A patient has bilateral scarring on their forearms from past burn injuries and needs a venipuncture procedure. Which of the following veins should the phlebotomist use for the venipuncture draw?
Axillary
Median cubital
Basilic
Dorsal hand
The Correct Answer is D
Choice A reason:
The axillary vein is not commonly used for routine venipuncture due to its location in the armpit area, where it is more difficult to access and poses a higher risk of complications.
Choice B reason:
The median cubital vein is often the vein of choice for venipuncture due to its size and accessibility. However, in the case of a patient with bilateral scarring on the forearms, this vein may be compromised, making it a less suitable option.
Choice C reason:
The basilic vein, while also a common site for venipuncture, is located on the inner aspect of the arm and may be affected by the scarring on the patient's forearms. Additionally, it is closer to nerves and arteries, which increases the risk of complications.
Choice D reason:
The dorsal hand veins are a good alternative for venipuncture when the more common sites are not available, such as in the case of a patient with bilateral scarring on the forearms. These veins are usually more superficial and can be accessed with minimal risk of complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
The flavor of the glucose solution is not a relevant factor to document during a glucose tolerance test. The flavor does not affect the test outcome and is not a required piece of information for the test's validity or interpretation.
Choice B reason:
Documenting the time the glucose load was completed is crucial. The glucose tolerance test is time-sensitive, and blood samples are taken at specific intervals after the glucose solution is ingested. Accurate timing ensures that the results are valid and that any changes in blood glucose levels are correctly attributed to the patient's metabolic response to the glucose load.
Choice C reason:
While the amount of water ingested during the procedure may be noted for patient comfort, it is not typically a required piece of documentation. The focus of the glucose tolerance test is on the patient's response to the glucose solution, not on the volume of water consumed.
Choice D reason:
The volume of blood obtained during the procedure is generally standardized based on the test requirements and does not need to be documented each time. The phlebotomist must ensure that enough blood is collected for the analysis, but the exact volume is determined by the collection tubes used, which are designed to draw a specific volume.
Correct Answer is B
Explanation
Choice A Reason:
Wiping the site with clean gauze after applying antiseptic is not recommended. This action can remove the antiseptic before it has had sufficient time to disinfect the area, potentially reintroducing bacteria to the site and increasing the risk of contamination.
Choice B Reason:
Allowing the site to air dry after applying antiseptic is the appropriate technique. This ensures that the antiseptic has enough contact time to effectively reduce microbial flora on the skin. Air drying also prevents any potential irritation that might be caused by wiping or touching the site before the venipuncture.
Choice C Reason:
Blowing on the site to speed up drying is not an appropriate technique. This can introduce bacteria from the breath to the clean site, which could lead to contamination and increase the risk of infection.
Choice D Reason:
Waving hands over the site is not an appropriate technique either. This action could potentially contaminate the site with bacteria or particles from the skin or the environment. It is also less effective in ensuring that the antiseptic has dried completely.
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