A phlebotomist reports a stat result to a provider by verbal report. What should the phlebotomist include in the follow-up documentation?
Patient's insurance information
Room number of the patient
Name of the provider contacted
Provider's phone number
The Correct Answer is C
Choice A Reason:
Patient's insurance information is not typically included in the follow-up documentation of a stat result. Insurance information is relevant for billing purposes and does not pertain to the immediate clinical care or the communication of test results.
Choice B Reason:
The room number of the patient might be included in the internal documentation for logistical purposes but is not the primary piece of information required following a verbal report of a stat result. The focus should be on the communication details rather than the location.
Choice C Reason:
The name of the provider contacted is essential information in the follow-up documentation after a verbal report. This ensures that there is a record of who received the information, which is crucial for accountability and continuity of care.
Choice D Reason:
The provider's phone number is not necessary in the follow-up documentation if the name of the provider is already included. The phone number would have been used to make the initial contact, and the key information is the confirmation that the provider was reached and informed of the stat result.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
The high pressure in the arterial system is not a factor in the filling of blood collection tubes during venipuncture. Arterial blood is not typically collected using evacuated tubes; these are used for venous blood collection, where the pressure is lower.
Choice B reason:
While the venous system does have pressure that aids in blood flow, it is not the high pressure that causes blood collection tubes to fill. Venous pressure is relatively low compared to arterial pressure, and on its own, it is not sufficient to fill the vacuum tubes used in venipuncture.
Choice C reason:
The positive pressure created by the tourniquet can help engorge the veins, making them easier to access, but it does not directly cause the blood collection tubes to fill. The tourniquet's role is to assist in vein visualization and palpation rather than in the filling of the tube.
Choice D reason:
The negative pressure within the tube is the correct factor that causes blood collection tubes to fill during venipuncture. When the needle punctures the patient's vein and then the tube stopper, the vacuum in the tube pulls blood into it until the vacuum is exhausted or the tube is filled. This is why it is essential not to allow the tube contents to contact the stopper, as backflow into the venous system can cause adverse reactions.
Correct Answer is D
Explanation
Choice A Reason:
A red-top tube is used for serum determinations in chemistry and should be allowed to clot completely, typically for 30 minutes, before centrifugation. Shipping after only 15 minutes may result in incomplete clotting and potentially inaccurate test results.
Choice B Reason:
Serum should not be separated from a lavender-top tube, as this type of tube contains EDTA and is used for whole blood tests, not serum. This indicates a misunderstanding of the tube's purpose and could lead to compromised test results.
Choice C Reason:
A tiger-top tube, also known as a serum separator tube, is used for various chemistry tests. However, bilirubin is light-sensitive, and specimens for bilirubin testing should be protected from light, not shipped in a clear bag. This could lead to degradation of the bilirubin and inaccurate results.
Choice D Reason:
A green-top tube contains heparin and is used for plasma determinations. Ammonia testing requires the plasma to be placed on ice immediately after collection to inhibit the continued production of ammonia from red blood cells. Therefore, shipping in an icy water mixture is the correct procedure to ensure accurate ammonia levels.
In conclusion, the proper preparation and transport of blood specimens are crucial for the accuracy of laboratory tests. The green-top tube for ammonia testing, shipped in an icy water mixture, is the only option that follows the correct protocol for specimen handling and transport.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.