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 D
Explanation
Choice A reason:
Immunization schedules are not regulated by OSHA. They are typically overseen by public health agencies such as the Centers for Disease Control and Prevention (CDC) in the United States. These agencies provide guidelines on when and which vaccines should be administered to various populations.
Choice B reason:
Patient privacy is primarily regulated by the Health Insurance Portability and Accountability Act (HIPAA), not OSHA. HIPAA sets the standard for protecting sensitive patient health information from being disclosed without the patient's consent or knowledge.
Choice C reason:
The accuracy of laboratory results falls under the purview of the Clinical Laboratory Improvement Amendments (CLIA), which are federal regulatory standards that apply to all clinical laboratory testing performed on humans in the United States, except for clinical trials and basic research.
Choice D reason:
Universal precautions are indeed regulated by OSHA. These are a set of infection control practices used to prevent transmission of diseases that can be acquired by contact with blood, body fluids, non-intact skin (including rashes), and mucous membranes. These precautions are designed to protect workers from exposure to diseases spread by blood and certain body fluids.
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.
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