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PB06 quizizz

Total questions: 43

Worksheet time: 22mins

Name
Class
Date
1.
Where do you dispose of puncture devices after you use them?
a)
sharps container
b)
biohazard bag
c)
trash can
2.
What happens if you remove the lancet before the puncture is complete?
a)
increased blood flow
b)
can cause a hematoma
c)
yield a low blood flow
d)
will cause contamination
3.
what is used to warm the skin?
a)
a towel with warm water
b)
activating a heel warmer
c)
rubbing the area
4.

How does applying heat to a site affect the blood vessels?

a)

constricts blood flow

b)

nothing

c)

increases blood flow

d)

increases swelling

5.

The blade of the lancet should be aligned to cut across what?

a)

Side of finger

b)

Groove of finger

c)

Top of finger tip

d)

palm

6.

How would you position the lancet?

a)

Firmly

b)

Curved

c)

Until the skin is indented

d)

Gently

7.

How is blood collected for newborn bilirubin test?

a)

Samples must be protected from excess light during and after the collection

b)

must be collected quickly

c)

UV light must be turned off

d)

doesn't matter when it is collected

8.
What tests cannot be collected by a dermal puncture?
a)
coagulation tests
b)
erythrocyte sedimentation
c)
blood cultures
d)
billirubin
9.
It may not be possible to obtian a satisfactory sample by dermal puncture from patients who...
a)
Are severely dehydrated
b)
Have poor peripheral circulation
c)
Who have swollen fingers
10.
If a sample is collected by dermal puncture why should it be noted on the requisition form?
a)
It provides the information about the age of the patient and test requested.
b)
Determines which of the variety of puncture devices and collection containers should be used for dermal puncture
c)
patient identification may require parent or guardian confirmation.
d)
The concentration of some analytes differs in venous and capillary blood.
11.
The interstitial fluid in a swollen finger may dilute the blood sample if a finger puncture is performed
a)
True
b)
false
12.

In dermal punctures, Correct collection techniques are critical because of the smaller amount of blood that is collected and the higher possibility of sample ...

a)

Contamination

b)

Microclots

c)

Hemolysis

13.
Capillary tubes and micropipettes are held _______ While being filled?
a)
perpendicular
b)
horizontally
c)
parallel
d)
diagonally
14.
Is a scoop collector top used to increase or decrease blood flow?
a)
Increase
b)
Decrease
15.
If a sample is collected by dermal puncture why should it be noted on the requisition form?
a)
the concentration of some analytes differs in venous and capillary blood
b)
The sample needs to be transported ASAP
c)
The sample needs to be kept cold
d)
The sample needs to be kept at 37 degrees C.
16.
Skin punctures must have?
a)
Retractable blades
b)
safety devices
c)
cap
d)
syringe
e)
bag
17.
Bandages are not used for children younger that 2 years of age
a)
true
b)
false
18.

Which site would be appropriate for a finger puncture

a)

The tip of the finger

b)

The side of the finger

c)

The fleshy area located near the center of the third and fourth fingers on the palmar side

d)

The palm of the hand

19.

The adhesive on a bandage may cause irritation to:

a)

sensitive skin

b)

fragile skin of a newborn

c)

fragile skin of an older adult patient

20.

What could happen if the lancet puncture hits the bone?

a)

infection

b)

nothing

c)

to be paralyzed

d)

numbness

21.

The maximum depth of a skin puncture for an adult VS children is?

a)

3.0mm for adults

b)

2.0mm for adults

c)

2.5mm for children

d)

2.0mm for children

22.
What sites are appropriate for heel puncture?
a)
Medial area
b)
Lateral area
c)
Posterior curvature
23.

Dermal puncture is used on a patient when they are/have ...

a)

geriatric pt.

b)

burns and scars

c)

chemotheripy pt.

d)

inaccessible veins

24.
Which of the following reasons/tests can dermal puncture not be preformed?
a)
dehydrated patients
b)
poor peripheral circulations
c)
swollen fingers
d)
cogulation studies, erythrocyte sedimentation rates, blood cultures
25.
Why is it important to collect dermal samples correctly?
a)
The samller amount of blood that is collected and the higher possibility of sample contamination
b)
hold puncture lighly
c)
high possibility of microclots
d)
high possibility of hemolysis
26.
Correct patient positioning for punctures
a)
Sitting or lying down
b)
hand supported on a soft surface
c)
palm up, fingers facing downward
d)
For heel punctures, infants lay on back with heel in upward postion
27.
Acceptable areas for heel puncture?
a)
Medial and lateral area of the bottom surface of heel
b)
median and lateral surface of top of foot
c)
Puncture should be in median area of arch in foot
d)
In the calcaneus heel bone
28.
How does a dermal puncture become hemolyzed?
a)
excessive squeezing ( milking )
b)
increased numbers and fragility of red blood cells in newborns
c)
residual alcohol at the site
d)
vigorous mixing of the microcollection tubes after collection
29.

Discuss equipment used for adult dermal punctures

a)

bandages

b)

gauze pads

c)

gloves

d)

sharps container

e)

alcohol pads

30.
What sites do you want to avoid during dermal puncture?
a)
calloused or scarred
b)
bruised
c)
edematous
d)
cold or cynatoic
31.
What are the correlations between site selection and osteomyelitis?
a)
Puncture site has enougn distance between the skin and bone
b)
The puncture site avoids accidental contact with the bone that may cause infection
c)
Puncture site has enough distance between the muscle and bone
d)
The puncture area is based on the age and size of the patient
32.
describe how to correctly cleanse the dermal puncture site
a)
the site is cleansed with 70 percent isopropyl alcohol
b)
use circular motion
c)
the alcohol should be allowed to dry on the skin for maximum bacteriostatic action
d)
and the residue removed with gauze to prevent possible interference with test results
33.
Possible outcome if alcohol remains present on the site during puncture
a)
contaminate the sample
b)
cause a stinging sensation for the patient
c)
hemolyze RBCs
d)
prevent formation of a rounded blood drop because blood will mix with the alcohol and run down the finger
34.
what is bilirubin sensitive too?
a)
darkness
b)
light
c)
heat
d)
cold
35.
which are acceptable sites for the heel.
a)
lateral
b)
medial
c)
anterior
d)
arch
36.
why do we gently tap the microcollection tube?
a)
to force the blood to the bottom
b)
To mix them
c)
To separate them
d)
to move the blood to the top
37.
What is the difference between the blue and red capillary tubes?
a)
the blue tube is plain tube and red tube is heparinzed
b)
The red tube is plain and blue is for blood cultures
c)
the blue and red are the same
d)
the blue tube is plastic and the red is glass
38.
<br />When preforming dermal puncture of the foot it is acceptable to draw from the arch of the foot
a)
true
b)
false
39.
dermal puncture is a method of choice for collecting blood from infants and children younger than 2 years.
a)
true
b)
false
40.
Dermal puncture may be required for a variety of reasons like
a)
burned or scarred patients
b)
patients receiving chemotherapy
c)
patients with thrombotic tendencies
d)
patients with inaccessible viens
41.

When preforming dermalpuncture on fingers what is the proper position the patient should be in

a)

Standing with palm up and fingers pointed downwards

b)

siting or or lying down with palm down and fingers pointed downward

c)

siting down or lying with palm up and fingers pointed downward

d)

siting down or lying down palm up and fingers pointed upward.

42.
Why should a dermal collection site be warmed?
a)
prevents hemolysis
b)
increases blood flow
c)
prevents clotting
d)
causes hemoconcentration
43.
T/F leaving a tourniquet on for too long can hemolyze a sample
a)
true
b)
false

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