux is prevented how |
If you elevate pt arm, the blood will flow back |
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Makes the veins more prominent |
The purpose of applying a tourniquet when performing a venipuncture |
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They are much easier to stick |
Why should the veins of the hands be used as a last resort. All are correct except: -uncomfy for pts -they have a tendency to roll -they are much easier to stick -the hand veins are more susceptible to collapsing |
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Using the thumb to palpate the vein |
This represents an error in technique when selecting a vein for venipuncture |
Palpation |
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Plasma, buffy coat, blood cells |
On standing a blood specimen where an anticoagulant has been added seperates into: |
Three parts |
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From clotted blood that has been centrifuged |
How is serum obtained |
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Lavendar |
What color stopper tube is used to collect a blood specimen for a CBC |
Tests: complete blood count, (rbc, wbc, plt, hgb, htc) esr, hga1c |
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Shaking a tube containing an anticoagulant after drawing it |
What represents an error in technique when working w evacuated tubes |
Invert don't shake |
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Elastic and pliable |
On palpation a vein feels how. Other than spongy and firm |
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Small vein |
What type of vein is most likely to collapse when doing a venipuncture |
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Inaccurate test results |
Hemolysis of a blood specimen results in: |
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Hemolysis |
Using a needle with a small lumen to collect the specimen may result in what |
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Fibrinogen |
Which is not found in the serum -fibrinogen -antibodies -glucose -hormones |
The clots use up everything, so it wont be in serum |
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Clorhexadine |
The pt states that he is allergic to iodine and alcohol. In this situation, what kind of antiseptic is the best to use to clean the site |
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Penetration of bone |
What can occur if a heel puncture is made that is deeper than 2.0 mm |
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Diluting the blood sample with tissue fluod |
When performing a capillary puncture, the finger shouldn't be squeezed excessively to avoid: |
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Bilirubin |
This urine test may be positive when a pt has hepatitis |
Liver |
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Hematuria |
Presence of blood in urine is called |
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Atherosclerosis |
The building of fatty deposits on the walls of arteries is called |
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Don't consume food or fluid except water for 12 hrs before the test |
What should be relayed to the pt regarding a fasting blood sugar test |
Npo |
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True |
A blood specimen is collected 2 hours after the pt consumes 100g of glucose. Is this true or false of a 2 hr post prandial glucose test |
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Infection |
The invasion of the body by a pathogenic microorganism is known as an: |
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A contagious disease |
A disease that can be spread from one person to another is known as: |
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Material spread on a slide for microscopic examination |
What is a smear |
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Stained w an appropriate dye (called gram stain) |
To view bacteria present on a smear, it must first be: |
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Lab test results |
Items included on a lab request, except: Dr name and address Date and time of collection Source of the specimen Pts age and gender Lab test results |
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Profile |
A number of lab tests providing related information is called what: |
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To provide identification of ea specimen in the lab |
The purpose of the pt accession number found on a lab report |
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Pathogen |
The term used to describe a microorganism that produces disease |
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Susceptible host |
The name given to a person who cannot fight off a pathogen that has entered his or her body |
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To prevent exposure of employees to bloodborne pathogens |
What is the purpose of OSHA |
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To reduce needlestick injuries among healthcare workees |
The purpose of the Needlestick Safety and Prevention Act |
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Stat electrolytes in er |
Which is first: Stat CBC on labor and delivery Stat electrolytes on er |
Stat electrolytes - green Stat cbc - lavendar |
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Serum |
The liquid portion of blood without fibrinogin is called: |
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C&S |
What test cannot be collected using the capillary collection procedure -CBG (cap blood gas) -C&S -PT -CBC |
Blood cultures and most routine coagulation tests can't be used via cap collection |
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Platelt aggregation |
The second stage of hemostasis |
First is vasoconstriction |
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5-8 times |
How many times should a tube with anticoagulant be inverted |
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Left hand w butterfly needle |
A diabetic OP has had a mastectomy on her right side and cannot straighten her left arm because of arthritis. Where is the best place to collect blood |
Side of mastectomy may cause infection |
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Accession number |
What is the unique identifying number that will be used for cataloging samples called |
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True |
Tests requiring chilled specimens .adrenocorticotropic hormone .ammonia .arterial blood gas .glucagon .gastrin .homocysteine .lactic acid .parathyroid hormone .pyruvate |
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Not at all |
At room temp, plasma may be removed from the clot after what time period |
Centrifuged immediately, stat |
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True |
Ammonia is not required for the collection of the sample in a prewarmed tube. T/f |
Ammonia is a chilled required specimen |
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Providone iodine |
When performing a bilirubin dermal puncture on a newborn, the phlebotomist should never use this antiseptic |
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Promote faster clotting of the specimen |
Thrombin functions to: |
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Using 21 gauge needle |
These can elevate potassium levels, except: -Hemolysis -incorrect order of draw -incorrect anticoagulant -using 21 gauge needle |
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Body weight |
This is used to calculate the total blood volume of a newborn |
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