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| Section | Weight | Objectives |
|---|---|---|
| Collection of Blood and Non-Blood Specimens | 29% | - Non-blood specimen collection (urine, swabs) - Capillary puncture techniques - Special collection procedures (blood cultures, glucose tolerance tests) - Venipuncture procedures and order of draw |
| Professionalism and Regulatory Compliance | 18% | - Regulatory compliance (OSHA, HIPAA awareness) - Professional behavior and ethics in healthcare settings |
| Equipment Selection and Maintenance | 10% | - Equipment handling and maintenance - Needle, tube, and collection device selection |
| Patient Identification, Assessment, and Site Preparation | 17% | - Venipuncture site selection and preparation - Patient verification procedures |
| Specimen Processing and Transportation | 10% | - Specimen handling, storage, and transport conditions - Labeling and documentation |
| Infection Control and Safety | 16% | - Bloodborne pathogen safety protocols - Standard precautions and PPE usage |
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NEW QUESTION # 63
If a patient must do a 72-hour stool collection for fecal fat analysis, the stool should be kept under what conditions during the collection period?
Answer: A
Explanation:
If a patient must do a 72-hour stool collection for fecal fat analysis, the stool should be kept under refrigeration during the collection period. The patient is provided a large gallon container with a lid and written and verbal instructions. The patient should be cautioned to avoid contaminating the stool specimen with urine, which may alter the test results. One method of collecting the stool is to place plastic wrap securely over the back half of the toilet bowl. Special collection devices are also available.
NEW QUESTION # 64
Which of the following POC tests is used to determine a patient's response to aspirin therapy?
Answer: C
Explanation:
The platelet function test is used to determine a patients response to aspirin therapy or other antiplatelet therapies. This test is also used to assess a patient's response to medications before cardiac catheterization or surgery. Platelet function tests can help clinicians assess and predict the risk of bleeding and of thrombosis associated with platelet dysfunction before, during, and after the procedures.
NEW QUESTION # 65
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 # 66
A laboratory has an alternate order of draw for blood collected using syringes. It is based on the reasoning that the blood in the syringe may start to clot before it is fully transferred into the tubes. Which of the following is true about this laboratory s order of draw?
Answer: A
Explanation:
Once blood has started to clot, as it may in a syringe, the blood can no longer be placed in blood tubes with anticoagulants. Blood that may have started to clot can, however, be transferred to red-top or SST tubes, where it is meant to clot. This laboratory's alteration to the standard order of draw would be to fill all anticoagulant tubes first (in the same order as in the standard order of draw), before the blood in the syringe begins to clot, then the red tops and SSTs.
NEW QUESTION # 67
Intraoperative blood collection may be used in which type of surgery?
Answer: D
Explanation:
Intraoperative blood collection is used for procedures in which the estimated amount of blood loss is 20% or more of the patient's blood volume. The blood is collected from the incision site, filtered, washed, and returned to the patient via an IV: it is a form of auto transfusion. It is typically used in patients undergoing cardiac, vascular, gvmecologic, trauma, or transplant surgery. Intraoperative blood collection is not used for cancer or lower GI tract surgery or for infants or small children due to the risk of anemia or cardiac arrest.
NEW QUESTION # 68
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