Clinical Laboratory Collections Procedure
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Questions and Answers

What is the initial step in the laboratory testing process according to the text?

  • Sample drawn (correct)
  • Sample processed
  • Sample analyzed
  • Transport sample delivered
  • Which type of blood is usually the specimen of choice for analysis?

  • Arterial blood
  • Mixed blood
  • Venous blood (correct)
  • Capillary blood
  • What method is mainly used for blood gas analyses?

  • Vein puncture
  • Venipuncture
  • Arterial puncture (correct)
  • Capillary puncture
  • In what phase can laboratory practice be traditionally divided into?

    <p>Pre-analytical, Analytical, Phlebotomy</p> Signup and view all the answers

    What role does phlebotomy play in patient care according to the text?

    <p>It aids in disease diagnosis, monitoring, and treatment.</p> Signup and view all the answers

    Where should the phlebotomist wear personal protective equipment (PPE) according to the text?

    <p>Before specimen collection</p> Signup and view all the answers

    Why should the tourniquet be released once blood flow is established during venipuncture?

    <p>To prevent hemoconcentration</p> Signup and view all the answers

    What is the purpose of clenching the fist before venipuncture, according to the text?

    <p>Increase lactate, phosphate, and potassium levels in the blood</p> Signup and view all the answers

    How can dehydration contribute to hemoconcentration?

    <p>By increasing the concentration of larger molecules in the blood</p> Signup and view all the answers

    What is a common reason for sample rejection in laboratories, as mentioned in the text?

    <p>Use of unsuitable collection tubes</p> Signup and view all the answers

    Why should clenching the fist be avoided before collecting specimens for clinical laboratory analysis?

    <p>It can alter blood composition and affect test results</p> Signup and view all the answers

    What happens if a tourniquet is maintained for longer than 1 minute during venipuncture?

    <p>Relative hemoconcentration occurs</p> Signup and view all the answers

    Where should a tourniquet be applied before venipuncture?

    <p>4-5 finger widths above the venipuncture site</p> Signup and view all the answers

    What is the correct angle to enter the vein during venipuncture?

    <p>30-degree angle</p> Signup and view all the answers

    When should the tourniquet be released during blood collection?

    <p>After blood is collected</p> Signup and view all the answers

    How should sharps and broken glass be disposed of after blood collection?

    <p>In a sharps container</p> Signup and view all the answers

    What should be done after withdrawing the needle during blood collection?

    <p>Apply pressure with a cotton ball and discard the needle</p> Signup and view all the answers

    What is the appropriate duration for disinfecting the venipuncture site with 70% isopropyl alcohol?

    <p>30 seconds</p> Signup and view all the answers

    What is the recommended method to prevent clot formation in blood specimens?

    <p>Mix tubes containing anticoagulants immediately after collection</p> Signup and view all the answers

    Which potential pre-analytical error is addressed by ensuring proper blood-to-additive ratios?

    <p>Insufficient filling of tubes</p> Signup and view all the answers

    What can happen if blood samples are not processed within 2 hours?

    <p>Potential for time-related variations in analyte concentrations</p> Signup and view all the answers

    How can slow blood flow during collection be addressed to prevent pre-analytical errors?

    <p>Ensure adequate blood volume</p> Signup and view all the answers

    What is the potential consequence of not following recommended processing times for blood samples?

    <p>Time-related variations in analyte concentrations</p> Signup and view all the answers

    What role does proper patient instruction play in preventing pre-analytical errors?

    <p>Prevents inaccurate results due to lack of specific preparations</p> Signup and view all the answers

    What is the major impact of an increased anticoagulant-to-specimen ratio on a specimen?

    <p>Dilution of the specimen</p> Signup and view all the answers

    In the recommended order of draw for plastic vacuum tubes, which tube is used for preserving viability of microorganisms for microbiology testing?

    <p>Blood culture bottle (yellow-black striped tubes)</p> Signup and view all the answers

    Which tube forms calcium salts to remove calcium in the process of blood collection?

    <p>Coagulation tube (light blue top)</p> Signup and view all the answers

    What is the purpose of a serum separator tube (red-grey tiger top or gold) in blood collection?

    <p>Separate blood from serum on centrifugation</p> Signup and view all the answers

    Which anticoagulant is present in a PST tube (light green top) and separates plasma with a gel at the bottom of the tube?

    <p>Lithium heparin</p> Signup and view all the answers

    Which tube contains sodium fluoride and potassium oxalate, serving as an antiglycolytic agent to preserve glucose for up to five days?

    <p>Light grey top tube (Oxalate/fluoride)</p> Signup and view all the answers

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