NHA Certification: Phlebotomy
phlebotomy - correct answer incision of a vein
never perform a procedure without... - correct answer a provider's order
timed specimens are crucial for therapeutic drug level monitoring to... - correct answer
confirm the patients medication dosage and compliance
venipuncture cannot be done in... - correct answer a tattoo site or scar site
the tourniquet is not to be left on the patient for longer than... - correct answer 60
seconds
to confirm the patients identity... - correct answer identify the patients name, date of
birth and any other demographic information
always ask the patient which arm is best to... - correct answer draw blood out of
vasovagal response - correct answer fainting
provide an explanation of the... - correct answer process and purpose of the
procedure to help the patients feel comfortable
you must have all of your supplies... - correct answer ready
ask patients about latex allerges before... - correct answer preparing gloves and
tourniquets
for routine phlebotomy you use... - correct answer isopropyl alcohol wipes
for routine blood cultures you use... - correct answer nonalcohol prep kits or swabs
avoid using... - correct answer cotton balls
hemostasis - correct answer stoppage of flow of blood
a butterfly needle and a winged infusion are... - correct answer the same thing
a blood collection tube is also called a... - correct answer vacuum tube
sterile syringe, needle, and syringe transfer device are used for syringe draws when... -
correct answer a butterfly needle is not available
tubes are color-coded for easy... - correct answer identification
,if the tubes are not drawn in the correct order, the additives could... - correct answer
inadvertently affect the test
site selection is sometimes determined based on... - correct answer the patients age
newborns to infants 6 months of age use... - correct answer a heel stick
patients 6 months to 2 years of age require... - correct answer a finger stick
for patients 2 years and older use... - correct answer a regular venipuncture
fistulas - correct answer abnormal passage from one organ or cavity to another
mastectomy - correct answer surgical removal of a breast
median cubital vein - correct answer drains the anterior elbow
cephalic vein - correct answer a large vein of the arm that empties into the axillary
vein
basillic vein - correct answer prominent vein in antecubital fossa; third choice for
blood draw
venous insufficiency - correct answer an abnormal circulatory condition
characterized by decreased return of venous blood from the legs to the trunk of the
body
deep vein thrombosis (DVT) - correct answer A blood clot in a deep vein, most often
an extremity
when positing the arm... - correct answer the arm must be up and feet must be on
the floor
avoid switching hands once the skin has been... - correct answer penetrated
disinfect the site with 70% alcohol pads, moving in... - correct answer concentric
circles of increasing diameter starting from the anticipated needle insertion site
do not use alcohol with blood cultures use.. - correct answer
allow the skin to air dry, do NOT... - correct answer touch the site after cleansing
evacuated tube system - correct answer Requires three components, the evacuated
sample tube, the double pointed needle and a special plastic adapter
, syringe method - correct answer blood collection method using a syringe and sterile
needle
butterfly method - correct answer used for difficult venous draws, such as when a
vein is small or sclerosed (hardened)
what is the gauge of a butterfly needle? - correct answer 25-26
selecting phlebotomy method is based... - correct answer the patients veins, age,
skin condition and overall health
the method should be the most appropriate for each patient while providing the greatest
chance for... - correct answer successful blood collection and limiting patient
discomfort
anchor the vein with the bevel facing... - correct answer upward at a 15 to 30 degree
angle
elevate the arm for 2 mintues after... - correct answer removing needle
label the tubes immediately after... - correct answer the procedure and confirm with
the patients that the information is correct
applying too much force on the plunger or drawing too quickly can cause... - correct
answer the vein to collapse
the butterfly technique takes more time than traditional straight-needle draws due to... -
correct answer the smaller needle gauge and length of tubing
capillary punctures are also called... - correct answer finger sticks
the preferred puncture site for obtaining a capillary puncture in adults and children is... -
correct answer the middle or ring finger of the non dominant hand
for the capillary puncture procedure to be successful, the capillaries msut... - correct
answer have good blood flow
always wipe away the first drop of blood to... - correct answer appear after the
puncture because of its contamination with tissue fluids
if the blood is slow to flow, a gentle pressure may be applied to... - correct answer
the patients finger to avoid milking the finger
blood gases - correct answer gases that are normally dissolved in the liquid portion
of blood
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