When performing a draw on a diabetic patient with small, fragile veins, and the phlebotomist misses the patient's vein twice, what should the phlebotomist do next?
Ask another phlebotomist to obtain the specimen.
Perform the draw on a foot.
Repeat the draws until the phlebotomist is successful.
Perform the draw on a leg.
The Correct Answer is A
Choice A reason:
Asking another phlebotomist to obtain the specimen is a prudent step after multiple unsuccessful attempts. It can reduce the patient's discomfort and anxiety. A fresh perspective from another professional might increase the chances of a successful draw, especially in challenging situations like small, fragile veins often found in diabetic patients.
Choice B reason:
Performing the draw on a foot is not typically recommended due to the increased risk of infection and complications, especially in diabetic patients who may have reduced sensation and slower healing in their extremities. This option should only be considered when other more proximal sites have been deemed unsuitable.
Choice C reason:
Repeating the draws until successful is not advisable as it can cause undue stress to the patient and increase the risk of hematoma or vein damage. It is essential to minimize the number of attempts to prevent patient discomfort and potential complications.
Choice D reason:
Performing the draw on a leg is another option that is generally avoided unless absolutely necessary, due to similar reasons as drawing from a foot—risk of infection and complications. Additionally, it can be an uncomfortable position for the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
The left antecubital area is the correct site to perform venipuncture on a patient who has had a right-sided mastectomy. It is recommended to avoid the side of the mastectomy due to the risk of lymphedema and other complications associated with the removal of lymph nodes during the surgery. The left antecubital fossa, which is the area in front of the elbow, is a common site for venipuncture and is generally safe for use when the right side cannot be used.
Choice B reason:
The right cephalic vein should be avoided in a patient with a right-sided mastectomy. Venipuncture on the same side as the mastectomy can increase the risk of complications, including lymphedema, which is a condition characterized by swelling due to lymph fluid accumulation. Therefore, the right cephalic vein is not an appropriate choice.
Choice C reason:
The left femoral artery is not a venipuncture site; it is an arterial site. Venipuncture refers to accessing a vein, not an artery, for blood collection. Additionally, arterial puncture is a more invasive procedure typically reserved for arterial blood gas analysis and is not performed for routine venipuncture.
Choice D reason:
Similar to choice B, the right basilic vein should be avoided for venipuncture in a patient who has had a right-sided mastectomy. The basilic vein is located on the inner side of the arm and using it could pose the same risks as using the right cephalic vein, including the potential for lymphedema.
Correct Answer is A
Explanation
Choice A Reason:
A quiet and professional tone of voice is essential for a phlebotomy technician when introducing themselves to a patient. This tone conveys respect and maintains a calm environment, which is particularly important in healthcare settings where patients may be anxious or fearful about medical procedures. A professional demeanor helps to establish trust and reassures the patient that they are in capable hands.
Choice B Reason:
A loud and authoritative tone is not appropriate when introducing oneself to a patient. It can be intimidating and may increase the patient's anxiety. The goal is to make the patient feel comfortable and safe, not overpowered or coerced.
Choice C Reason:
Being assertive and humorous can sometimes help to lighten the mood and make the patient feel more at ease. However, humor must be used judiciously as it may not be well-received by all patients, especially in a medical setting where they might be experiencing stress or discomfort.
Choice D Reason:
A commanding and confident tone may convey confidence, but it can also come across as overbearing. While confidence is important, it should not overshadow the need for empathy and understanding of the patient's feelings and comfort.
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