A phlebotomist observes a hematoma developing at the site of a venous blood draw. What should the phlebotomist do?
Observe the site to see whether the hematoma worsens.
Ask the patient to apply pressure to the area.
Release the tourniquet and stop the draw.
Call for a nurse and assess the patient's condition.
The Correct Answer is C
Choice A reason:
Simply observing the site to see if the hematoma worsens is not an appropriate response. While monitoring the development of a hematoma is part of the process, it is not a proactive measure to address the immediate issue. The phlebotomist must take action to prevent further injury or complication.
Choice B reason:
Asking the patient to apply pressure may be part of the post-venipuncture care, especially after the needle has been removed, to aid in stopping any bleeding. However, this does not address the immediate concern of a developing hematoma during the draw.
Choice C reason:
Releasing the tourniquet and stopping the draw is the correct action to take when a hematoma is observed. This response is in line with the standard procedure for when a complication arises during venipuncture. Stopping the draw helps prevent further blood from pooling and exacerbating the hematoma.
Choice D reason:
While calling for a nurse and assessing the patient's condition is important, especially if the phlebotomist needs assistance or the patient shows signs of distress, it should not be the first action taken. The immediate response should be to address the hematoma by stopping the draw.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Gastrin is a hormone that stimulates the secretion of gastric acid by the stomach. While it is a critical component in the digestive process, gastrin is not typically sensitive to light, and therefore, does not require protection from light during handling and transportation.
Choice B reason:
Ammonia testing involves measuring the amount of ammonia in the blood, which can indicate liver function and is used in the diagnosis of hepatic encephalopathy. Ammonia levels are not generally affected by light; thus, special precautions to protect from light are not necessary.
Choice C reason:
Pyruvate is a key intermediate in several metabolic pathways throughout the cell. Pyruvate itself is not considered photosensitive, and standard precautions for handling and transportation are sufficient to maintain its integrity.
Choice D reason:
Bilirubin is a breakdown product of red blood cells and is measured to evaluate liver function and to assess jaundice. Bilirubin is known to be photosensitive; exposure to light can cause it to break down, which can affect the accuracy of test results. Therefore, specimens for bilirubin testing must be protected from light during handling and transportation to ensure valid results.
Correct Answer is C
Explanation
Choice A Reason:
A multipart requisition involves multiple copies of a paper form, which can be prone to errors due to manual entry, misplacement, or illegible handwriting. While it provides physical copies for various departments, it is not the most accurate method compared to digital solutions.
Choice B Reason:
A manual requisition is similar to a multipart requisition but typically consists of a single form. It carries the same risks of human error and does not offer the benefits of automated tracking and data entry that come with electronic systems.
Choice C Reason:
An automated requisition is considered the most accurate method for receiving orders for specimen collection. It reduces the risk of human error associated with manual data entry and allows for better tracking and integration with laboratory information systems. Automated systems can also provide immediate feedback if there is an issue with the order, such as a missing patient identifier or a test code.
Choice D Reason:
A verbal requisition is the least reliable method as it depends on the memory and communication skills of the individuals involved. It lacks the documentation and verification steps present in written or automated methods, making it susceptible to misunderstandings and errors.
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