study guide exam
About this set
Created by:
melly40 on February 3, 2011
Subjects:
Description:
for national exam
Classes:
patient care technician, Lils Medassist
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122 terms
Terms | Definitions |
|---|---|
 Start IVs | what is not a phlebotomist's duty? |
| verbal skill, non-verbal,listening | effective communication must inclued |
| informed consent | patients must be informed of intended treatments and risks before they are performed. |
| provides a unique tracking number | The purpose of a requistion number(accession) on a lab slip |
| report the incident immediately to your supervisor | what should you do if you draw blood on the wrong patient |
| HBV | health care providers should be vaccinated for this BBP |
| Prothrombin times | The coagulation department tests for samples for: |
| Serology | A Prothrombin time (PT) is performed in the --------department |
| Microbiology | A urine C&S is performed in the ______department. |
| Prothrombin Time | A CBC contains all the following except: Leukocytes, erythrocytes, Hgb and Hct, prothrombin time. |
| Hematuria | Blood in the urine is called |
| Albuminuria | Protein in the urine is called |
| Hematology | A CBC is performed in the ______department in a lavender tube. |
| wear your laboratory coat at all times | is not a proper laboratory safety procedure. |
| mixing bleach with other cleaners | Is an unacceptable chemical safety procedure |
| Decontaminate the site and fill out an incident report | 1st thing a phlebotomist should do in the event of an accidental needle stick. |
| Basophils | individuals with allergies may have an elevation in this type of leukocytes. |
| Neutrophils | The type of white blood cells that eats and engulfs (phagatosis) |
| 120 days | Lifespan of an erythrocytes is? |
| get a feathered edge | When performing a blood smear the goal is to? |
| infection is prevented | When the chain of infection is broken |
| an organism capable of causing disease | a pathogen is? |
| turn the faucet off with the towel used to dry your hands. | Not a proper hand washing procdure. |
| Hand Washing | Best means of breaking the chain of infection. |
| 5.0L | The normal blood volume for an adult is approximately? |
| 45% | The normal amount of formed elements in whole blood is? |
| heart and veins | These vessels have valves to prevent backflow. |
| Capillaries | This vessel is microscopic and is where the exchange of oxygen and carbon dioxide takes place. |
| This procedure wont hurt | inapropriate statement to make to a patient. |
| keeping the patients arm in a downward position | venous reflux is prevented by? |
| make a patients veins more visable | The purpose of applying a tourniquet when performing venipuncture is? |
| leaving the tourniquet on for at least 2 minutes | Not a correct technique for apply tourniquet. |
| reasons for leaving hands for venipunture as last resort. | tendency to roll, difficult to stick, uncomfortable, collapsing. |
| tourniquet applied to tightly | uncomfortable, inaccurate results,arterial blood obstruction, venous flow obstructed. |
| median cubital vein | anticubital vein considered best for venipuncture |
| Cephalc vein | easiest vein to find in obese patients |
| hemolysis and excess tissue fluid | milking a finger for dermal punture leads to erroneous test due to this |
| using the thumb to palpate the vein | wrong technique when selecting a vein. |
| plasma, buffy coat, and blood cells | upon standing, a blood specimen to which and anitcoagulant has been added serperates into. |
| from clotted blood that has been centrifuged | how is serum obtained. |
| using a red-stoppered tube | how is whole blood obtained. |
| Placing a contaminated needle in a biohazard bag | violation of OSHA standard |
| 20-22 gauge | gauged needles routinely used for venipunture |
| Amount of specimen required for test | The size of evacuated tube you choose to obtain a venous blood specimen depends upon the |
| EDTA | an evacuated glass tube with a lavender stopper contains |
| lavender | what color stopper tube is uesed to collect a blood speciment for a complete blood count |
| nothing | An evacuated tube with a red stopper contains |
| light blue | what color stopper tube is used to collect a blood speciment for a prothrombin time test. |
| EDTA or Heprin | lead levels require collection in a tube with this aditive |
| green | what color stopper tube is used to collect a blood specimen for most blood chemistries |
| lavender | what stopper tube is used to collect an erythrocyte sedimentation rate (ESR) |
| gray | what color stopper tube is used to collect glucose specimens? |
| GTT | This test involves fasting specimens then blood and urine specimens at specific times. |
| The tube may not have a vaccum | What may occur if an outdated evacuated tube is used to collect the blood specien? |
| Shaking a tube containing an anitcoagulant after drawing it. | ERROR in technique when working with evacuated tubes. |
| The needle may enter the skin above the vein and not puncture it. | What may occur if an angle of less than 15 degrees is used to perform a venipuncture? |
| Bleeding will occur around the puncture site. | What may occur if the needle is removed from the arm, before removing the tourniquet? |
| moving the needle after in has been inserted into the vein. | results in discomfort during venipuncture procedure. |
| The blood specimen must be transferred from the syringe to an evacuation tube. | disadvantage of using the syringe method of venipunture. |
| These should not be used for a venipuncture site | scarred skin, bruised skin,burned skin, painful area for patient. |
| stiff and hard | upon palpation, a scarred vein feels? |
| Applying pressure below the vein with your nondominant fingers. | technique used to prevent a vein from rolling. |
| small veins | which veins are most likely to collapse when performing a venipuncture? |
| Use a butterfly needle | If you suspect that a vein will collapes you should. |
| phlebitis | repeated venipuncture in the same vein may result in this complication. |
| Hematoma | The most common complication of venipunture. |
| infectious microorganism | blood cultures are performed to detect_________in blood. |
| Immediately remove the tourniquet and needle. | During the venipuncture procedure, a sudden swelling occurs in the area around the puncture site. |
| newborn heel stick | A PKU test is performed. |
| Using to small guage needle to collect the specimen. | May result in hemolysis of the blood specimen. |
| Inaccurate test results | Hemolysis of a blood specimen results in? |
| Blood vessel constriction | As a response to injury, the initial vascular reaction is? |
| Remove the needle and protect the patient from injury. | a patient becomes dizzy and is about to faint. |
| Glucose, hormones, sodium, antibodies. | The following is found in the serum of blood. |
| infection contacted in the hospital or other healthcare setting. | A nosocomial infection can be described as? |
| 10 ml red stopper tube | electrolyte profile on patient. the lab directory indicates this test requires 4ml of serum. what tube should be used? |
| Gently rotate the tube 8-10 times | After drawing a blood specimen for an electrolyte profile, the next step is? |
| 30-60 minutes | blood drawn in a red-stopper tube should be allowed to sit for this period of time prior to centifuge. |
| interfere with adequate serum collection | If a fibrin clot forms in the serum layer of a blood specien,it will? |
| basophils | a be patient with sever allergies. The most likely leukocyte to be elevated would be? |
| phagocytosis | The function of neutrophils leukocytes is? |
| Ask her to discuss the results with her daughter | A teenagers mother asks you for the result of her daughter's pregnacy test. |
| phlebitis | Repeated venipuncture over and over in the same ein can cause? |
| lateral part of the tip of the third finger. | site should be used to make a skin puncture on an adult. |
| inflammation and infection of the bone | what may occur if a finder puncture is made deeper than 3.1 mm? |
| using the first drop of blood for the test | error in technique when obtaining a capillary blood specimen |
| In the other arm | If the patient has an IV line in their arm, blood should be drawn? |
| Diluting the blood sample with tissue fluid | When performing a capillary puncture, the finger should not be squeeze to avoid? |
| Lateral plantar surface | The correct area to use on an infant's heel stick is? |
| 30-60 minutes | The length of time it takes blood to clot in a red stop tube prior to centrifuge. |
| strep screen | This test cannot be preformed with capillary blood. |
| STAT | which test must be done first |
| sclerosed | hard cord like veins are called |
| age | the vaccum of a tube decreases with |
| 2.0 mm | The recommended depth of an infant's heel stick should be less than? |
| H&H | Individuals donating blood must have this test performed prior to donation. |
| milky looking serum | lipemic blood is described as? |
| butterfly | winged infusion set |
| Edema | another name for accumulation of interstitial fluid. |
| RBC | Erythrocytes are called? |
| WBC | Leukocytes are called? |
| platelets | Thrombocytes are called |
| bleed | Patients on anitcoagulants will have an increased_____time. |
| plasma | liquid portion of unclotted blood |
| 2 hours after eating | the term postprandial means |
| green | tube used for stat chemistries |
| red | what color tube is used for serum specimens |
| royal blue | If a tan tube top is not available,what color tube can be used? |
| hemotoma | most common complication from phlebotomy is? |
| HBV | The most common BBP in the lab setting |
| chephalic | which vein is usually palpable in obese patients |
| bedside | Point of care testing (POCT) is performed where? |
| sodium floride, potassium oxolate | The name of the preservative to maintain glucose stability and prevent glycolysis is? |
| Quantitiy not suffiecient | QNS |
| 8-10 | How many times do you invert a tube with anticoagulant |
| improper site cleaning | The most common cause of a blood culture contamination. |
| Air-borne infection | small particals that carry pathogens |
| droplet method of infection | sneeze, cough, flu, mumps |
| blood-borne infection | transmission thru blood. HIV |
| Nonsocomial infection | direct or indirect contact with contaminated item. Usually in hospital |
| vector-borne infection | insect, tick, misquito |
| indirect/formite infection | picking up or touching contaminated iteam |
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