A phlebotomist is preparing to perform venipuncture for blood collection from a 6-year-old patient. Which of the following needles should the phlebotomist use?
16-gauge
18-gauge
23-gauge
27-gauge
The Correct Answer is C
Choice A reason:
A 16-gauge needle is quite large and is typically used for rapid fluid administration or blood donation in adults. It is not suitable for pediatric patients due to the size of their veins and the potential for causing trauma and discomfort.
Choice B reason:
An 18-gauge needle is also large and commonly used for adult patients in situations where larger volumes of blood are needed quickly. For a 6-year-old patient, this gauge would be too large and could cause significant pain and increase the risk of damaging the vein.
Choice C reason:
A 23-gauge needle is recommended for pediatric patients, including those who are 6 years old. It is small enough to minimize discomfort and the risk of injuring the vein, yet it allows for adequate blood flow for collection³. This size needle is often used with a winged infusion set, which is suitable for the smaller, more fragile veins of pediatric patients.
Choice D reason:
A 27-gauge needle is very small and is typically used for intradermal injections or for very small veins, such as those in neonates. While it would cause minimal discomfort, it may not provide an adequate flow rate for venipuncture in a 6-year-old patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Mechanical safety is a critical aspect of laboratory inspections, especially when focusing on equipment maintenance logs. These logs are essential for ensuring that all mechanical equipment is functioning correctly and safely. Regular maintenance and inspection can prevent mechanical failures that could lead to workplace accidents or compromise the integrity of experiments.
Choice B reason:
Chemical safety is undoubtedly important in a laboratory setting; however, it is not the primary focus when the inspection is centered on equipment maintenance logs. Chemical safety would involve the proper storage, handling, and disposal of chemicals, which is a separate concern from the mechanical functioning of equipment.
Choice C reason:
Radiation safety is another vital area in laboratories that work with radioactive materials. However, the maintenance logs for equipment would not typically be the main focus of radiation safety inspections. Instead, radiation safety inspections would concentrate on ensuring proper shielding, monitoring, and training are in place.
Choice D reason:
Electrical safety is also essential, but similar to chemical and radiation safety, it is not the primary focus when inspecting equipment maintenance logs. Electrical safety would involve checking for proper wiring, grounding, and protection against electrical hazards.
Correct Answer is C
Explanation
Choice A Reason:
Shaking the tubes vigorously can cause hemolysis, which is the rupture of red blood cells, leading to inaccurate test results. It is not recommended as it does not provide gentle mixing and can damage the blood cells.
Choice B Reason:
Moving the tubes in a figure-eight motion is not a standard practice for mixing blood samples. This method may not provide the consistent and gentle inversion needed to mix the anticoagulant with the blood effectively.
Choice C Reason:
Rolling the tubes between the palms of the hands 4 to 8 times after collection is the recommended method. This technique allows for gentle and thorough mixing of the blood with the anticoagulant, preventing clotting without causing hemolysis. The number of inversions ensures that the anticoagulant coats the inner surface of the tube and mixes with the blood, which is essential for accurate laboratory results.
Choice D Reason:
Passing the tubes from hand to hand is not an effective method for mixing blood samples. This action may not provide the necessary inversion and can lead to inadequate mixing, resulting in clotted specimens.
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