Question

Chapter Venipuncture Procedures 141 MATCHING 8-2: SITUATION AND ACTION ch the following venipuncture procedure situations with an acceptable action to take Situation Action Conflicting permission statement A. Actively involve the patient in this procedure. ID band not on the patient's arm B Advise the path to ask the nurse or physician. C. Ask someone to help seady the patient's arm. _Needle phobic patient D. Ask the patient to remove it. Outpatient is chewing gum E. Check the ankle after asking the patient's Patient asks for the purpose F. Consult with the nurse or physician before of the test proceeding Patient initially objects to testing C. Do not draw blood without the patient's consent H Have the most skilled phlebotomis draw the Specimen must be fasting specimen. but patient has eaten 1. Make certain that the patient knows this information. Unconscious patient J. Remind the patient that the doctor needs the 9. You are a phlebotomy student test results. 10. You need to verify patient ID MATCHING 8-3: GERIATRIC PATIENT TESTS AND INDICATIONS FOR ORDERING Maich the test commonly ordered on geriatric patients (Text Table 8-3) to the typical indication for ordering Test Typical Indication for Ordering 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 (Le.. connective tissue) diseases. Calcium/magnesium c. Determine hemoglobin levels, detect infection, and Electrolytes identify blood disorders. D. Determine sodium and potassium levels critical to ESR proper nervous system function. Glucose E. Diagnose kidney function disorders that may be responsible for problems such as confusion, coma, PT/PTT seizures, and tremors. SPEP, IPEP F. Diagnose lupus and theumatoid arthritis, which can affect nervous system function. VDRL/FTA G. Identify abnormal levels associated with seizures and muscle problems. H. Identify protein or immune globulin disorders that can lead to nerve damage. 1. Monitor blood-thinning medications: important in heart conditions, coagulation problems, and stroke management J. Diagnose or rule out syphilis, which can cause nerve damage and dementia.

Answer 1

1. Conflicting permission statement G. Do not draw blood without patient consent

2. ID band not on the patient's arms      E. Check the ankle after asking patients permission

3. Needle phobic patient    H. Have the most skilled phlebotomist draw the specimen.

4. Outpatient is chewing gum D. Ask the Patient to remove it

5. Patient asks for the purpose of test B. Advice the patient to ask the Nurse or Physician.

6. Patient Initially objects to testing J. Remind the patient that doctors need the test results.

7. The specimen must be fasting but the patient has eaten F.Consult with nurse or physician before proceding

8. Unconscious patient C. Ask someone to help steady the patient arm.

9. You are a phlebotomy student I. Make certain that the patient knows this information.

10. You need to verify patient ID A. Actively involve the patient in this procedure.