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| Section | Weight | Objectives |
|---|---|---|
| Patient Identification, Assessment and Site Preparation | 17% | - Venipuncture site preparation - Patient assessment - Patient identification verification |
| Equipment Selection and Maintenance | 10% | - Phlebotomy equipment selection - Equipment maintenance and care |
| Infection Control and Safety | 16% | - Infection control procedures - Safety protocols and equipment |
| Collection of Blood and Non-Blood Specimens | 29% | - Capillary collection techniques - Venipuncture techniques - Non-blood specimen collection - Patient recovery and adverse reactions |
| Professionalism and Regulatory Compliance | 18% | - Professional conduct and ethics - Regulatory compliance and standards |
| Specimen Processing and Transportation | 10% | - Specimen labeling and documentation - Specimen transportation requirements - Specimen processing procedures |
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NEW QUESTION # 231
Following venipuncture with excessive bleeding, a saturated bloodstained gauze should be placed in a:
Answer: A
Explanation:
Following venipuncture with excessive bleeding, a saturated bloodstained gauze should be placed in a hazardous waste container, which should be clearly marked as such. Bloodstained gauze can be deposited in an open trash container, such as a bedside wastebasket, if the blood is dry or the gauze is not saturated. It should never be placed in a sharps container, which should be reserved for needles and other sharps and attached equipment only. Placing gauze in the sharps container may prevent needles from falling to the bottom of the container.
NEW QUESTION # 232
Plasma specimens for ammonia levels should be separated from the blood cells and tested within:
Answer: B
Explanation:
Plasma specimens for ammonia levels should be separated from the blood cells and tested within 15 minutes because ammonia levels increase rapidly at room temperature. Specimens should be transported in an ice slurry or cooling tray and processed immediately. Blood ammonia levels are often checked to diagnose or monitor hepatic encephalopathy, which can result in toxic levels of ammonia. Other causes of increased ammonia include upper gastrointestinal tract bleeding, salicylate poisoning. liver failure, kidney disease, and parenteral nutrition.
NEW QUESTION # 233
Separated serum or plasma specimens should be maintained at room temperature for no more than:
Answer: C
Explanation:
Separated serum or plasma specimens should be maintained at room temperature for no more than 2 hours. This maximum time limit is used because it complies with the requirements for numerous tests, including glucose, lactate dehydrogenase, catecholamines, lactic acid, and potassium. Processing a specimen within this time frame prevents further metabolic changes, such as glycolysis, that may affect the test results.
NEW QUESTION # 234
For blood cultures, if using iodophors for the main disinfectant, how long does it take for the iodophors to adequately disinfect the skin?
Answer: A
Explanation:
Iodophors take 90-120 seconds to adequately disinfect the skin for blood cultures. The usual procedure is to cleanse the skin with a 30-second friction rub with 70% isopropyl alcohol, allow the alcohol to dry completely, then apply the main disinfectant and let it dry for the time recommended by the manufacturer. If the phlebotomist needs to palpate the vein after applying the disinfectant, sterile gloves must be worn.
NEW QUESTION # 235
A primary function of the endothelium (tunica interna) of an artery is to:
Answer: A
Explanation:
A primary function of the endothelium (tunica interna-the inner layer) of an artery is to prevent blood clotting through secretion of biochemicals that inhibit platelet aggregation. The endothelium provides a smooth surface for the blood to flow through and secretes substances that constrict or dilate the arteries. The middle layer is the tunica media, which is the thickest part of the arterial wall. The tunica media contains muscle and connective tissue to provide strength and elasticity. The tunica externa (the outer layer, aka tunica adventitia), attaches the artery to the surrounding tissue.
NEW QUESTION # 236
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