Which of the following is the best method for a technician to collect a blood specimen from an older adult patient who has Fragile is the collapse of veins?

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• Which tube should be collected first for dermal samples?
• Which tube should a phlebotomy technician collect first when obtaining dermal samples?
• When multiple tubes of blood are to be drawn which is drawn first quizlet?
• What steps will you take to perform a dermal puncture?

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Terms in this set [100]

A phlebotomy technician is planning to collect a sputum specimen from a patient. Which of the following instructions should the technician give the patient?

"Breathe deeply and then cough up a specimen into the container"

Explanation: The technician should instruct the patient to breathe deeply and then cough up a specimen into the container. This increases the chances for obtaining a quality sputum specimen rather than saliva.

To prevent hospital-acquired infections, a phlebotomy technician should clean items that have been contaminated by blood with a 1:10 dilution of which of the following substances and water?

Sodium hypochlorite

Explanation: The technician should use a 1:10 dilution of sodium hypochlorite, or chlorine bleach, with water to disinfect items that are contaminated by blood.

A phlebotomy technician is preparing to collect a blood specimen from a patient who signed a general informed consent from upon admission to the facility. Which of the following actions by the patient indicates implied consent for the venipuncture?

Rolling up his shirtsleeve

Explanation: The technician should identify that the patient is giving implied consent to the procedure when the patient rolls up his shirt sleeve or holds out his arm.

A phlebotomy technician should select a tube that has which of the following additives when collecting a blood specimen for a CBC?

EDTA

Explanation: The technician should use a collection tube that contains EDTA when collecting a specimen for a CBC.

Which of the following test results are affected when a phlebotomy technician uses povidone-iodine to cleanse a site for a dermal puncture?

Potassium

Explanation: Povidone-iodine is contraindicated for potassium tests because it can cause a false elevation of potassium in a specimen.

A phlebotomy technician should transport a semen sample at which of the following temperatures?

36° to 38°C

Explanation: The technician should identify that semen samples should be stored and transported at 37°C [98.6°F].

A phlebotomy technician is preparing to draw blood from a patient in an inpatient setting. The patient extends his arm and turns his head away. The action by the patient is an example of which of the following types of consent?

Implied consent

Explanation: By extending his arm to the technician, the patient is giving implied consent.

A phlebotomy technician is transporting blood specimens to a laboratory. Which of the following actions should the technician take?

Place the specimens in a lockable container.

Explanation: The technician should place the specimens in a lockable container to avoid spills during transportation.

A phlebotomy technician is preparing to draw a peak level for a medication that was administered orally to a patient. After verifying when the patient received the medication, how long should the technician wait prior to attempting the draw?

2 hr after administration

Explanation: The technician should collect a peak level 1 to 2 hr following an oral administration to ensure that the medication is not at a toxic level.

A phlebotomy technician is preparing to obtain a blood specimen from a patient for thyroid studies. The technician should select a collection tube that has a top with which of the following colors?

Speckled

Explanation: The technician should select a collection tube that has a speckled top when collecting a specimen for thyroid studies [T3, T4, and thyroid-stimulating hormone].

A phlebotomy technician is collecting capillary blood drops on a filter paper card to screen a newborn for phenylketonuria. Which of the following actions should the technician take?

Apply blood to the printed side of the filter paper.

Explanation: The technician should only apply blood drops to the printed side of the filter paper.

A phlebotomy technician is using a point-of-care test system to determine a patient's WBC count. For which of the following results should the technician immediately notify the provider?

1.8/mm 3

Explanation: The technician should immediately report a finding of 1.8/mm 3 to the provider, because this finding is outside the expected reference range of 4.4 to 11/mm 3 for white blood cells.

A phlebotomy technician is preparing a peripheral blood smear from a patient's capillary blood. Which of the following actions should the technician take?

Use the second drop of blood that emerges from the puncture.

Explanation: The technician should use the second drop of blood that emerges from the puncture to ensure accurate results.

Which of the following is the best method for a phlebotomy technician to collect a blood specimen from an older patient who has fragile, easy-to-collapse veins?

Choosing a syringe and butterfly assembly and transfer to an ETS tube.

Explanation: The technician should identity that a syringe minimizes pressure on fragile veins and helps prevent collapsing.

How frequently should a phlebotomy technician perform a quality control test on a glucometer in the laboratory?

Every day the meter is used.

Explanation: The technician should perform quality control testing on a glucometer every day the glucometer is used to guarantee that readings are accurate and consistent.

A phlebotomy technician is following the Clinical and Laboratory Standards Institute's [CLSI] clinical laboratory workflow pathway. As part of the post-examination phase of this process, which of the following actions should the technician take?

Enter critical laboratory data

Explanation: Entering critical laboratory data is part of the post-examination phase of the CLSI clinical laboratory workflow pathway.

A phlebotomy technician should comply with HIPAA to protect which of the following?

Patient's information

Explanation: HIPAA, of the Health Insurance Portability and Accountability Act, protects patients' personal health information.

Which of the following tubes should a phlebotomy technician collect first when obtaining dermal samples?

Lavender top

Explanation: The technician should collect the dermal samples using a lavender-topped tube first because the tube minimizes platelet clumping and microclot formation.

A phlebotomy technician is reviewing a laboratory requisition before obtaining blood specimens from a patient. The technician should verify that the requisition includes which of the following information?

A specimen identification code.

Explanation: Requisitions should include a unique specimen identification code, as well as the patient's identification information, such as the patient's full name and date of birth.

A phlebotomy technician is preparing to collect a blood specimen from a patient who had a right-sided mastectomy. Which of the following sites should the technician select?

Medial cubital vein in the left arm.

Explanation: The technician should use the opposite arm of a mastectomy as a collection site for a blood draw to lessen the risk for lymphedema and infection.

For which of the following reasons should a phlebotomy technician centrifuge a serum specimen before transport to an outside reference laboratory?

Cells must be separated from the serum.

Explanation: If the specimen is not centrifuged, the cells continue to metabolize into the serum. Therefore, the technician should centrifuge a serum specimen before transporting it to a laboratory.

Which of the following actions is a phlebotomy technician required to take before leaving a patient's room?

Initial and mark the date and time on each tube drawn.

Explanation: The technician should mark each specimen with the date, time, and her initials before leaving the patient's room.

A phlebotomy technician should identify that which of the following colors signifies a health hazard in the National Fire Protection Association [NFPA] 704 Marking System?

Blue

Explanation:A health hazard is signified by the color blue in the NFPA 704 Marking System.

A phlebotomy technician has a request to collect a routine CBC from a healthy 10-month-old infant. Which of the following collection sites should the technician select?

Either heel

Explanation: The technician should use a heelstick to collect specimen from infants who are under 1 year of age, even if there is a well-developed vein available. The heelstick is sufficient for collecting and causes less trauma.

A phlebotomy technician is performing a total cholesterol point-of-care test for a patient. Which of the following findings should the technician immediately report to the provider?

300 mg/dL

Explanation: The technician should identify that a finding of 300 mg/dL is above the reference range of 140 to 200 mg/dL for total cholesterol. The technician should immediately report this finding to the provider.

A phlebotomy technician is collecting a blood specimen from a patient to measure the trough level of a medication. The technician should collect the specimen at which of the following times?

Within 15 min before the patient receives the next dose of medication.

Explanation: The technician should collect the specimen no more than 15 min prior to administration of the next dose of medication. The trough level is the lowest concentration of medication in the patient's blood.

According to OSHA standards, which of the following vaccines must employers offer to their phlebotomists at no cost?

Hepatitis B

Explanation: OSHA requires employers to offer the hepatitis B vaccine to at risk employees within 10 days of hire at no cost to the employee.

Which of the following personal protective equipment provides a phlebotomy technician with the best protection when drawing blood from a patient who has active tuberculosis?

N95 respirator

Explanation: The technician is required by the CDC to wear an N95 respirator when working with patients who have active tuberculosis. An N95 respirator eliminates all particles in the air that are larger than 0.3 microns.

When collecting a routine blood sample, which of the following veins should a phlebotomy technician attempt to draw from first?

Median cubital

Explanation: The technician should attempt to draw the patient's median cubital vein first. The median cubital vein is the preferred vein for routine blood samples because of its location. distance from large nerves, and large size.

A phlebotomy technician is preparing to preform a venipuncture on a patient who states, "I faint at the sight of blood." Which of the following positions is optimal for the patient's safety during the procedure?

Lying in a reclined position

Explanation: The technician should place the patient in an adjustable phlebotomy chair with armrests and a safety bar to prevent patients from falling if they faint.

A phlebotomy technician is collecting a blood specimen from a patient who has pneumonia. Besides gloves, which of the following pieces of personal protective equipment should the technician wear?

Mask

Explanation: The technician should wear a mask when collecting a blood specimen from a patient who has pneumonia, which requires droplet precautions. The technician should wear the mask when working within 3 feet of the patient.

After placing a tourniquet on a patient's arm, a phlebotomy technician notices small red spots bellow the tourniquet. Which of the following terms describes these spots?

Petechiae

Explanation: The technician should identify that the small red sports are called petechiae, which are microcapillary bleeds that are associated with coagulation abnormalities.

A phlebotomy technician is obtaining a blood specimen from a patient. The patient reports experiencing a sharp, painful, and tingling sensation going down her arm and into her hand. The technician should recognize that which of the following complications of venipuncure is occurring?

Nerve injury

Explanation: The technician should recognize that the patient is experiencing nerve injury, which causes a sharp, painful, and tingling sensation that radiates down the patient's arm.

A phlebotomy technician should identify that which of the following is an identifier for a specimen as long as it remains in the laboratory?

Accession number

Explanation: The accession number identifies a specimen as long as it remains in the laboratory.

A phlebotomy technician is educating patient about the at-home collection of a semen specimen. Which of the following statements by the patient indicates an understanding of the procedures?

"I will collect the specimen in a sterile container and return it to the lab within 1 hour"

Explanation: An at-home semen specimen should be collected in a sterile container, kept warm, and delivered to the laboratory within 1 hr.

A phlebotomy technician is preparing to obtain a blood specimen from a patient for an erythrocyte sedimentation rate test. The technician should select a collection tube that has a top with which of the following colors?

Lavender

Explanation: The technician should select a collection tube that has a lavender-colored top when collecting for an erythrocyte sedimentation rate test.

A phlebotomy technician receives a chemical splash to the forearm. After removing his contaminated clothing, which of the following is the minimum amount of time the technician should rinse the affected area ?

15 min

Explanation: The technician should rinse the affected area for a minimum of 15 min after the contaminated clothing has been removed.

A phlebotomy technician should identify that the order of draw for capillary collection is different from venipuncture for which of the following reasons?

An increased rate of coagulation

Explanation: Thromboplastin is released when the skin is punctured, causing blood to clot more quickly. Therefore, there is an increased rate of coagulation during capillary collections.

According to standard precaution, a phlebotomy technician should take which of the following actions when shipping specimens to a reference laboratory in hot weather?

Place the specimens in a box with cold packs and a biohazard label.

Explanation: Standard precautions require the technician to transport specimens in an enclosed container with ice packs and a bioharzed label in hot weather.

A phlebotomy technician is collecting blood from a patient for donation. The collection bag only fills halfway, and the vein collapses. Which of the following actions should the technician take?

Use a new collection bag to draw a new unit of blood

Explanation: The technician should use a new collection bag to draw a new unit of blood. The technician should take this action because collection bags have a specific amount of the additive citrate phosphate dextrose to prevent coagulation.

A phlebotomy technician is collecting a blood specimen from a patient. To avoid hemolysis, which of the following precautions should the technician take?

Ensure the alcohol at the insertion site has dried.

Explanation: The technician should allow the alcohol at the insertion site to dry completely before preforming the blood collection.

Which of the following sources for patient identification should a phlebotomy technician use in an inpatient setting?

Verbal and wristband

Explanation: The technician should use a verbal confirmation of the patient's identity and the patient's wristband to identity a patient in an inpatient setting.

A phlebotomy technician is using an evacuated needle holder and blood collection tubes to collect blood from a patient. Which of the following actions should the technician take?

Push the first collection tube gently into the holder

Explanation: The technician should gently push the first collection tube into the holder to secure the placement of the tube.

Which of the following actions should a phlebotomy technician take after collecting an ammonia specimen?

Place the specimen tube in an ice-water slurry

Explanation: The technician should place the specimen tube in an ice-water slurry. Chilling the specimen slows down metabolic processes and protects the analytes.

When should a phlebotomy technician perform external liquid controls for quality control on a CLA-waived glucose point-of-care test?

When a new lot number or kit is opened

Explanation: The technician should preform external liquid controls when a new lot number or kit is opened.

A phlebotomy technician should select a tube that has which of the following anticoagulants to collect a sample for a PT/PTT test?

Sodium citrate

Explanation: The technician should use a collection tube that has the anticoagulant sodium citrate to collect a sample for a PT/PTT test.

A phlebotomy technician has a requisition form for a series of tests on a patient's serum. The technician should select a collection tube that contains which of the following additives?

Thrombin

Explanation: The technician should use a collection tube that has the additive thrombin, which helps accelerate clotting for serum specimens.

A phlebotomy technician is preparing to draw blood from a patient's arm and observes a sore at the site where the tourniquet is to be placed. Which of the following actions should the technician take?

Tie the tourniquet over the patient's sleeve

Explanation: The technician should tie the tourniquet over the patient's sleeve to prevent any further damage to the skin.

A phlebotomy technician is preparing to collect a patient's troponin
T level. Which of the following troponin T levels should the technician immediately report to the provider?

0.3 ng/mL
Explanation: The technician should identify that a troponin T level of o.3 ng/mL is above the expected reference range of 0 to 0.2 ng/mL and is therefore a critical value. The technician should immediately report this findings to the provider.

A phlebotomy technician is preparing to perform a venipuncture for a 2-year-old child. The child asks if the blood draw will hurt. Which of the following statements should the technician make?

"You will feel a small prick"

Explanation: The technician should be honest with the child and explain that a small pricking sensation is expected.

Which of the following actions should a phlebotomy technician take to locate a vein using the warming technique?

Encase the warm towel in a plastic bag

Explanation: The technician should encase the warm towel in a plastic bag to maintain the towel's temperature and to keep the patient's skin dry.

A phlebotomy technician is preparing to collect a vancomycin peak level for a patient in an inpatient setting. Which of the following actions should the technician take prior to collecting the blood specimen?

Ask the attending nurse if the patient's vancomycin dose schedule in accurate.

Explanation: The technician should ask the attending nurse if the patient's vancomycin dose schedule is accurate prior to collection. This action ensures an accurate peak level for therapeutic medication monitoring.

A phlebotomy technician is collecting a blood specimen from a patient who has cutaneous diphtheria. Besides gloves, which of the following pieces of personal protective equipment should the technician wear?

Gown

Explanation: The technician should wear a gown to protect the skin from infections that can be transmitted by contact. Because cutaneous diphtheria is spread through contact, the technician should wear a gown.

Prior to transport, which of the following specimens should a phlebotomy technician place in an ice bath within 30 min after collection?

Arterial blood gas

Explanation: The technician should immediately place an ABG specimen in an ice bath to stop the metabolic activity of the red blood cells for delivery to the laboratory.

A phlebotomy technician is removing his gloves after a venipuncture procedure. Which of the following actions should the technician take?

Remove the first glove so that it turns inside out during removal

Explanation: When removing gloves, the technician should turn the first glove inside out during removal to decrease chances of contact with blood.

A phlebotomy technician has a requisition form to perform a chromosome analysis for a patient. The technician should select a collection tube that contains which of the following additives?

Heparin

Explanation: The technician should use a collection tube that contains the additives heparin, which is an anticoagulant that produces a plasma specimen for chromosome analysis.

A phlebotomy technician is preparing to obtain a blood specimen to determine a patient's sodium level. The technician should select a collection tube that has a top with which of the following colors?

Green

Explanation: The technician should select a collection tube that has a green-colored top to determine the patient's sodium level. This tube has heparin as an additive, which aids in determining sodium levels.

A phlebotomy technician observes a hematoma developing at the site of a venous blood draw. Which of the following actions should the technician take?

Release the tourniquet and stop the draw

Explanation: The technician should stop the draw to prevent the hematoma from getting larger and causing excessive bruising.

A phlebotomy technician is applying a tourniquet prior to collecting a blood specimen from a patient. Which of the following actions should the technician take?

Tuck a partial loop pf tourniquet underneath the tourniquet

Explanation: The technician should tuck a section of a free end of the tourniquet under the circumferential portion next to the patient's skin because this enables the tourniquet to be quickly released.

A phlebotomy technician is collecting a blood specimen from a patient. Which of the following techniques should the technician use to anchor the vein just before inserting the needle?

Use the thumb to anchor the vein 5 cm [2 in] below the puncture site.

Explanation: Veins have a tendency to roll away from the needle, especially the baslic vein. The technician should hold the vein in place to help anchor it and prepare it for the puncture 2.5 to 5 cm [1 to 2 in] below the puncture site.

A phlebotomy technician is preparing to perform a fingerstick for a patient. Which of the following actions should the technician take first?

Confirm the identity of the patient

Explanation: The technician should identify the patients prior to performing any other steps of the procedure.

A phlebotomy technician is performing a venipuncture for a patient who begins to seize. Which of the following actions should the technician take?

Explanation: Discontinue the draw

During a seizure, it is important for the technician to discontinue the draw and protect the patient from self-injury.

A phlebotomy technician is preparing to collect a blood specimen from the hand of a patient whose veins are difficult to access. Which of the following devices should the technician use?

Hand immobilizer

Explanation: The technician should use a hand immobilizer to access difficult veins in the patient's hand. A hand immobilizer uses straps to keep the patient's hand still during the collection procedure.

A phlebotomy technician is using glucose monitor for point-of-care testing of a patient who has been fasting for 12 hr. For which of the following results should the technician immediately notify the provider?

130 mg/dL

Explanation: The technician should immediately notify the patient's provider that the patient has a fasting blood glucose of 130 mg/dL, which is above the expected reference range of 70 to 110 mg/dL.

A phlebotomy technician has collected a blood specimen from a patient who is in an isolation room. Which of the following pieces of personal protective equipment [PPE] should the technician remove first?

Gloves

Explanation: The gloves are the first piece of PPE equipment that the technician should remove to prevent cross-contamination.

A phlebotomy technician is reviewing a laboratory test requisition form before obtaining blood specimens from a patient. Which of the following actions should the technician take prior to performing the venipuncture?

Check the requisition form for duplicate test orders.

Explanation: The technician should check the requisition form for duplicate test orders, discrepancies, and missing information prior to performing the venipuncture.

A provider has ordered a urine culture and sensitivity test. Which of the following types of urine collection should a phlebotomy technician obtain?

Clean-catch midstream

Explanation: The technician should obtain a clean-catch midstream collection for a urine culture and sensitivity test. This type of collection is preferred because it reduces bacteria for testing.

A phlebotomy technician is preparing to obtain a blood specimen from a patient in an outpatient setting. Using standard precautions, which of the following pieces of personal protective equipment should the technician wear?

Gloves

Explanation: Following standard precautions, the technician should wear gloves when collecting a blood specimen from a patient in an outpatient setting.

A phlebotomy technician is disposing of used supplies when he accidentally receives a needlestick injury. According to OSHA guidelines, which of the following actions should the technician take first?

Wash the puncture site with soap and water

Explanation: The first step the technician should take after a receiving a needlestick injury is to decontaminate the puncture site by washing it with soap and water for 30 seconds.

A phlebotomy technician is preparing several specimens for transport to the facility's laboratory. Which of the following specimens should the technician protect from bright light by placing it in an amber/brown biohazard bag for transport?

Vitamin B6

Explanation: The technician should protect a vitamin B6 specimen, which is photosensitive, from bright light by placing it in an amber/brown biohazard bag for transport.

For which of the following procedures should a phlebotomy technician follow chain of custody guidelines?

Paternity testing

Explanation: Chain of custody guidelines apply to drug screenings, forensic studies, blood alcohol tests, and paternity testing.

A phlebotomy technician is collecting a blood sample from a newborn who weighs 3 kg [6.6 lb]. Which of the following amounts is the maximum volume of blood the technician can draw from this newborn at one time if the maximum allowable volume is 1%?

3 mL

Explanation: This is the maximum amount of blood that the technician can draw at one time on this patient. Using 1% as the maximum allowable volume, the technician can draw a maximum volume of 3 mL at one time from a newborn who weighs 3 kg. 3 kg x 100 =300 mL total blood volume. 300 x .01 = 3 mL maximum allowable amount.

A phlebotomy technician is collecting a urine specimen from a patient for a pre-employment drug test. Which of the following actions should the technician take?

Verify that the specimen contains at least 45 mL of urine

Explanation: The technician should verify that the specimen contains at least 45 mL of urine. This amount allows for 30 mL to be put in one specimen bottle and 15 mL to be put in another bottle.

After verifying a patient's identity, a phlebotomy technician sees that the patient's laboratory results are ready. Which of the following actions should the technician take?

Inform the patient to contact the ordering provider to obtain the results.

Explanation: Only the ordering provider can discuss laboratory results with the patient. The technician should instruct the patient to contact the provider to obtain the laboratory results.

A phlebotomy technician is drawing a patient's blood when the patient states that she is becoming dizzy and light-headed. Which of the following actions should the technician take first?

Remove the tourniquet and needle

Explanation: The first action the technician should take when the patient reports feeling dizzy and lightheaded is to remove the tourniquet and needle to avoid causing injury to the patient.

Which of the following actions should a phlebotomy technician take to maintain compliance with HIPAA?

Clear phone number from the fax machine

Explanation: The technician should ensure patient confidentiality by clearing phone number and email addresses from office equipment, such as fax machines and copies.

A phlebotomy technician should identify that which of the following is the first step in the blood collection procedure?

Test requisition

Explanation: The technician should ensure that she has a provider's order for a test before performing a blood collection.

A phlebotomy technician is preparing to perform a blood draw on a patient who had a left-sided mastectomy and an IV on her right side. In which of the following locations should the technician perform the draw?

Below the IV

Explanation: After asking the nurse to shut off the flow of the IV to prevent infiltration of the IV site, the technician should draw blood from a site below the IV.

Which of the following collection tubes should a phlebotomy technician use when collecting for a routine chemistry test that requires serum?

SST

Explanation: When an SST tube is centrifuged, the thixotropic gel changes viscosity and moves between the serum and the cells.

After exiting a patient's room, which of the following is the last piece of personal protective equipment [PPE] a phlebotomy technician should remove?

Mask

Explanation: When removing PPE, the technician should first remove the gloves, then the goggles, and then the gown. The mask is the last piece of PPE the technician should remove before or after exiting the patient's room, depending on the isolation reason.

A phlebotomy technician uses alcohol to cleanse a venipuncture site. Before performing the venipuncture, the technician should allow the site to dry for which of the following reasons?

Alcohol requires time for antiseptic action to take effect

Explanation: If the site is not allowed to air dry, there is not enough time for antiseptic action. Therefore, the technician should allow the site to dry before performing the venipuncture.

A phlebotomy technician is interviewing a patient before performing a venipuncture. During the interview, the patient states that he lives nearby and ran to the facility to "get in some running time today." Which of the following precautionary actions should the technician take?

Have the patient rest comfortably for at least 15 min before the venipuncture.

Explanation: Because strenuous exercise affects coagulation, the technician should have the patient rest for 15 to 30 min before performing the venipuncture.

For which of the following reasons should a phlebotomy technician examine the antecubital areas in both of a patient's arms?:

The median cubital vein could be more accessible on one side than the other.

Explanation: The technician should examine the median cubital veins in both of the patient's arms to determine which side is more accessible.

A phlebotomy technician is preparing a patient for a routine venipuncture. Which of the following antiseptic solutions should the technician use?

Isopropyl alcohol

Explanation: The technician should use isopropyl alcohol to decontaminate the puncture site during a routine venipuncture.

A phlebotomy technician is preparing to collect a blood specimen from a small vein of an older adult patient. Which of the following actions should the technician take to keep the vein from collapsing?

Use a small needle for the draw

Explanation: The technician should use a small needle to collect a blood specimen from the small vein of an older adult to prevent the vein from collapsing.

An unconscious patient is brought to the emergency department, and several blood tests are ordered. A phlebotomy technician should collect the patient's blood because he has received which of the following types of consent?

Implied consent

Explanation: The technician should identify that implied consent can be obtained when a patient is unconscious and in an emergency situation.

A phlebotomy technician is obtaining a blood culture specimen from an adult patient. Which of the following actions should the technician take?

Withdraw the blood into a sterile safety syringe

Explanation: The technician should withdraw the blood into a sterile safety syringe after obtaining blood culture specimen from an adult patient.

A phlebotomy technician is preparing to dispose of contaminated sharps. According to OSHA standards, which of the following actions should the technician take?

Replace the sharps container when it is two-thirds full.

Explanation: According to OSHA standards, the technician should replace the sharps container when it is two-thirds full.

A phlebotomy technician is assembling the equipment he will need foe collecting donor units of blood. Which of the following needle sizes should the technician select?

18-gauge

Explanation: The technician should select an 18-gauge needle for the collection of donor units of blood.

A phlebotomy technician is preparing to draw blood from a patient who has scabies. Which of the following pieces of personal protection equipment should the technician use?

Gown

Explanation: The technician should follow contact precautions when interacting with a patient who has scabies. Contact precautions require wearing gloves and a gown.

A phlebotomy technician is performing a venipuncutre using a winged infusion set. The red-topped tube fills, but the light blue-topped tube slows and does not fill completely. Which of the following actions should the technician take?`

Insert a new light blue-topped tube to see if it will fill

Explanation: The tube might have low vacuum. Instead of performing a new venipuncture, the technician should check to see if a new light blue-topped tube will fill completely.

A phlebotomy technician should use a capillary collection instead of a venipuncture in which of the following situations?

A patient's vein are inaccessible.

Explanation: When veins are inaccessible due to IVs, scarring, or burns, the technician should collect a capillary specimen.

A phlebotomy technician is washing her hands at the beginning of her shift. Which of the following actions should the technician take?

Use enough soap to form a lather

Explanation: The technician should form a lather by rubbing her hands together for at least 15 seconds, covering all surfaces of her hands and fingers with soap.

A phlebotomy technician is preparing to collect a blood specimen from a patient who is allergic to alcohol. Which of the following antiseptic solutions should the technician use to prepare the insertion site?

Chlorhexidine

Explanation: The technician should apply chlorhexidine to the insertion site. Chlolrhexidine is an alternative antiseptic solution for patients who have allergies to alcohol or latex.

A phlebotomy technician is preparing to draw blood from a patient who states that this is his first blood draw. Which of the following actions should the technician take?

Describe the procedure to the patient

Explanation: For a patient who is having blood drawn for the first time, the technician should explain the procedure before proceeding with the blood draw.

A phlebotomy technician is verifying a patient's identity before performing a venipuncture procedure. Which of the following information should the technician request from the patient?

The patient's full name and date of birth

Explanation: To properly identify the patient, the technician should request that the patient state and spell his full name as well as provide his date of birth.

A phlebotomy technician is preparing to enter a patient's room to collect a blood specimen. Which of the following actions should the technician plan to take?

Communicate name and department affiliation to the patient

Explanation: The technician should communicate her name and department affiliation to the patient when entering the room to collect a blood specimen.

A phlebotomy technician is selecting a site to collect a blood specimen from a patient. After applying a tourniquet, the technician sees no apparent vein to use for the venipunture. Which of the following actions should the technician take?

Have the patient dangle her arm for 1 to 2 min

Explanation: The technician should ask the patient to dangle her arm for 1 to 2 min for the veins to be filled to capacity with blood.

A phlebotomy technician has a mild sensitivity to latex. According to the National Institute for Occupational Safety and Health [NIOSH], which of the following actions should the technician take?

Wear nitrite gloves instead of latex gloves

Explanation: If the technician or a patient has a latex sensitivity, NIOSH recommends using non-latex gloves, bandages, and tourniquets.

A phlebotomy technician sees a coworker receive a major electric shock from an instrument. Which of the following actions should the technician take first?

Shut off power of the instrument

Explanation: The technician should immediately shut off the instrument to eliminate the source of the electrical shock.

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Which tube should be collected first for dermal samples?

This standard recommends that EDTA tubes be drawn first to ensure good quality specimen, followed by other additive tubes and finally, serum specimen tubes.

Which tube should a phlebotomy technician collect first when obtaining dermal samples?

When multiple tubes of blood are to be drawn which is drawn first quizlet?

Blood culture tubes, which are sterile, are drawn first. This prevents the transfer of unsterilized material from other tubes into the sterile tube. Light blue-topped tubes, for coagulation tests, are 2nd in the blood draw.

What steps will you take to perform a dermal puncture?

Obtaining the Specimen.

Patient Identification..

Site Preparation..

Let Gravity Be Your Friend..

Finger Puncture..

Heel Puncture..

Properly Filling and Mixing a Microcollection Container..

Order of Draw..

Positioning the Puncture Device for a Fingerstick..

Why should a phlebotomist avoid drawing blood from the leg of a diabetic patient?

What is the most common method for venipuncture?

Which of the following techniques should you use to anchor the vein before inserting the needle?

For which of the following reasons should a phlebotomy technician centrifuge A serum specimen?