Question

Match the following we Situation Chapter 8 Venipuncture Procedures 149 WATCHING 8-2: SITUATION AND ACTION be following venipuncture procedure situations with an ac h t action to take Action Conflicting permission statement A Actively involve the patient in this procedure. ID band not on the patient's arm Advise the patient to ask the nurse or physician. Needle-phobic patient C. Ask someone to help steady the patient's arm. D. Ask the patient to remove it Outpatient is chewing gum Check the ankle after asking the patient's The patient asks for the purpose of the test permission The patient initially objects to testing F. Consult with the nurse or physician before proceeding Specimen must be fasting, but the patient C. Do not draw blood without the patient's consent. H. Have the most skilled phlebotomist draw the specimen. Unconscious patient 1. Make certain that the patient knows this You are a phlebotomy student Information. You need to verify patient ID J. Remind the patient that the doctor needs the test results. has eaten WATCHING 8-3: GERIATRIC PATIENT TESTS AND INDICATIONS FOR ORDERING Match the test commonly ordered on geriatric patients (Textbook Table 8-31 to the typical indication for ordering Test Typical Indication for Ordering 1. ANA/RNA/RF A. Detect and monitor diabetes. Abnormal levels CBC can cause confusion, seizures, or coma or lead to peripheral neuropathy. BUN/creatinine B. Detect inflammation, identify collagen vascular Calcium/magnesium (i.e., connective tissue) diseases. C. Determine hemoglobin levels, detect infection, and Electrolytes identify blood disorders. ESR D. Determine sodium and potassium levels critical to proper nervous system function. Glucose E Diagnose kidney function disorders that may be PT/PTT responsible for problems such as confusion, coma, seizures, and tremors. SPEP, IPEP F. Diagnose lupus and rheumatoid arthritis, which VDRL/FTA can affect nervous system function. G. Diagnose or rule out syphilis, which can cause nerve damage and dementia. H. Identify abnormal levels associated with seizures and muscle problems. I. Identify protein or immune globulin disorders that can lead to nerve damage. Monitor blood-thinning medications; important in heart conditions, coagulation problems, and stroke management.

Answer 1

1)

1.G-Do not draw blood without the patients consent.

Conflicting permission statement.

One should always ask consent from the patient before they draw the blood from them otherwise the patient may have the ability to file a malpractice aganist the professional.

2)E- check the ankle after asking the patients permission.

3)H- Have the most skilled phlebotomist draw the specimen.

4)D- Ask the patient to remove it.

5)B- Advice the patient to ask nurse or physician.

6)J-Remind the patient that the doctor need test results.

7)F- consult with the nurse or physician before proveproce.

8)C- Ask someone to steady the patients arm.

9)I- make certain that the patient knows this information.

10)A- Actively involve the patient in this procedure.

2)

1)F

2)C.

3)E.

4)H.

5)D.

6)B.

7)A.

8)J.

9)I.

10)G.