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Patient Adherence in Laboratory Testing
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Patient Adherence in Laboratory Testing

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Questions and Answers

What is essential when communicating with patients about pre-collection requirements?

  • Ignoring patient questions and concerns
  • Rushing through the explanation to save time
  • Using complex medical terminology
  • Verifying patient understanding by having them repeat the instructions (correct)

    • Why is it important to review testing requirements and directions with patients?

  • To hurry the patient along
  • To intimidate the patient
  • To ensure the patient understands and follows testing requirements correctly (correct)
  • To confuse the patient

    • What should patients be encouraged to do during the patient interview?

  • Ask questions to clarify testing requirements (correct)
  • Stay silent
  • Avoid asking questions
  • Argue with the phlebotomist

    • What is the purpose of fasting before some tests?

    <p>To prepare the patient for blood collection</p> Signup and view all the answers

    Why is it important to take medications at a predetermined time for some tests?

    <p>To determine the effectiveness of the medication</p> Signup and view all the answers

    What should you do if a patient arrives at the laboratory without adhering to testing requirements?

    <p>Consult with the provider</p> Signup and view all the answers

    Why is it important to use terms patients understand when explaining testing requirements?

    <p>To ensure the patient understands the requirements correctly</p> Signup and view all the answers

    What is the purpose of having patients repeat the directions?

    <p>To verify patient understanding of testing requirements</p> Signup and view all the answers

    What should be documented in the medical record if a patient is suspected to be intoxicated?

    <p>The patient's state of intoxication</p> Signup and view all the answers

    Why should a patient rest for 15 to 30 minutes before blood collection if they have recently exercised?

    <p>To minimize the effects of exercise on coagulation activation</p> Signup and view all the answers

    What is an important consideration when educating a patient who has never had a venipuncture before?

    <p>Explaining the procedure in a way the patient can understand</p> Signup and view all the answers

    Why is it important to review the specific order and tests being conducted with the patient?

    <p>To ensure accuracy in interpreting the order or requisition form</p> Signup and view all the answers

    Which of the following can affect coagulation activation and platelet reactivity?

    <p>All of the above</p> Signup and view all the answers

    Why should patients who have been fasting be informed about sugar in chewing gum?

    <p>Because it can affect test results</p> Signup and view all the answers

    What should be explained to the patient regarding the insertion of the needle?

    <p>That it may cause a slight pain, like a pinprick</p> Signup and view all the answers

    Why is patient education important in the phlebotomy process?

    <p>To reduce anxiety and ensure cooperation</p> Signup and view all the answers

    Why is it necessary to clarify the patient's lifestyle or work habits when scheduling appointments for basal state testing?

    <p>To determine the ideal time for specimen collection</p> Signup and view all the answers

    What should you ask the patient to confirm their adherence to pretesting requirements?

    <p>If they have eaten or exercised recently</p> Signup and view all the answers

    What is the primary purpose of a patient interview before a venipuncture?

    <p>To manage or prevent predictable complications during the collection process</p> Signup and view all the answers

    Why is it essential to use simple and clear language when communicating with patients about fasting?

    <p>To avoid misinterpretation of the instructions</p> Signup and view all the answers

    What should you ask the patient to determine their exact basal state?

    <p>What time did they wake up?</p> Signup and view all the answers

    Why is it necessary to determine if the patient has taken any medication before the collection process?

    <p>To ensure accurate test results</p> Signup and view all the answers

    What is the primary reason for refraining from eating or exercising for 12 hours before specimen collection?

    <p>To ensure the patient is in a basal state</p> Signup and view all the answers

    What should you ask the patient to confirm their understanding of the pretesting requirements?

    <p>What time they last had anything to eat or drink</p> Signup and view all the answers

    What should you consider before applying a tourniquet to a patient who has had a mastectomy?

    <p>The arm on the side of the surgery</p> Signup and view all the answers

    Why is it important to ask the patient which arm they prefer for venipuncture?

    <p>To minimize injury and maximize safety</p> Signup and view all the answers

    What should you consider when obtaining information on a patient's current medications?

    <p>The classification of medications and potential complications</p> Signup and view all the answers

    Why is it important to understand common medications and their classification?

    <p>To take necessary precautions and adjust testing accordingly</p> Signup and view all the answers

    What can affect test results, apart from medications?

    <p>Both A and B</p> Signup and view all the answers

    Why should you ask about previous unsuccessful blood collections in a patient's arm?

    <p>To decide which arm to use for venipuncture</p> Signup and view all the answers

    What should you avoid using for venipuncture due to the risk of injury or infection?

    <p>All of the above</p> Signup and view all the answers

    What can acetaminophen falsely elevate in a blood test?

    <p>Liver enzyme levels</p> Signup and view all the answers

    What is the primary reason for asking patients about latex allergies?

    <p>To identify potential allergic reactions</p> Signup and view all the answers

    Why is it essential to engage patients in conversation during the procedure?

    <p>To distract them from the procedure</p> Signup and view all the answers

    What is a common issue experienced by patients who are fasting?

    <p>Low blood sugar levels</p> Signup and view all the answers

    What should be available at all times during the procedure?

    <p>Facial tissues, washcloths, wipes, and a trash receptacle</p> Signup and view all the answers

    What should you do if a patient feels faint during the procedure?

    <p>Stop the procedure and have the patient lower their head</p> Signup and view all the answers

    Why is it essential to ask patients questions related to their medical history?

    <p>To identify potential allergic reactions</p> Signup and view all the answers

    What is the minimum time a patient should be observed after a fainting episode?

    <p>15 minutes</p> Signup and view all the answers

    What should be done for patients who lose consciousness and do not respond immediately?

    <p>Call the rapid response team for emergency intervention</p> Signup and view all the answers

    Fasting for 8 to 12 hours prior to blood collection is required for all tests.

    <p>False</p> Signup and view all the answers

    It is not necessary to review testing requirements and directions with patients.

    <p>False</p> Signup and view all the answers

    Patients should not drink water during fasting periods.

    <p>False</p> Signup and view all the answers

    A patient's medication schedule does not affect the timing of blood collection.

    <p>False</p> Signup and view all the answers

    It is not necessary to use simple and clear language when explaining testing requirements to patients.

    <p>False</p> Signup and view all the answers

    Patients do not need to be informed about the importance of adhering to testing requirements.

    <p>False</p> Signup and view all the answers

    Smoking has no effect on coagulation factors.

    <p>False</p> Signup and view all the answers

    Patients who have been fasting should not be informed about sugar in chewing gum.

    <p>False</p> Signup and view all the answers

    Vigorous exercise has no effect on coagulation activation.

    <p>False</p> Signup and view all the answers

    Patient education is not necessary for phlebotomy procedures.

    <p>False</p> Signup and view all the answers

    It is not necessary to document patient factors such as exercise or medication in the medical record.

    <p>False</p> Signup and view all the answers

    Patients who have never had a venipuncture do not require extra explanation and education.

    <p>False</p> Signup and view all the answers

    It is not necessary to review the specific order and tests being conducted with the patient.

    <p>False</p> Signup and view all the answers

    Alcohol has no effect on coagulation activation and platelet reactivity.

    <p>False</p> Signup and view all the answers

    Exercise and food can affect test results.

    <p>True</p> Signup and view all the answers

    Patients should be asked about their current medications during the patient interview.

    <p>True</p> Signup and view all the answers

    Patients who have never had a venipuncture before require additional education and clarification.

    <p>True</p> Signup and view all the answers

    Fasting for 12 hours is not necessary for all laboratory tests.

    <p>True</p> Signup and view all the answers

    Patients should be asked about their allergies to any of the supplies or equipment to be used.

    <p>True</p> Signup and view all the answers

    Patients should rest for 15 to 30 minutes before blood collection if they have recently exercised.

    <p>True</p> Signup and view all the answers

    Study Notes

    Patient Adherence

    • Some tests have specific pre-collection requirements, such as fasting, medication administration, or avoiding specific foods/beverages, which must be discussed with the patient.
    • Patients may arrive at the laboratory with instructions from their provider, and it's essential to know which tests have requirements to discuss with the patient.
    • Fasting requirements typically include avoiding food/drink (except water) for 8-12 hours before blood collection.
    • Medication administration requires patients to take medication at a specific time or write down when they took it, and blood/urine collection must be done at the correct time.
    • Basal state preparation involves collecting specimens in the morning, after a 12-hour fast, to establish reference ranges; exercise and food can affect test results.

    Patient Interview

    • Determine whether the patient has adhered to pre-testing requirements before proceeding with the patient interview.
    • Ask questions to prevent/manage complications during collection, such as allergies to supplies/equipment, recent exercise, or smoking.
    • Document any factors that may affect test results, such as alcohol consumption or medication use.

    Patient Education

    • Educate the patient on the procedure, using terminology they understand, to lessen anxiety.
    • Review the specific order and tests being conducted to ensure accuracy.
    • Discuss potential complications based on patient risk factors.
    • Explain the procedure, including steps and potential pain, to minimize nervousness.
    • Inform patients about the possibility of fainting, nausea, or vomiting, and have supplies available to manage these reactions.

    Special Considerations

    • Consider patient allergies, especially latex and adhesives, and use hypoallergenic materials when necessary.
    • Be aware of patients who may be prone to syncopal reactions or low blood sugar levels.
    • Use reclining chairs or examination tables for patients who may be susceptible to fainting.
    • Ask patients about their medical history, including mastectomies, central venous access ports, or arteriovenous fistulas, to choose the correct venipuncture location.
    • Consider current medications, including over-the-counter and prescription drugs, that may affect test results or require special precautions.

    Patient Adherence

    • Some tests have specific pre-collection requirements, such as fasting, medication administration, and avoiding specific foods or beverages.
    • Patients may arrive at the laboratory with instructions from the provider, and it is essential to know which tests have requirements to discuss with the patient.
    • If a patient arrives without adhering to testing requirements, consult with the provider, and be sensitive if the patient becomes upset or angry.

    Pretesting Preparations

    • Fasting: Some tests require patients to fast for 8-12 hours before blood collection, allowing only water intake, and in some cases, black coffee or tea.
    • Medication: Patients should take medication at a predetermined time, and the timing of blood or urine collection is crucial for accurate test results.
    • Basal State: Specimens are typically collected in the morning, after 12 hours of fasting and refraining from exercise, to establish reference ranges.

    Patient Interview

    • Determine whether the patient has adhered to pre-testing requirements before performing a venipuncture.
    • Ask questions using terminology the patient understands, such as "Have you had anything to eat or drink?" or "What time did you wake up?"
    • Identify potential allergies to supplies or equipment, and note any predictable complications during the collection process.

    Patient Education

    • Educate the patient on the procedure, including the steps involved, to lessen anxiety and ensure accuracy in interpreting the order or requisition form.
    • Explain the procedure in simple terms, discussing potential complications based on patient risk factors, and answer questions before beginning the procedure.

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    Description

    This quiz covers patient adherence in laboratory testing, including pre-collection requirements and communication with patients and healthcare providers.

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