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| Section | Weight | Objectives |
|---|---|---|
| Professionalism and Regulatory Compliance | 18% | - Professional behavior and ethics in healthcare settings - Regulatory compliance (OSHA, HIPAA awareness) |
| Infection Control and Safety | 16% | - Standard precautions and PPE usage - Bloodborne pathogen safety protocols |
| Specimen Processing and Transportation | 10% | - Labeling and documentation - Specimen handling, storage, and transport conditions |
| Patient Identification, Assessment, and Site Preparation | 17% | - Venipuncture site selection and preparation - Patient verification procedures |
| Collection of Blood and Non-Blood Specimens | 29% | - Venipuncture procedures and order of draw - Special collection procedures (blood cultures, glucose tolerance tests) - Capillary puncture techniques - Non-blood specimen collection (urine, swabs) |
| Equipment Selection and Maintenance | 10% | - Equipment handling and maintenance - Needle, tube, and collection device selection |
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211. Frage
Which of the following is a form of arthritis?
Antwort: A
Begründung:
Gout is a form of arthritis affecting the joints of the feet. It is caused by increased uric acid levels in the blood. Bursitis is an inflammation of the bursa (a fluid-filled sac) between a bone and the softer tissues, such as muscles and tendons, that surround it. Rickets is a condition in children caused by lack of vitamin D and is marked by softening and malformation of the bones. A slipped disc is a condition in which the disc between vertebrae of the spine ruptures or protrudes out of place.
212. Frage
When collecting a specimen from a patient in a long-term-care facility, the first thing the phlebotomist should do is to:
Antwort: B
Begründung:
When collecting a specimen from a patient in a long-term-care facility, the first thing that the phlebotomist should do is to check in at the nursing station. The phlebotomist needs to ask for information about any special concerns regarding the patient, such as the need for assistance if the patient is confused or any type of restriction that applies to the patient. As in any other setting, the phlebotomist should always knock on the door or announce his or her arrival before entering the room and explain the purpose of the visit.
213. Frage
A patient begins to faint during blood collection. The most appropriate line of action is to:
Antwort: D
Begründung:
If a patient faints during blood collection, discontinue the draw and discard the needle. Pressure should be applied to the site to prevent bleeding and bruising and the patient should be asked to lower his or her head and breathe deeply to allow oxygenated blood to access the brain. Ammonia inhalants may produce side effects, such as respiratory distress in asthmatic patients, and should not be used. After the patient regains consciousness, he or she should remain in the room for at least 15 minutes.
214. Frage
When venipuncture is performed in edematous tissue, the results will likely be:
Antwort: A
Begründung:
When venipuncture is performed in edematous tissue, the results will likely be altered because the sample may contain tissue fluid. Additionally, veins are often harder to locate in edematous tissue, and bleeding may persist longer than usual. Edematous tissue is more prone to injury from the tourniquet because the tissue is stretched. Whenever possible, a nonedematous site should be used for venipuncture. If the edema is because an IV has infiltrated, the phlebotomist must notify the nurse immediately.
215. Frage
The greatest risk when a tube breaks during centrifugation is:
Antwort: C
Begründung:
The greatest risk when a tube breaks during centrifugation is aerosolization of the specimen because the spinning specimen breaks down into droplets, which can be easily inhaled or can land on exposed skin, increasing risk of infection. Aerosolization can also occur if collection tubes are overfilled or if the caps come off during processing. Additionally, care must be used if removing a cap after centrifugation. Buckets, tubes, and rotors should be carefully spaced and balanced before centrifugation.
216. Frage
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