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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Infection Control and Safety | 16% | - Standard precautions and PPE usage - Bloodborne pathogen safety protocols |
| Topic 2: Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification procedures - Venipuncture site selection and preparation |
| Topic 3: Collection of Blood and Non-Blood Specimens | 29% | - Venipuncture procedures and order of draw - Special collection procedures (blood cultures, glucose tolerance tests) - Non-blood specimen collection (urine, swabs) - Capillary puncture techniques |
| Topic 4: Specimen Processing and Transportation | 10% | - Specimen handling, storage, and transport conditions - Labeling and documentation |
| Topic 5: Professionalism and Regulatory Compliance | 18% | - Professional behavior and ethics in healthcare settings - Regulatory compliance (OSHA, HIPAA awareness) |
| Topic 6: Equipment Selection and Maintenance | 10% | - Equipment handling and maintenance - Needle, tube, and collection device selection |
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NEW QUESTION # 225
When venipuncture is performed in edematous tissue, the results will likely be:
Answer: B
Explanation:
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.
NEW QUESTION # 226
When collecting a capillary blood specimen for bilirubin from a newborn receiving phototherapy for jaundice, it is especially important to:
Answer: C
Explanation:
When collecting a capillary blood specimen for bilirubin from a newborn receiving phototherapy for jaundice, it is especially important to turn off the phototherapy light during collection because exposure of the blood sample to the light may break down the bilirubin. The specimen must be obtained carefully to prevent hemolysis and placed in an amber microcollection container, or the container should be covered with aluminum foil to protect the contents from light The blood specimen should be collected as soon after the request as possible because accurate timing can help to determine the rate of bilirubin increase.
NEW QUESTION # 227
The normal pH level for venous blood is:
Answer: C
Explanation:
The normal range of pH of venous blood is 7.31-7.41. The normal range of pH for arterial blood is slightly higher at 7.35-7.45.
NEW QUESTION # 228
For venipuncture, which vein should always be selected as the last option?
Answer: A
Explanation:
For venipuncture, the vein that should always be selected as the last option is the basilic vein because it lies near the brachial artery, so accidental arterial puncture may occur. Additionally, nerves run parallel to the basilic vein, increasing the risk of injury to the nerve. The order in which the veins should be inspected is: median cubital, cephalic, basilic, dorsal metacarpal, and wrist. For venipuncture, the basilic vein goes to the end of the list.
NEW QUESTION # 229
Which of the following agencies provides standards for performance and testing of all types of laboratory functions, including clinical microbiology?
Answer: D
Explanation:
The Clinical and Laboratory Standards Institute (CLSI) provides standards for a wide range of performance and testing and covers all types of laboratory functions, including microbiology'. The institute comprises representatives from the healthcare professions, industry, and government. These standards are used as a basis for quality control procedures. Standards include labeling, security/information technology, toxicology/drug testing, statistical quality control, and performance standards for various types of antimicrobial susceptibility testing.
NEW QUESTION # 230
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