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Hartman Phlebotomy Tech chapter 8 Exam Questions And Answers
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what is the primary job of a phlebotomist? - - - correct answer ✅collect blood specimen for analysis most blood specimens collected by ....................... - - - correct answer ✅venipuncture capillary puncture - - - correct answer ✅in fingertip in adults and children 1 yr and older most blood collected in - - - correct answer ✅tubes some point of care blood tests place blood on - - - correct answer ✅test strip newborns get capillary test to be put onto - - - correct answer ✅filter paper
blood culture - - - correct answer ✅1- Test for the presence of bacteria, fungal pathogens or microorganisms in the blood blood collected in bottles that allow bacteria to multiply - - - correct answer ✅blood culture peripheral blood smear - - - correct answer ✅a way of preparing blood for viewing under a microscope PBT smear blood onto a microscope slide where to majority of errors with blood samples happen? - - - correct answer ✅before blood sample arrives at lab a phlebotomist has the following responsibilities? - - - correct answer ✅1- collect specimens properly 2- handle, process and transport specimen properly what happens when PBT doesn't collect and handle specimen properly? - - -
PBT is responsible for confirming that patient has followed instructions for blood draw such as..... - - - correct answer ✅1- fasting 2- basal state 3- taken or not taken medication Fasting - - - correct answer ✅no food 8-12 hours b4 a blood test Basal state - - - correct answer ✅When the patient has fasted and not excersiced in 12 hours to avoid preanalyatical errors a PBT should do these things? - - - correct answer ✅1- use correct needles or equipment for the specific test 2- use correct tubes 3- follow correct order of draw 4- follow manufacturer instructions for mixing blood specimens with tube additives(the number of inversions) 4- fill tubes to capacity
5- use careful technique when drawing blood 6- handle and process and transport specimen properly Order of draw - - - correct answer ✅A special sequence in tube collection that is intended to minimize additive carryover or cross-contamination problems. lab directory - - - correct answer ✅a reference that tells a PBT how to handle specific lab specimens double sided needle - - - correct answer ✅allows PBT to insert, fill and remove multiple collection tubes. one side enters patient's vein and the other screws into a rigid plastic holder and punctures the stoppers of collections tubes Evacuated tube system - - - correct answer ✅the double sided needle, holder and vacuum tube together
Bevel - - - correct answer ✅angled opening of a venipuncture needle it's slanted beveled side up when drawing blood which way does tube label face? - - - correct answer ✅faces down so you can see how quickly and how much the tube is filling and when to change tube gauge - - - correct answer ✅width of a phlebotomy needle the higher the gauge number................ - - - correct answer ✅the thinner the needle lumen - - - correct answer ✅hollow space inside a needle what size needle is most commonly used? - - - correct answer ✅21 gauge needle
what size needles can you use on on patients with smaller more fragile veins? - - - correct answer ✅22 or 23 gauge needle needle size used on pediatric patients? - - - correct answer ✅25 gauge needle what size needle used in blood donation? - - - correct answer ✅16 gauge needle manufacturers color code the hubs of needles according to ..... - - - correct answer ✅gauge of needle. PBT should know the coding system used at your facility winged collections set or butterfly needle - - - correct answer ✅1- shorter needle about 3/4'-1" long 2- needle connects to a tube that connects to a tube holder to PBT can change blood tubes
how big are adult blood tubes? - - - correct answer ✅3-5 ml Syringe transfer device - - - correct answer ✅a device similar to a tube holder used to safely transfer blood from a syringe into evacuated tubes syringe - - - correct answer ✅barrel shape with a plunger that is pulled to draw blood Evacuated Tube System (ETS) - - - correct answer ✅A closed system in which the patient's blood flows directly into a collection tube through a needle inserted into a vein. to draw blood a PBT must chose one of these three devices? - - - correct answer ✅1- multisample needle and tube holder 2- syringe and evacuated tube 3- butterfly with tube and tube holder
what supplies does a PBT need? - - - correct answer ✅1- gloves 2- antiseptic solution 3- tourniquet 4- gauze 5- bandage tell me some stuff about gloves? - - - correct answer ✅1- new pair for each patient 2- non latex usually...ask about latex allergy 3- inspect for holes 4- never tear off fingertip to palpate vein tell me some stuff about antiseptic solution? - - - correct answer ✅1- clean venipuncture site with antiseptic b procedure 2- usually 70% isopropyl alcohol 3- chlorhexidine gluconate(chlora prep)..often used for blood culture prep
why do you use a warming pack? - - - correct answer ✅help find veins and helps blood flow Venoscope - - - correct answer ✅1- An instrument that is used to assist with vein location 2- must be trained to use 3- may be helpful in obese patients capillary tube - - - correct answer ✅small glass tube used to collect blood for lab procedures capillary tube size - - - correct answer ✅125-600 micro liters 1 microliter is 1/1000 of a liter micro-collection tubes - - - correct answer ✅1- small tube used to collect dermal puncture samples
2- either straw like attachment allowing blood to be channeled from site to tube or spout like opening under cap to facilitate blood collection heparin capillary tubes are marked with - - - correct answer ✅red or green line capillary tubes without heparin marked with - - - correct answer ✅blue line Heparin - - - correct answer ✅Anticoagulant used as an additive in blood collection tubes usually with green stoppers lancet - - - correct answer ✅1- small surgical tool for making incisions 2- most are disposable and put in sharps container 3- device containing small retractable blade or needle Lancet depth for premature infants - - - correct answer ✅.85 mm
3- can cause brain damage and disability PT/INR test - - - correct answer ✅test to tell the blood clotting time or to monitor effectiveness of anticoagulation meds never put bandages on infants, why? - - - correct answer ✅choking hazard Analytes - - - correct answer ✅substances being measured or studied in a diagnostic test why is it impt to use a tube with the correct additive? - - - correct answer ✅it ensures that the analytes for each test are preserved properly and accurately reflect the blood in patients body a few things about a CBC... - - - correct answer ✅1. requires a whole blood sample
Serum tubes - - - correct answer ✅1- Also known as non-additives (SST) 2- allows blood to clot yielding serum and clotted cells after centrifuge separator gel - - - correct answer ✅1- Used to create a physical barrier between the serum and the cells 2- gel found inside tubes that when centrifuged forms a barrier between the liquid and solid components separator gel generally forms barrier without affecting analytes in blood .... - - - correct answer ✅but certain tests may be affected like test for certain drug levels tube inversions - - - correct answer ✅1-follow manufacturer instructions for mixing blood specimens with tube additives 2- after collection tubes must be turned upside down and up a certain amount of times depending on the tube and test
tan top tube - - - correct answer ✅1- these tubes are lead free 2- Has been designed for determination of lead levels 3- same as lavender but lead free Serology - - - correct answer ✅study of blood serum serum - - - correct answer ✅the liquid portion of the blood that has been allowed to clot different from plasma and doesn't contain fibrinogen what color are serum tubes? - - - correct answer ✅red, gold or mottled red& gray and orange stat serum tubes - - - correct answer ✅1- blood collection tubes containing fast acting clot activator for quicker testing 2- usually orange top