Topical Antiseptics for Venipuncture
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Questions and Answers

Which topical antiseptic is safest to use for a patient with a shellfish allergy before venipuncture?

  • Hydrogen peroxide
  • Isopropyl alcohol
  • Chlorhexidine gluconate (correct)
  • Povidone-iodine

What is the primary reason the technician needs to choose the correct antiseptic for this patient?

  • To prevent infection during venipuncture
  • To avoid allergic reactions (correct)
  • To ensure the sample does not coagulate
  • To enhance the blood flow at the puncture site

What is a common use for hydrogen peroxide in a medical setting?

  • Blood culture specimen collection
  • Wound irrigation and cleaning (correct)
  • Disinfecting surfaces only
  • Skin cleansing prior to injections

Which antiseptic is not recommended for patients with iodine allergies?

<p>Povidone-iodine (D)</p> Signup and view all the answers

Which antiseptic is known for providing a low risk of allergic reactions?

<p>Isopropyl alcohol (C)</p> Signup and view all the answers

Which topical antiseptic is safest for a patient with a shellfish allergy?

<p>Chlorhexidine gluconate (B)</p> Signup and view all the answers

What is the primary purpose of cleaning the skin before a venipuncture?

<p>To prevent infection (B)</p> Signup and view all the answers

Which antiseptic should NOT be used if a patient has a history of allergies to iodine?

<p>Povidone-iodine (A)</p> Signup and view all the answers

What is the main ingredient in isopropyl alcohol that serves as an antiseptic?

<p>Isopropyl alcohol (A)</p> Signup and view all the answers

What is the preferred antiseptic for venipuncture in the absence of allergies?

<p>Chlorhexidine gluconate (B)</p> Signup and view all the answers

What is the most appropriate action for a patient care technician to take when a patient is experiencing moderate epistaxis?

<p>Apply constant pressure to the nose for 10 to 15 minutes. (B)</p> Signup and view all the answers

Why should a patient not tilt their head back during an episode of epistaxis?

<p>It may lead to swallowing blood. (B)</p> Signup and view all the answers

Which of the following positions is NOT recommended for a patient experiencing epistaxis?

<p>Sitting and tilting head back. (D)</p> Signup and view all the answers

Which limb electrode connections should be checked if all waveforms are negative in Lead I?

<p>Right arm and left arm (B)</p> Signup and view all the answers

What is the recommended duration for applying pressure to the nose during an epistaxis?

<p>10 to 15 minutes. (A)</p> Signup and view all the answers

What does a negative waveform in Lead I indicate when a patient is alert and oriented?

<p>Possible electrode misplacement (D)</p> Signup and view all the answers

What is a common misconception about treating moderate epistaxis?

<p>Using antiseptic will stop the bleeding immediately. (D)</p> Signup and view all the answers

Which setup is typically used for Lead I monitoring in patients?

<p>Right arm and left arm (B)</p> Signup and view all the answers

If a patient care technician suspects issues with Lead I, what should be their first step?

<p>Inspect the cable connections for electrode placement (C)</p> Signup and view all the answers

In monitoring, which outcome is most likely if there is a disconnection in the right arm electrode?

<p>All waveforms are negative in Lead I (C)</p> Signup and view all the answers

Which statement accurately reflects an understanding of hospice care?

<p>The cost of hospice care is reimbursed by Medicare or Medicaid. (C)</p> Signup and view all the answers

What is a requirement of hospice care regarding caregivers?

<p>Many hospice agencies do not require patients to have a primary caregiver. (D)</p> Signup and view all the answers

Which of the following statements about hospice care is false?

<p>Curative therapies are included in hospice care plans. (D)</p> Signup and view all the answers

What is the primary focus of hospice care?

<p>To ensure comfort and support for terminally ill patients. (B)</p> Signup and view all the answers

In hospice care, what is a common misconception regarding reimbursement?

<p>Patients must pay out-of-pocket for hospice care. (A)</p> Signup and view all the answers

What is the correct purpose of CLIA?

<p>To establish quality standards for laboratory testing on human specimens (C)</p> Signup and view all the answers

Which of the following is NOT a goal of CLIA?

<p>Monitoring laboratory safety protocols (B)</p> Signup and view all the answers

Which organization is responsible for regulating laboratory testing under CLIA?

<p>Centers for Medicare &amp; Medicaid Services (CMS) (C)</p> Signup and view all the answers

What must laboratories perform to comply with CLIA regulations?

<p>Establish systems for testing human specimens (A)</p> Signup and view all the answers

Which of the following reflects a potential outcome of CLIA compliance?

<p>Improved accuracy of laboratory test results (C)</p> Signup and view all the answers

Flashcards

Blood Culture Specimen Collection

Collecting blood samples for laboratory analysis to identify pathogens (bacteria, fungi, viruses).

Shellfish Allergy

A sensitivity reaction to shellfish, causing potential adverse effects.

Topical Antiseptic

A substance used to disinfect or cleanse skin areas before injections or procedures.

Chlorhexidine Gluconate

An antiseptic used to clean the skin before blood draws, reducing risk of infection.

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Venipuncture

Procedure of puncturing a vein to collect blood.

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Best antiseptic for shellfish allergy?

Chlorhexidine gluconate is the preferable antiseptic for patients with shellfish allergies to prevent allergic reactions.

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Blood culture venipuncture antiseptic

Chlorhexidine gluconate is the safest antiseptic to use for a venipuncture for a blood culture, to prevent contamination.

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Avoid this antiseptic in shellfish allergy

Hydrogen peroxide should be avoided in patients with a shellfish allergy when performing venipuncture for a blood culture.

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Safe antiseptic alternative?

Chlorhexidine gluconate is a safer alternative to hydrogen peroxide, povidone-iodine, and isopropyl alcohol.

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Question 16 details missing

Question 16 is missing details for analysis.

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Epistaxis

Nosebleed, a bleeding of the nose caused by a broken blood vessel in the nasal cavity.

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Moderate Epistaxis

A nosebleed with moderate blood flow, not life-threatening, but requiring care and control.

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Managing Epistaxis

Controlling a nosebleed by applying pressure to the affected area and using proper technique.

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Pressure for Epistaxis

Applying consistent pressure to the nose for 10 to 15 minutes to clot blood.

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Semi-Fowler's Position

A body position where the upper body is slightly elevated at a 30-45 degree angle, often used during recovery.

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Hospice care

A type of care that provides comfort and support to terminally ill patients and their families, focusing on managing symptoms and improving quality of life.

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Medicare or Medicaid reimbursement for hospice care

Medicare and Medicaid programs in the US will typically cover the cost of hospice services for eligible individuals.

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Hospice care and primary caregivers

While hospice care provides support, it doesn't generally require patients to have a dedicated primary caregiver.

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Family member responsibility in hospice care

Hospice care does not require an immediate family member to assume responsibility for the patient's care.

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Curative therapies in hospice care

Hospice care primarily focuses on comfort and symptom management, not on treatments aimed at curing the illness.

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CLIA

The Clinical Laboratory Improvement Amendments (CLIA) are a set of federal regulations that ensure the quality and accuracy of laboratory testing.

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What's the purpose of CLIA?

CLIA's primary purpose is to establish quality standards for laboratory testing on human specimens.

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130 mg/dL Blood Glucose

A blood glucose level of 130 mg/dL indicates a higher than normal blood sugar level, possibly indicating prediabetes or diabetes.

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What is the normal blood sugar range?

The normal blood sugar range is typically between 70 and 100 mg/dL before a meal, and below 140 mg/dL two hours after a meal.

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Protecting patient information

Protecting patient information involves safeguarding sensitive medical data and ensuring confidentiality.

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Lead I ECG

Lead I is a specific ECG lead measured between the right arm and left arm electrodes. It records the electrical activity of the heart from right to left.

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Negative Waveforms in Lead I

Negative waveforms in Lead I indicate that the electrical signal is traveling from the left arm to the right arm, which is the opposite of the expected direction.

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Troubleshooting Negative Waveforms

If Lead I shows negative waveforms, it indicates a possible incorrect electrode placement, requiring verification of right arm and left arm connections.

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Limb Electrode Connection

Limb electrodes are placed on the arms and legs. The specific placement determines the direction of the electrical signal measured by each ECG lead.

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ECG Waveform Orientation

ECG waveforms can be positive or negative, reflecting the direction of the electrical signal through the heart. Correct electrode placement ensures accurate waveform interpretation.

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Study Notes

Question 15

  • A patient care technician is collecting a blood culture specimen from a patient who has an allergy to shellfish.
  • The technician should use Chlorhexidine to cleanse the patient's skin prior to the venipuncture.

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Description

This quiz focuses on the safe use of topical antiseptics before venipuncture, particularly for patients with allergies. It covers common antiseptics, their uses, and considerations for patient safety. Test your knowledge of the best practices in choosing antiseptics based on allergic reactions.

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