ChristinaSentelle HS291 Critical thinkingUnit 5 Ch 9
McCall & Tankersley: Phlebotomy Essentials, 5/e
CRITICAL THINKING QUESTIONS Christina Sentelle- HS291
Chapter 9: Preanalytical Considerations
Objective #2
Which patient is closest to basal state: a patient who has worked all night but was fasting at work, a bedridden patient who has not eaten for 6 hours, or a patient who has just now awakened after sleeping for 8 hours? Explain your answer. ----The patient who just awakened for sleeping more than 8 hours because basal state is when the body’s state are early in the morning, after fastening for at least 12 hours.
Objective #4
A phlebotomist has orders to collect a CBC and a protime specimen from a patient who has IVs in both forearms and major bruising on the left hand. Should the specimen be collected above or below the IV on either arm or hand, from an ankle or foot vein, or by fingerstick? Explain your choice.--- I would collect from below the IV on the right side.
Objective #5
While drawing a blood specimen from a patient, a huge hematoma starts to form, and the blood spurts into the collection tube. The patient starts to faint. How should this situation be handled? What was the likely cause of the hematoma?-- I would stop the draw immediately and lower the patient’s head, or lower the patient’s body to proper place, and the likely cause of the heatoma would be that the needle was only partially in the veinwhile the portion of it is sticking out the skin.
Objective #6
A phlebotomist collected a serum potassium specimen by syringe and forced the blood into the collection tube by pushing the syringe plunger until the tube was full. Specimen processing rejected the specimen after it was centrifuged. Choose one of the following as the reason the specimen was rejected: the specimen was clotted, the specimen was hemolyzed, or the specimen was QNS. Explain your choice. --- I would think the reason the specimen was rejected due to the QNS, because the phlebotomist was not supposed to force the blood into the
CRITICAL THINKING QUESTIONS Christina Sentelle- HS291
Chapter 9: Preanalytical Considerations
Objective #2
Which patient is closest to basal state: a patient who has worked all night but was fasting at work, a bedridden patient who has not eaten for 6 hours, or a patient who has just now awakened after sleeping for 8 hours? Explain your answer. ----The patient who just awakened for sleeping more than 8 hours because basal state is when the body’s state are early in the morning, after fastening for at least 12 hours.
Objective #4
A phlebotomist has orders to collect a CBC and a protime specimen from a patient who has IVs in both forearms and major bruising on the left hand. Should the specimen be collected above or below the IV on either arm or hand, from an ankle or foot vein, or by fingerstick? Explain your choice.--- I would collect from below the IV on the right side.
Objective #5
While drawing a blood specimen from a patient, a huge hematoma starts to form, and the blood spurts into the collection tube. The patient starts to faint. How should this situation be handled? What was the likely cause of the hematoma?-- I would stop the draw immediately and lower the patient’s head, or lower the patient’s body to proper place, and the likely cause of the heatoma would be that the needle was only partially in the veinwhile the portion of it is sticking out the skin.
Objective #6
A phlebotomist collected a serum potassium specimen by syringe and forced the blood into the collection tube by pushing the syringe plunger until the tube was full. Specimen processing rejected the specimen after it was centrifuged. Choose one of the following as the reason the specimen was rejected: the specimen was clotted, the specimen was hemolyzed, or the specimen was QNS. Explain your choice. --- I would think the reason the specimen was rejected due to the QNS, because the phlebotomist was not supposed to force the blood into the