There has been a chemical spill in the laboratory. To which of the following should a phlebotomist refer for directions to clean up the spill?

CLIA

OSHA

SDS

CDC

Answer and Explanation

The Correct Answer is C

Choice A Reason:
CLIA, or the Clinical Laboratory Improvement Amendments, sets standards for all laboratory testing to ensure the accuracy, reliability, and timeliness of patient test results. While CLIA provides a framework for laboratory operation, it does not offer specific guidelines for chemical spill cleanup.

Choice B Reason:
OSHA, or the Occupational Safety and Health Administration, provides regulations to ensure worker safety, including protocols for handling hazardous materials. However, OSHA itself does not provide the specific cleanup procedures; instead, it requires workplaces to follow certain safety practices.

Choice C Reason:
SDS, or Safety Data Sheets, provide detailed information on chemicals, including their properties, health hazards, protective measures, and safety precautions, including spill response and cleanup procedures. In the event of a chemical spill, the SDS contains the most direct instructions for safe and effective cleanup, making it the primary reference for a phlebotomist in this situation.

Choice D Reason:
The CDC, or Centers for Disease Control and Prevention, focuses on public health and disease prevention. While the CDC provides guidelines for infection control and laboratory safety, it is not the primary resource for chemical spill cleanup procedures.

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Correct Answer is A

Explanation

Choice A reason:
Asking another phlebotomist to obtain the specimen is a prudent step after multiple unsuccessful attempts. It can reduce the patient's discomfort and anxiety. A fresh perspective from another professional might increase the chances of a successful draw, especially in challenging situations like small, fragile veins often found in diabetic patients.

Choice B reason:
Performing the draw on a foot is not typically recommended due to the increased risk of infection and complications, especially in diabetic patients who may have reduced sensation and slower healing in their extremities. This option should only be considered when other more proximal sites have been deemed unsuitable.

Choice C reason:
Repeating the draws until successful is not advisable as it can cause undue stress to the patient and increase the risk of hematoma or vein damage. It is essential to minimize the number of attempts to prevent patient discomfort and potential complications.

Choice D reason:
Performing the draw on a leg is another option that is generally avoided unless absolutely necessary, due to similar reasons as drawing from a foot—risk of infection and complications. Additionally, it can be an uncomfortable position for the patient.

A. A sodium level from a patient who has a DNR order B. A hemoglobin and hematocrit level from a patient who is postoperative C. A stat potassium level from a patient in the emergency room D. A peak antibiotic level from a patient who is NPO

Correct Answer is C

Explanation

Choice A reason:
A sodium level test is important for managing and monitoring a patient's electrolyte balance, particularly in critical care settings. However, a DNR order indicates that the patient has chosen not to undergo CPR, not necessarily that their condition is the most critical at the moment. Therefore, while important, it may not be the most urgent sample to process.

Choice B reason:
Postoperative monitoring of hemoglobin and hematocrit levels is crucial for detecting possible hemorrhage and ensuring proper recovery. However, unless there is an immediate concern for acute blood loss or other complications, these tests may not be as urgent as a stat test from the emergency room.

Choice C reason:
A stat potassium level is typically ordered when there is an urgent need to assess a patient's potassium due to conditions that can rapidly affect heart rhythm and muscle function. In the emergency room setting, where patients often present with acute and life-threatening conditions, stat tests are prioritized to provide rapid results that can influence immediate clinical decisions.

Choice D reason:
Peak antibiotic levels are measured to ensure therapeutic efficacy and to avoid toxicity. While important for managing a patient's treatment, especially for those who are NPO (nothing by mouth), it may not be as time-sensitive as a stat test required for an acute emergency.

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There has been a chemical spill in the laboratory. To which of the following should a phlebotomist refer for directions to clean up the spill?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When performing a draw on a diabetic patient with small, fragile veins, and the phlebotomist misses the patient's vein twice, what should the phlebotomist do next?

Correct Answer is A

Explanation

Which of the following samples should a phlebotomist present to the laboratory first for processing?

Correct Answer is C

Explanation

A report of laboratory results is required to have which of the following information?

Which of the following tests is performed to identify bacteremia?

A phlebotomist finds a patient who is unresponsive and not breathing. In which of the following positions should the phlebotomist place the patient before initiating CPR?

A phlebotomist is planning to collect a specimen to measure a patient's serum cortisol level. Which of the following factors should the phlebotomist consider?

Which of the following information should the physician's office provide to a phlebotomist for laboratory specimen collection?

Which of the following is the minimum required number of unique patient identifiers a phlebotomist should use prior to a blood draw?

Which of the following pairs of blood tests is appropriate for a fasting specimen?

A phlebotomist is preparing to perform venipuncture on a patient who had a right-sided mastectomy. Which of the following is the correct site to perform the collection?