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38. In order to prevent rolling of the vein before insertion of the needle, the phlebotomist should..." A.place tourniquet tighter 2-3 inches away from the puncture site B.place the index and thumb fingers above and below the site of insertion C.hold the arm of the patient 2 feet away from the patient's body D.ask the patient to pump his fist at least 3 times 39. All of the following is true regarding the heel puncture, EXCEPT:* A.Preferred site for infant skin puncture B.Lancet is punctured perpendicular to the heel prints C.Milking of the site is done for collection of enough blood D.Must be collected within two minutes to prevent clotting 40. The following are the benefits of reviewing test requests, EXCEPT A.Avoids duplication B.Ensures proper collection time C.Identify special instructions or equipment needed D.Verify patient's payment instructions

38. In order to prevent rolling of the vein before insertion of the needle, the phlebotomist should..." A.place tourniquet tighter 2-3 inches away from the puncture site B.place the index and thumb fingers above and below the site of insertion C.hold the arm of the patient 2 feet away from the patient's body D.ask the patient to pump his fist at least 3 times 39. All of the following is true regarding the heel puncture, EXCEPT:* A.Preferred site for infant skin puncture B.Lancet is punctured perpendicular to the heel prints C.Milking of the site is done for collection of enough blood D.Must be collected within two minutes to prevent clotting 40. The following are the benefits of reviewing test requests, EXCEPT A.Avoids duplication B.Ensures proper collection time C.Identify special instructions or equipment needed D.Verify patient's payment instructions

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38. In order to prevent rolling of the vein before insertion of the needle, the phlebotomist should...* A.place tourniquet tighter 2-3 inches away from the puncture site B.place the index and thumb fingers above and below the site of insertion C.hold the arm of the patient 2 feet away from the patient's body D.ask the patient to pump his fist at least 3 times 39. All of the following is true regarding the heel puncture, EXCEPT:* A.Preferred site for infant skin puncture B.Lancet is punctured perpendicular to the heel prints C.Milking of the site is done for collection of enough blood D.Must be collected within two minutes to prevent clotting 40. The following are the benefits of reviewing test requests, EXCEPT* A.Avoids duplication B.Ensures proper collection time C.Identify special instructions or equipment needed D.Verify patient's payment instructions Case 1: Charles is a phlebotomist who works in the positions office laboratory. One morning shortly after the drawing station opens, he was asked to collect blood specimens for a CBC and a glucose test from a very heavyset woman who appears quite ill. The patient told Charles that she vomited all night and was unable to eat or drink anything. She also mentioned that she has had a mastectomy on the left side and the last time she had blood collected was very difficult before phlebotomist was able to collect a specimen. 41. Which arm should Charles collect a blood sample?" A.Right B.Left C.Either D.Neither 42. What options does Charles have if he is unable to collect a proper venipuncture site?" A.Consider arterial puncture B.Consider capillary puncture C.Repeat the procedure some other time D.Nothing 43. What complication/s might Charles expect?* A.Syncope B.Dehydration C.Overweight D.All of the above 44.What must he do to prevent it?* A.Ask the patient to drink water and lie down B.Ask the patient to drink water C.Ask the patient to lie down D.Ask the patient to return some other time Case 2: A phlebotomist name Sarah is in the process of collecting a pro time and CBC from a patient. The needle is in the patient's vein. As Sarah pushes the first tube onto the needle in the tube holder, there is a spurt of blood into the tube, and she hears a hissing sound. Then the blood stops flowing. She-re-positions the needle but is not able to reestablish blood flow. 45. Why did blood spurt into the tube then stop?* A.The tube lost vacuum B.The tube may have been partially in the vein C.Both D.Neither 46.What clues are there to determine the problem?" A.The hissing sound B.Spurt of blood C.Blood stops flowing D.A and C 47. What can Sarah do to correct the problem?" A.Replace the tube B.Repeat the whole procedure C.Twist the tube to reestablish flow D.Remove the tourniquet Case 3: Ceasar is a phlebotomist in a small rural hospital. One night he is working the night shift by himself and he was having a major headache but decided to continue his work. All his draws have been patients with easy veins. Then he gets an order for STAT CBC, electrolytes, and glucose on a patient in ICU. The patient has IVs in both arms and has tiny hand beans. He decided to perform a syringe draw on a hand vein. The vein blows and he had to continue the draw. There was a small amount of blood in the syringe, so he decided to put half of it in a non-additive microtube part way. Just then he is paged for a new STAT draw in the ER. He quickly finishes up with the patient. slaps labels on the microtubes, scribbles his initials, and heads to the lab to deliver the specimen before proceeding to the ER. 48.Ceasar forgot to put something important on the labels of the microtube? What was it?* A.Date and time B.Doctor's name C.Ordered test D.Vein blood sample 49. Why is that a problem?" A.The specimen will not be processed on time B.The procedure will not be STAT as ordered by the attending physician C.The specimen cannot be processed due to lack of information D.The specimen will be assumed were collected on capillary puncture 50. What effect will it have to the results?" A.There will be lower results for the requested tests B.Nothing. The results are still normal C.There will be higher results for glucose and potassium D.There will varied results for CBC and electrolytes
Transcribed Image Text:38. In order to prevent rolling of the vein before insertion of the needle, the phlebotomist should...* A.place tourniquet tighter 2-3 inches away from the puncture site B.place the index and thumb fingers above and below the site of insertion C.hold the arm of the patient 2 feet away from the patient's body D.ask the patient to pump his fist at least 3 times 39. All of the following is true regarding the heel puncture, EXCEPT:* A.Preferred site for infant skin puncture B.Lancet is punctured perpendicular to the heel prints C.Milking of the site is done for collection of enough blood D.Must be collected within two minutes to prevent clotting 40. The following are the benefits of reviewing test requests, EXCEPT* A.Avoids duplication B.Ensures proper collection time C.Identify special instructions or equipment needed D.Verify patient's payment instructions Case 1: Charles is a phlebotomist who works in the positions office laboratory. One morning shortly after the drawing station opens, he was asked to collect blood specimens for a CBC and a glucose test from a very heavyset woman who appears quite ill. The patient told Charles that she vomited all night and was unable to eat or drink anything. She also mentioned that she has had a mastectomy on the left side and the last time she had blood collected was very difficult before phlebotomist was able to collect a specimen. 41. Which arm should Charles collect a blood sample?" A.Right B.Left C.Either D.Neither 42. What options does Charles have if he is unable to collect a proper venipuncture site?" A.Consider arterial puncture B.Consider capillary puncture C.Repeat the procedure some other time D.Nothing 43. What complication/s might Charles expect?* A.Syncope B.Dehydration C.Overweight D.All of the above 44.What must he do to prevent it?* A.Ask the patient to drink water and lie down B.Ask the patient to drink water C.Ask the patient to lie down D.Ask the patient to return some other time Case 2: A phlebotomist name Sarah is in the process of collecting a pro time and CBC from a patient. The needle is in the patient's vein. As Sarah pushes the first tube onto the needle in the tube holder, there is a spurt of blood into the tube, and she hears a hissing sound. Then the blood stops flowing. She-re-positions the needle but is not able to reestablish blood flow. 45. Why did blood spurt into the tube then stop?* A.The tube lost vacuum B.The tube may have been partially in the vein C.Both D.Neither 46.What clues are there to determine the problem?" A.The hissing sound B.Spurt of blood C.Blood stops flowing D.A and C 47. What can Sarah do to correct the problem?" A.Replace the tube B.Repeat the whole procedure C.Twist the tube to reestablish flow D.Remove the tourniquet Case 3: Ceasar is a phlebotomist in a small rural hospital. One night he is working the night shift by himself and he was having a major headache but decided to continue his work. All his draws have been patients with easy veins. Then he gets an order for STAT CBC, electrolytes, and glucose on a patient in ICU. The patient has IVs in both arms and has tiny hand beans. He decided to perform a syringe draw on a hand vein. The vein blows and he had to continue the draw. There was a small amount of blood in the syringe, so he decided to put half of it in a non-additive microtube part way. Just then he is paged for a new STAT draw in the ER. He quickly finishes up with the patient. slaps labels on the microtubes, scribbles his initials, and heads to the lab to deliver the specimen before proceeding to the ER. 48.Ceasar forgot to put something important on the labels of the microtube? What was it?* A.Date and time B.Doctor's name C.Ordered test D.Vein blood sample 49. Why is that a problem?" A.The specimen will not be processed on time B.The procedure will not be STAT as ordered by the attending physician C.The specimen cannot be processed due to lack of information D.The specimen will be assumed were collected on capillary puncture 50. What effect will it have to the results?" A.There will be lower results for the requested tests B.Nothing. The results are still normal C.There will be higher results for glucose and potassium D.There will varied results for CBC and electrolytes
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