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| Section | Weight | Objectives |
|---|---|---|
| Infection Control and Safety | 16% | - Bloodborne pathogen safety protocols - Standard precautions and PPE usage |
| Collection of Blood and Non-Blood Specimens | 29% | - Non-blood specimen collection (urine, swabs) - Special collection procedures (blood cultures, glucose tolerance tests) - Venipuncture procedures and order of draw - Capillary puncture techniques |
| Equipment Selection and Maintenance | 10% | - Equipment handling and maintenance - Needle, tube, and collection device selection |
| Specimen Processing and Transportation | 10% | - Specimen handling, storage, and transport conditions - Labeling and documentation |
| Professionalism and Regulatory Compliance | 18% | - Professional behavior and ethics in healthcare settings - Regulatory compliance (OSHA, HIPAA awareness) |
| Patient Identification, Assessment, and Site Preparation | 17% | - Venipuncture site selection and preparation - Patient verification procedures |
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NEW QUESTION # 269
For blood collection with the butterfly infusion set in a child, the phlebotomist should use a:
Answer: A
Explanation:
For a pediatric patient a 23-gauge needle with a 2-mL tube should be used for blood collection using a butterfly infusion set. Use of a 5-mL tube with a 23-gauge needle may cause vein collapse or hemolysis of the specimen.
NEW QUESTION # 270
In normal blood, the thrombocyte count is:
Answer: A
Explanation:
In normal blood, the thrombocyte (platelet) count is Thrombocytes are fragments of a large cell formed in the bone marrow, the megakaryocyte. Thrombocytes, commonly referred to as platelets, are an essential component of blood clotting and are the first cells to arrive at the site of an injury. When platelet counts are too high (thrombocytosis), the individual is at risk of blood clots forming; alternately, if the counts are too low (thrombocytopenia), then the individual is at risk of bleeding.
NEW QUESTION # 271
Which of the following statements regarding warming of the injection site is FALSE?
Answer: C
Explanation:
Warming of the injection site does not significantly affect the levels of routinely tested analytes. Warming is preferred for heelstick procedures in infants because warming increases blood flow. Warming is required for collection of blood gas or capillary pH specimens, and may be required before fingersticks in patients with cold hands.
NEW QUESTION # 272
If a patient complains of feeling faint during collection of a blood specimen, the tourniquet and needle should be removed, pressure should be applied, and then the patient should be:
Answer: D
Explanation:
If a patient complains of feeling faint during collection of a blood specimen, the tourniquet and needle should be removed; pressure applied: and then the patient reclined, lain flat or have his or her head and arms lowered. Tight clothing, especially around the neck and chest, should be loosened. Ammonia inhalants are no longer used because their use may result in adverse effects. Personnel trained in first aid should be notified so they can examine and monitor the patient.
NEW QUESTION # 273
When collecting a blood sample from a geriatric patient, it is important to recognize that
Answer: D
Explanation:
When collecting a blood sample from a geriatric patient, it is important to recognize that the veins are more likely to collapse or roll because the tissue and veins are less elastic and the veins are less secured. Older adults often have skin that is thinner and more friable, with less underlying subcutaneous fat, than that of younger people. Although this may make vessels easier to visualize, they may be more difficult to access. Blood flow may be slower because of the narrowing of vessels that occurs with age.
NEW QUESTION # 274
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