Question

Chapter 10: Capillary Puncture Equipment and Procedures not puncture the bit or de 185 F. It is usually me (pinky) finger Do nor puncture the index finger Do not puncture the side or very tip of the finger. Do not puncture the thumb. the distance between the skin surface and bone is half as much an the side and tip as it is in the centrales y portion of the finger F. It is usually more calloused and harder to puncture, more sensitive, so the puncture can be more painful, and it is typically used more so a patient may notice the pain longer G. The tissue between the skin surface and bone is thiest in this finger, and bone injury is likely MATCHING 10 Heel Puncture Precaution Do not puncture any deeper than 2 mm. Do not puncture areas between the imaginary boundaries. Do not puncture bruised areas. Do not puncture in the arch and any areas of the foot other than the heel. Do not puncture sites that are swollen. Do not puncture the posterior curvature of the heel. Do not puncture through previous puncture sites. UNG 10-3: HEEL PUNCTURE PRECAUTION AND RATIONALE Heel Puncture Rationale A. Arteries, nerves, tendons, and cartilage in these areas can be injured B. Deeper punctures risk injuring the bone, even in the safest puncture areas C. Excess tissue fluid in the area could contaminate the specimen. D. It can be painful and impaired circulation or byproducts of the healing process can negatively affect the specimen E. The bone can be as little as 1 mm deep in this area, F. The calcaneus may be as little as 2 mm deep in this area. G. This can be painful and can spread previously undetected infection. MATCHING 10-4: BLOOD SMEAR PROBLEM AND PROBABLE CAUSE Match the blood smear problem with a probable cause (TEXT Table 10-4). Use choices only once. Problem Probable Cause 1. Absence of feather A. Blood drop too small B. Dirty slide or fat globules in the blood 2. Holes in smear C. Edge of spreader slide dirty or chipped 3. Ridges or uneven thickness D. Spreader slide angle too shallow E. Spreader Slide lifted before smear was completed Smear is too thick F. Spreader slide pushed too quickly Smear is too short G. Patient has high red blood cell count H. Too much pressure applied to spreader slide Smear is too long Smear is too thin Streaks or tails in feathered edge

Answer 1

A.

1. Do not puncture any deeper than 2 mm	B. Deeper puncture risk injuring the bone even in the safest puncture areas
2. Do not puncture areas between the imaginary boundaries	E. The bone can be as little as 1 mm deep in this area
3. Do not puncture bruised areas	D. It can be painful and Empire circulation or byproduct of the healing process can negatively affect the specimen
4. Do not puncture in the arch and any other area of the foot other than the hill	A. Arteries nerves tendons and cartilage in this area can be injured
5. Do not puncture sites that are swollen	C. Excessive tissue fluid in the area could contaminate the specimen
6. Do not puncture the posterior curvature of the heel	F. The calcaneus may be as little as 2 mm deep in this area
7. Do not puncture through previous puncture sites	G. This can be painful and can spread previously undetected infection

B.

1. Absence of feather	E. Spreader slide lifted before smear was completed
2. Holes in Smear	B. Dirty slide or fat globules in the blood
3. Ridges or uneven thickness	H. Too much pressure applied to spreader slide
4. Smear is too thick	G. Patient has high red blood cell count
5. Smear is too short	F. Spreader slide pushed too quickly
6. Smear is too long	D.Spreader slide angle too shallow
7. Smear is too thin	A. Blood drop too small
8. Streaks or tails in feathered edge	C. Edge of spreader slide dirty or chipped