Case 1: Charles is a phlebotomist who works in the positions office laboratory. One morning shortly after the drawing station opens, he was asked to collect blood specimens for a CBC and a glucose test from a very heavyset woman who appears quite ill. The patient told Charles that she vomited all night and was unable to eat or drink anything. She also mentioned that she has had a mastectomy on the left side and the last time she had blood collected was very difficult before phlebotomist was able to collect a specimen. 41.Which arm should Charles collect a blood sample?" A. Right B.Left C.Either D. Neither 42.What options does Charles have if he is unable to collect a proper venipuncture site?" A. Consider arterial puncture B. Consider capilary puncture C.Repeat the procedure some other time D.Nothing 43.What complication/s might Charles expect? A.Syncope B.Dehydration C.Overweight D.All of the above 44.What must he do to prevent it?" A.Ask the patient to drink water and lie down B.Ask the patient to drink water C.Ask the patient to lie down D.Ask the patient to return some other time

An Illustrated Guide To Vet Med Term
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ISBN:9781305465763
Author:ROMICH
Publisher:ROMICH
Chapter17: Drugs And Dissection
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Case 1: Charles is a
phlebotomist who works in the
positions office laboratory. One
morning shortly after the
drawing station opens, he was
asked to collect blood
specimens for a CBC and a
glucose test from a very
heavyset woman who appears
quite ill. The patient told
Charles that she vomited all
night and was unable to eat or
drink anything. She also
mentioned that she has had a
mastectomy on the left side and
the last time she had blood
collected was very difficult
before phlebotomist was able to
collect a specimen.
41.Which arm should Charles
collect a blood sample?"
A. Right
B.Left
C.Either
D. Neither
42.What options does Charles
have if he is unable to collect a
proper venipuncture site?"
A. Consider arterial puncture
B. Consider capilary puncture
C.Repeat the procedure some
other time
D.Nothing
43.What complication/s might
Charles expect?
A.Syncope
B.Dehydration
C.Overweight
D. All of the above
44.What must he do to prevent
it?"
A.Ask the patient to drink water
and lie down
B.Ask the patient to drink water
C.Ask the patient to lie down
D.Ask the patient to return some
other time
Case 2: A phlebotomist name
Sarah is in the process of
collecting a pro time and CBC
from a patient. The needle is in
the patient's vein. As Sarah
pushes the first tube onto the
needle in the tube holder, there
is a spurt of blood into the tube,
and she hears a hissing sound.
Then the blood stops flowing.
She-re-positions the needle but
is not able to reestablish blood
flow.
45.Why did blood spurt into the
tube then stop?"
A. The tube lost vacuum
B. The tube may have been
partially in the vein
C.Both
D. Neither
46.What clues are there to
determine the problem?"
A. The hissing sound
B.Spurt of blood
C.Blood stops flowing
D.A and C
47.What can Sarah do to
correct the problem?"
A.Replace the tube
B.Repeat the whole procedure
C.Twist the tube to reestablish flow
D.Remove the tourniquet
Case 3: Ceasar is a
phlebotomist in a small rural
hospital. One night he is
working the night shift by
himself and he was having a
major headache but decided to
continue his work. All his draws
have been patients with easy
veins. Then he gets an order for
STAT CBC, electrolytes, and
glucose on a patient in ICU.
The patient has Vs in both
arms and has tiny hand beans.
He decided to perform a
syringe draw on a hand vein.
The vein blows and he had to
continue the draw. There was a
small amount of blood in the
syringe, so he decided to put
half of it in a non-additive
microtube part way. Just then
he is paged for a new STAT
draw in the ER. He quickly
finishes up with the patient,
slaps labels on the microtubes,
scribbles his initials, and heads
to the lab to deliver the
specimen before proceeding to
the ER.
48.Ceasar forgot to put
something important on the
labels of the microtube? What
was it?"
A.Date and time
B.Doctor's name
C.Ordered test
D.Vein blood sample
49.Why is that a problem?"
A.The specimen will not be proced
an time
B.The procedure will not be STAT
ordered by the attending physician
C.The specimen cannot be proced
due to lack of information
D.The specimen will be assumed
were collected on capillary
puncture
50.What effect will it have to the
results?
A. There will be lower results for the
requested tests
B.Nothing. The results are still
normal
C.There will be higher results for
glucose and potassium
D.There will varied results for CBC
and electrolytes
51.The range of values normal
for a physiologic measurement
in healthy persons."
A.Basal state
B.Reference range
C.Normal line
D.All of the choices
52.Permanent surgical
connection of an artery and
vein by direct fusion (fistula)."
A. Heparin Lock
B.CVAD
C.PICC Catheter
D.Arteriovenous shunt
53.Stagnation of the normal
venous blood flow
A.Basal state
B.Homeostasis
C.Venous stasis
D.None of the choices
Transcribed Image Text:Case 1: Charles is a phlebotomist who works in the positions office laboratory. One morning shortly after the drawing station opens, he was asked to collect blood specimens for a CBC and a glucose test from a very heavyset woman who appears quite ill. The patient told Charles that she vomited all night and was unable to eat or drink anything. She also mentioned that she has had a mastectomy on the left side and the last time she had blood collected was very difficult before phlebotomist was able to collect a specimen. 41.Which arm should Charles collect a blood sample?" A. Right B.Left C.Either D. Neither 42.What options does Charles have if he is unable to collect a proper venipuncture site?" A. Consider arterial puncture B. Consider capilary puncture C.Repeat the procedure some other time D.Nothing 43.What complication/s might Charles expect? A.Syncope B.Dehydration C.Overweight D. All of the above 44.What must he do to prevent it?" A.Ask the patient to drink water and lie down B.Ask the patient to drink water C.Ask the patient to lie down D.Ask the patient to return some other time Case 2: A phlebotomist name Sarah is in the process of collecting a pro time and CBC from a patient. The needle is in the patient's vein. As Sarah pushes the first tube onto the needle in the tube holder, there is a spurt of blood into the tube, and she hears a hissing sound. Then the blood stops flowing. She-re-positions the needle but is not able to reestablish blood flow. 45.Why did blood spurt into the tube then stop?" A. The tube lost vacuum B. The tube may have been partially in the vein C.Both D. Neither 46.What clues are there to determine the problem?" A. The hissing sound B.Spurt of blood C.Blood stops flowing D.A and C 47.What can Sarah do to correct the problem?" A.Replace the tube B.Repeat the whole procedure C.Twist the tube to reestablish flow D.Remove the tourniquet Case 3: Ceasar is a phlebotomist in a small rural hospital. One night he is working the night shift by himself and he was having a major headache but decided to continue his work. All his draws have been patients with easy veins. Then he gets an order for STAT CBC, electrolytes, and glucose on a patient in ICU. The patient has Vs in both arms and has tiny hand beans. He decided to perform a syringe draw on a hand vein. The vein blows and he had to continue the draw. There was a small amount of blood in the syringe, so he decided to put half of it in a non-additive microtube part way. Just then he is paged for a new STAT draw in the ER. He quickly finishes up with the patient, slaps labels on the microtubes, scribbles his initials, and heads to the lab to deliver the specimen before proceeding to the ER. 48.Ceasar forgot to put something important on the labels of the microtube? What was it?" A.Date and time B.Doctor's name C.Ordered test D.Vein blood sample 49.Why is that a problem?" A.The specimen will not be proced an time B.The procedure will not be STAT ordered by the attending physician C.The specimen cannot be proced due to lack of information D.The specimen will be assumed were collected on capillary puncture 50.What effect will it have to the results? A. There will be lower results for the requested tests B.Nothing. The results are still normal C.There will be higher results for glucose and potassium D.There will varied results for CBC and electrolytes 51.The range of values normal for a physiologic measurement in healthy persons." A.Basal state B.Reference range C.Normal line D.All of the choices 52.Permanent surgical connection of an artery and vein by direct fusion (fistula)." A. Heparin Lock B.CVAD C.PICC Catheter D.Arteriovenous shunt 53.Stagnation of the normal venous blood flow A.Basal state B.Homeostasis C.Venous stasis D.None of the choices
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