Choice A reason:
When encountering a patient who appears motionless and cyanotic, the first action should be to assess their level of consciousness. Asking loudly if they are okay can help determine if the patient is responsive or unresponsive. If there is no response, this indicates that the patient may be unconscious and requires further immediate assessment and potential intervention.
Choice B reason:
The head-tilt-chin-lift maneuver is used to open the airway of an unresponsive patient who is not suspected of having a spinal injury. However, this is not the first step. Before performing any maneuvers, it is essential to determine the patient's level of consciousness and whether they are breathing.
Choice C reason:
The Correct Answer is A
Choice A reason:
Occult blood detection is not a process that occurs naturally after a venipuncture to control bleeding. It is a laboratory test used to detect blood in the stool that is not visible to the naked eye. This test is unrelated to the venipuncture process.
Choice B reason:
The term "Phlebotomists" refers to healthcare professionals who perform venipuncture. It is not a process but a profession. Therefore, it does not fit the context of the question regarding the control of bleeding after venipuncture.
Choice C reason:
Hematopoiesis is the process of creating new blood cells in the body and occurs in the bone marrow. While it is an ongoing process essential for replenishing the body's blood supply, it is not directly related to controlling bleeding after a venipuncture.
Choice D reason:
Hemoconcentration is a condition where the blood concentration of cells and solids is higher than normal, usually due to a loss of plasma. This can occur during venipuncture if the tourniquet is left on for too long, but it is not a process used to control bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Covering the spill until maintenance arrives is not an appropriate response to a blood spill. This action does not neutralize any potential pathogens present in the blood, which could pose a risk of infection to others. Immediate cleanup is necessary to prevent the spread of infectious diseases, and simply covering the spill does not meet the Occupational Safety and Health Administration (OSHA) guidelines for bloodborne pathogens, which require the spill to be cleaned with an appropriate disinfectant.
Choice B Reason:
Pouring bleach on the spill and allowing it to soak for 60 seconds is the recommended action because bleach is a powerful disinfectant that can kill a wide range of pathogens, including those that might be present in venous blood. The Centers for Disease Control and Prevention (CDC) recommends a 1:10 dilution of household bleach for effectively disinfecting blood spills. After pouring the bleach, it is important to let it soak for an adequate amount of time, usually around 10 minutes, to ensure that all pathogens are killed.
Choice C Reason:
Evacuating the laboratory is not a necessary action for a blood spill unless the spill is extensive and poses additional risks that cannot be mitigated by standard cleanup procedures. In most cases, following the proper spill cleanup protocol, which includes wearing personal protective equipment (PPE) and using an EPA-registered disinfectant, is sufficient to handle the situation without needing to evacuate the area.
Choice D Reason:
Applying a liquid thickening agent on top of the spill is not a standard practice for blood spill cleanup. While a thickening agent might contain the spill, it does not disinfect the area. The priority in such situations is to disinfect and remove any potential infectious agents. Therefore, the use of a thickening agent would not be in compliance with the recommended procedures for blood spill cleanup by OSHA and the CDC.
Correct Answer is C
Explanation
Choice A Reason:
A multipart requisition involves multiple copies of a paper form, which can be prone to errors due to manual entry, misplacement, or illegible handwriting. While it provides physical copies for various departments, it is not the most accurate method compared to digital solutions.
Choice B Reason:
A manual requisition is similar to a multipart requisition but typically consists of a single form. It carries the same risks of human error and does not offer the benefits of automated tracking and data entry that come with electronic systems.
Choice C Reason:
An automated requisition is considered the most accurate method for receiving orders for specimen collection. It reduces the risk of human error associated with manual data entry and allows for better tracking and integration with laboratory information systems. Automated systems can also provide immediate feedback if there is an issue with the order, such as a missing patient identifier or a test code.
Choice D Reason:
A verbal requisition is the least reliable method as it depends on the memory and communication skills of the individuals involved. It lacks the documentation and verification steps present in written or automated methods, making it susceptible to misunderstandings and errors.
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