Which of the following complications could result from a phlebotomist inadvertently squeezing a patient's puncture site firmly during a capillary procedure?
Hemostasis
Hemolysis
Homeostasis
Hypobilirubinemia
The Correct Answer is B
Choice A Reason:
Hemostasis is the process of blood clotting and the cessation of bleeding. While it is a desired outcome following any puncture, squeezing the puncture site would not typically cause hemostasis as a complication. It is the body's natural response to injury to prevent excessive blood loss.
Choice B Reason:
Hemolysis refers to the rupture of red blood cells, which can occur when excessive pressure is applied to a puncture site during a capillary blood collection. This pressure can cause the cells to burst, releasing their contents into the plasma, which can interfere with various laboratory tests and lead to inaccurate results.
Choice C Reason:
Homeostasis is the body's ability to maintain a stable internal environment despite changes in external conditions. It is not a complication but rather a regulatory process. Squeezing a puncture site does not directly relate to homeostasis as a complication.
Choice D Reason:
Hypobilirubinemia is a condition where there is less than the normal amount of bilirubin in the blood. It is not a complication associated with squeezing a puncture site. Bilirubin levels are typically affected by liver function and red blood cell breakdown, not by the mechanical action of squeezing a site.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Serology is the division of the laboratory that deals with the study of blood serum. In serology, the focus is on identifying and measuring antibodies in the serum. While serology can be used to support the diagnosis of infections, it does not involve culture and sensitivity testing, which is specific to identifying pathogens and determining their susceptibility to antibiotics.
Choice B Reason:
Microbiology is the correct division for culture and sensitivity tests. This division specializes in studying microorganisms, including bacteria, fungi, parasites, and viruses. When a culture and sensitivity test is ordered, it is the microbiology lab that cultures the sample to grow the organism and then tests various antibiotics to determine which are most effective against it.
Choice C Reason:
Histology is the study of the microscopic structure of tissues. Histology labs prepare and examine tissue samples to diagnose diseases, but they do not perform culture and sensitivity tests, which are specific to microbiology.
Choice D Reason:
Chemistry is a division of the laboratory that performs a wide range of tests to measure chemicals and enzymes in the body. These tests can include blood glucose levels, liver enzymes, and hormone levels, among others. However, chemistry does not handle culture and sensitivity testing, as this is not within the scope of chemical analysis.
Correct Answer is B
Explanation
Choice A Reason:
Shoe covers are used to protect the shoes and prevent the spread of contaminants from one area to another. They are not specifically required for droplet precautions during blood glucose monitoring. Droplet precautions typically focus on protecting mucous membranes of the eyes, nose, and mouth from droplet spatter.
Choice B Reason:
Masks are essential when dealing with patients under droplet precautions. Droplets can transmit infections when a person coughs, sneezes, or talks, and a mask provides a barrier that prevents the inhalation of these potentially infectious droplets. For procedures like blood glucose monitoring, where close contact with the patient is necessary, wearing a mask is crucial to protect both the healthcare worker and the patient.
Choice C Reason:
A gown is used to protect the healthcare worker's skin and clothing from contamination with potentially infectious material. While it is an important piece of personal protective equipment, it is not the primary requirement for droplet precautions in the context of blood glucose monitoring, unless there is a risk of substantial splashing or spraying of bodily fluids.
Choice D Reason:
Goggles are used to protect the eyes from splashes of blood or other body fluids. They are important in procedures where there is a risk of splashing, but for blood glucose monitoring, the risk is minimal. Therefore, goggles are not the primary piece of equipment required for droplet precautions in this scenario.
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