Skin to Skin
Defined what a direct contact transmission is ?
Bleach
What do you use to disinfect a surface other than boiling water ?
informed consent.
When you explain the venipuncture procedure to the patient and they agree to the test it is called ___________.
negligence
When failing to provide reasonable standards of care causing someone to suffer an injury, it is known as _______.
battery
What is the term when you are touching someone without their permission called?
First, try persuasion. If not tell your supervisor.
If a patient refuses treatment you should ?
Median Cubital
Which vein is commonly used for venipuncture ?
Phlebitis - means inflammation of a vein
What is the term for repeated venipuncture in the same vein can cause ?
Biologic
Bacteria and parasites belong to which type of hazard ?
Hematuria
What is another name for blood in the urine ?
Erythrocytes
What is another name for RBC's ?
Hemolysis
Which term is the definition of destruction of red blood cells?
HBV
What does OSHA requires that health care professionals receive a vaccine for ?
cephalic
Which vein in the antecubital fossa is usually easiest to palpate in an obese patient ?
16
Which needle has the largest gauge? 16, 21, 22, 23
30 - 60
How many minutes does normal coagulation take in a red topped tube ?
Basal
When the body has adequate rest and no food for 12 hours is it said to be in the __________ state.
EDTA
What is the additive in a pink tube ?
Profile or Panel
What is the term for a group of tests collected as one unit ?
Up
Which way should the bevel be facing as indicated as the proper insertion of a needle ?
Cancer
What is a patient in the Oncology dept is probably being treated for ________?
Light blue top - coagulation additive
Which tube is used for PT and PTT?
Blue/Bluish
When someone's skin is cyanotic, it means that the skin color is _________.
At the patient's bed
Where is the POC testing done ?
Chemistry
Which laboratory section performs blood pregnancy (hormone) tests?
In a sterile cup
Where is a clean catch test collected ?
milky
What color is the Lipemic (presence of excess lipids (fat) in the blood) blood serum appears ?
Catheter site of ICU patient becomes infected such as UTI.
What is an example of a nosocomial infection?
Gown, Mask, Gloves
What is the proper order for doning PPE?
ABG's (Arterial Blood Gases) - measures the acidity (pH) and the levels of oxygen and carbon dioxide in the blood from an artery. This test is used to check how well your lungs are able to move oxygen into the blood and remove carbon dioxide from the bloo
What is the test of the respiratory system ?
Creatinine clearance - measure the level of the waste product creatinine in your blood and urine. These tests tell how well your kidneys are working.
Which test shows how well is the function of the urinary system?
midsagittal
Which body plane divides the body in equal portions ?
Homeostatis
What is the term for the ability of the body to achieve "steady state
CBC - means Complete Blood Count
Which test must be performed on whole blood ?
True
Serum is depleted of fibrogen. T or F
Right Atrium
Where does Oxygen-poor blood enter the heart through __________?
Diastole - lower # on BP
What is the term for the relaxing phase of the cardiac cycle ?
Pulmonary artery
Which blood vessel is NOT part of systemic circulation?
from arterioles to capillaries to venules
Which represents the proper order of blood flow?
heparin - (3 types - ammonium, lithium, sodium)
What is in the green topped tube ?
Gray top - has sodium fluoride.
Which tube is used for collecting an ethanol specimen?
EDTA - Ethylene diamine tetra acetic-acid
Which additive is usually in a lavender tube?
To preserve glucose
What is the purpose of an antiglycolotic agent is ?
True. Red before Green. (Red, green, lavender)
In a routine blood draw the red tube is drawn before the green tube ? T or F
To enhance clotting - activator
What is the purpose of the glass particles in serum separator tube ?
EDTA - Lavender tube
According to CLSI which tube is filled last when using a syringe ? EDTA - lavender tube, Heparin - green, Citrate - Blue, Sterile SPS - yellow tube
Coagulation
What test are usually collected in a light blue tube ?
Sensitive
What is the most common source of carry over problems for EDTA ?
21 gauge
What gauge multi-sample needle is considered to be standard ?
Having the patient pump their fist.
Which should not be done during vein selection ?
4 - 24 hours (at least 1 day but not more than 2 days)
How many hours before a blood test should a patient discontinue the use of medications known to interfere with blood tests ?
Lipemic - Milky
What color is the serum if the patient didn't fast as recommended for test ?
During the day
When does Cortisol peaks ?
The WBC may be elevated.
If an infant is screaming during a CBC test what happens ?
48-72 hours prior to the test
When should a drug known to interfere with urine tests be discontinued ?
Glucose
What capillary puncture reference ranges are higher for this analyte ?
Arterial Blood
What capillary puncture blood most closely resembles ?
30 seconds - normal average
At what intervals should blood be blotted during a BTT bleeding time test ?
Drug screen
Which test may require a chain of custody (as in the court of law) ?
Aerobic. (Air to Air)
When collecting a Blood Culture with a butterfly into culture bottles, which is filled first ?
Skin Antisepsis
What is the most critical aspect of blood culture collection ?
Lavender or Pink - EDTA
Which tube can be used to collect blood for a type and crossmatch ?
HCG (human chorionic gonadotropin (hCG))
What hormone is detected in a positive pregnancy test ?
Cholesterol and Uric Acid
Which specimens are least likely to require special handling ?
Microorganisms that cause diseases.
What is a pathogen ?
The presence of UTI.
What is the purpose of an urine C & S test when ordered ?
Whooping Cough (Nurses perform Nasopharnyx culture swab)
What is a NP culture swab is collected to help diagnose ?
via Suprapubic catheter
How do you collect urine by aspiration through the bladder wall ?
Fluid aspirated from the peritoneal cavity.
What is Sputum ?
Creatinine Clearance
Which test requires a 24 hour urine specimen ?
Cerebrospinal
Which fluid is obtained by lumbar puncture ?
To Diagnose tuberculosis
Why is sputum collected ?
Sodium Fluoride - gray topped tube
Which element prevents glycolysis?
Need filled 100% full. Must deplete the vacuum in the tube.
How do get a 9:1 ratio of blood to anticoagulant in a light blue tube ?
Right Atrium
What chamber of the heart that receives blood from the systemic circulation ?
is the inside space of a tubular structure, such as an artery or intestine.
What is a lumen ?
Tissue Fluid
Where does lymph originates from ?
A heart disorder characterized by fluid buildup in the lungs. Missing oxygenated blood.
What is a congestive heart failure ?
Antigens
Blood types are determined by the presence or absence of _________ on RBC's.
PPE, tourniquet, alcohol swabs, tubes as ordered, gauze squares, and tape (band-aids).
What items are needed for a routine venipuncture ?
Yellow - SPS; Blue - Coagulation; (Gold, Red/gray tiger; Red; Green; Lavender/Pink, Gray, Yellow - ACD.
What is the order of draw in routine venipuncture?
Serology
Which lab dept does a red top tube indicate ?
It will underfill due to air in the line.
What happens when the first tube collected with a butterfly needle ?
All except SST.
Which tubes contains an additive ?
Light Blue (Use for Prothrombin Time or PT).
Sodium Citrate is in what color topped tube ?
vacuum in the tube
What causes vacuum tubes to fill with blood ?
They are all the same size and shape.
Which is not true of WBC's?