Nokea
The labels you apply to the blood specimen tubes should contain some of the following data. Which data should be included on the label?
- A. Patient's first and last name
- B. Hospital identification number for inpatient
- C. Date of birth for outpatient
- D. Physician's name
- E. Type of test ordered
- F. Date test was ordered
- G. Date and time specimen was collected
Correct Answer: A,B,C,G
Rationale: Labels must include the patient's name, hospital ID (for inpatients), date of birth (for outpatients), date and time of collection, and the phlebotomist's initials to ensure proper identification and traceability.
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You are performing phlebotomy on an elderly patient using a needle and syringe setup. Besides hemolysis, what can happen if you pull the plunger back too rapidly?
- A. Vein collapse
- B. Excessive bleeding
- C. Needle dislodgement
- D. Pain or discomfort
Correct Answer: A
Rationale: Pulling the plunger back too rapidly can create excessive negative pressure, causing the vein to collapse, especially in elderly patients with fragile veins.
What action(s) will help to protect you from bloodborne pathogens during phlebotomy?
- A. Washing your hands prior to the procedure
- B. Washing your hands after the procedure
- C. Wearing gloves during the procedure
- D. Activating the needle safety device immediately after removing your gloves
Correct Answer: A,B,C
Rationale: Hand washing before and after the procedure and wearing gloves during it are standard precautions to protect against bloodborne pathogens. The needle safety device should be activated immediately after use, not after removing gloves.
The vein of choice for phlebotomy is
- A. The median cubital.
- B. The basilic.
- C. The cephalic.
- D. Any vein that is not tortuous.
Correct Answer: A
Rationale: The median cubital vein is preferred for phlebotomy due to its accessibility, size, and stability.
Which of the following statements is(are) accurate regarding veins?
- A. Veins are deeper than arteries.
- B. Veins carry deoxygenated blood.
- C. Veins carry blood back to the heart.
- D. Vein walls are thicker than arterial walls.
Correct Answer: B,C
Rationale: Veins carry deoxygenated blood back to the heart, while arteries carry oxygenated blood away. Vein walls are thinner, not thicker, than arterial walls.
Why is it important that you tell the patient exactly what you are about to do before you begin?
- A. To gain the patient's cooperation
- B. To delay the start of the task
- C. To reduce patient anxiety
- D. To demonstrate your knowledge
Correct Answer: A,C
Rationale: Informing the patient about the procedure helps gain their cooperation and reduces anxiety by setting clear expectations and building trust.