Chapter 52 review – Flashcards
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Which of the following vacutainer tubes is routinely used for hematology testing?
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Lavender-topped
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No anticoagulants are found in which of the following tubes?
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Red-topped
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If a laboratory test requires serum, which vacutainer tube is the tube of choice?
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Red-topped
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For collection of blood specimens during a glucose tolerance test, which type of tube is used?
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Gray-topped
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__________ is an anticoagulant that prevents platelets from clumping and preserves the appearance of blood cells for microscopic preparation.
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Ethylenediaminetetraacetic acid (EDTA)
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The slant at the open end of a needle used for venipuncture is termed the:
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Bevel
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The needle size most commonly used for adult venipuncture is ________ gauge.
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21
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The needle size most commonly used for by the blood bank for donation is ________ gauge.
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16
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The needle size most commonly used on infants or elderly patients is ________ gauge.
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23
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Plasma could be retrieved from a:
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b and c only lavender and gray - topped vacutainer tube
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A tourniquet is used during the phlebotomy procedure to:
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both b and c prevents venous flow out of the site and cause the vein to buldge
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A tourniquet should remain tied on a paitent's arm no longer than:
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2 minutes
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Without a clot activator, whole blood typically clots in _________ minutes.
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30 to 60
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Thixotropic gel, found in the SST red and gray marbled-topped vacutainer tube:
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is less dense than red blood cells but more dense than serum
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The _______ is the portion of the venipuncture needle that fits into the syringe or vacutainer adapter.
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hub
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The laboratory requistition indicates that you are to collect a venous blood specimen for hematology testing, serum chemistry testing, and coagulation studies. What is the proper order of collection for these tubes?
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red, light blue, lavender
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You are required to collect a venous sample for a typical hematologytest, the complete blood count. Yoou collect a:
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lavender-topped
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A syringe is preferred over a vacutainer collection when:
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a and b the patients veins are fragile and the sample must be drawn from the hand veins
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Leaving a tourniquet tied on a patient's arm for longer than recommended time results in:
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hemoconcentration
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Before a routine venipuncture or capillary puncture, the site is typically cleaned with:
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isopropyl alcohol
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With a routine venipuncture, the angle in which the needle enters the arm should be________ degrees.
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15 to 30
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During routine venipuncture, when should the phlebotomist request that the patient "make a fist"?
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after applying the tourniquet and before inserting the needle
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During routine venipuncture, when should the phlebotomist request that the patient "release the fist"?
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when blood enters the first tube being drawn
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During routine venipuncture, when is the correct time to remove the tourniquet?
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as the last tube to be drawn begins to fill
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The vein (s) that can be used for routine venipuncture is (are):
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all of the above median cephalic,median basilic and supplementary cephalic
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A winged-infusion set is also known as a:
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butterfly needle
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A needlestick is more likely to happen if:
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an attempt is made to recap a needle
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Mrs. Rogers was experiencing a successful venipuncture when petechiae arose on her forearm. This was the result of:
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the tourniquet being applied too tightly
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A hematoma can be caused by:
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all of the above excessive probing to locate the vein, failure to insert the needle far enough into the vein, and the needle penetrating all the way through a vein
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Blood obtained via capillary puncture can be collected:
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all of the above in microtainer tubes, in capillary tubes, in microhematocrit tubes and onto filter paper
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The device used for dermal puncture is a:
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lancet
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sodium heparin and EDTA for chemistry trace elements
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royal blue
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potassium oxalate and sodium floride for glucose and alcohol GTT
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gray
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EDTA for hematology testing
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Lavendar
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Sodium Citrate
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Gray
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contains lithium heparin for saturated chemistry
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light green
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sodium citrate removes calcium to prevent from clotting for coagulation testing
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light blue
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lead testing
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tan
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Which of the following is the recommended method for disposal of needles in a puncture-proof container?
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Keeping the needle intact
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The process used to wash and remove and tissue from medical instruments is called:
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santitization
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Blunt needles, needlless systems,and resheathing syringes are examples of:
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engineering controls
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A bacteria spore:
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is a resistant bacterial reproductive cell that can become active and cause disease
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While a blood specimen is being prepared for laboratory analysis, the container tips over and blood spills on the laboratory table. Which of the following is the most appropriate management of the spill?
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cover the spill with paper towels, pour 10% bleach solution on the towels, wait 15 minutes, wipe up the spill while wearing gloves, and discard the paper towels in an infectious waste container.
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Which of the following scenarios is the only situation in which recapping a needle is considered appropriate procedure?
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after withdrawing medication from a vial
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Gloves, gowns, and goggles are examples of
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personal protective equiptment
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Inflammation mediators that are released at the site of cellular damage perform which of the following function?
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both A and B Increase the permeability of blood vessel walls and increase blood flow to the site
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What are the two important factors in performing an effective hand wash?
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friction and running warm water
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Viral infections:
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are treated with a focus on palliative care
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For disinfection to be effective, what must the medical assistant do?
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soak instrument in a closed container
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On the basis of your understanding of the chain of infection, what would be the most effective method for controlling the spread of conjunctivitis in a daycare center?
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Wash hands thoroughly each time a symptomatic child is contacted
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For which of the following is a medical assistant required to wear a mask while taking the patient's medical history?
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Active tuberculosis
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Relapse and remission are seen frequently in what types of infection?
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Latent infection
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What should not be done when sanitizing an instrument?
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Wear laxex gloves when cleaning sharp instruments
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The CDC does not recommend standard precautions for which of the following body fluids if the fluid does not contain visible blood?
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Urine
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Rosa was assisting with pediatric immunizations when she recieved an accidental needlestick. What is the first thing Rosa should do?
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Thoroughly wash the needlestick site
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Cell-mediated immunity:
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causes destruction of pathogens at the site of infection
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Which of the following procedures is appropriate for preparing blood and other potentially infectious materials for transport?
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placing the materials in a leakproof container during collection
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According to OSHA regulations, under whivh of the following circumstances is recapping needles allowed?
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when recapping an unused needle
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What action do viruses take when they enter the body's cells?
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incorporate into cells' reproductive material
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The most important step in schieving hand asepsis is:
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removing jewelry
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The method that completely destroys microorganisms is:
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sterilization
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Which of the following is not a major area that must be covered in the medical facility's Exposure Control Plan required by OSHA?
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specific steps for providing effective patient treatment
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Which color tube is used for blood cultures?
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Yellow
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Which color tube is used for arterial blood gases?
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Green
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Which color tube is used for blood banking?
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Red
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CBC
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lavander
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sodium heperin
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royal blue
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blood gasses
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green