Which of the following sites is appropriate to prepare for dermal specimen collection on a toddler?
Nondominant dorsal hand
Dominant lateral plantar heel
Nondominant third finger
Dominant antecubital space
The Correct Answer is C
Choice A reason:
The nondominant dorsal hand is not typically recommended for dermal specimen collection in toddlers due to the thinness of the skin and the proximity of bones and tendons, which increases the risk of injury.
Choice B reason:
The dominant lateral plantar heel is also not an ideal site for dermal specimen collection in toddlers. The heel is a common site for blood collection in neonates, but as children grow, the skin on the heel thickens, and the risk of hitting bone increases.
Choice C reason:
The nondominant third finger is the recommended site for dermal specimen collection in toddlers over one year of age. The palmar surface of the distal phalanx of the middle or ring finger provides a sufficient area for puncture while minimizing the risk of injury to underlying structures.
Choice D reason:
The dominant antecubital space is not a typical site for dermal specimen collection, especially in toddlers. This area is generally used for venipuncture due to the presence of larger veins suitable for this type of blood collection
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is C
Explanation
Choice A reason:
The laboratory accession number is a unique identifier assigned to a patient's specimen once it is received by the laboratory. While it is an important piece of information, it is not provided by the physician's office to the phlebotomist for specimen collection. Instead, it is generated by the laboratory after the specimen is collected and submitted for analysis.
Choice B reason:
The Physician's NPI (National Provider Identifier) number is a unique identification number for covered health care providers in the United States. While it is used for billing and identification purposes, it is not the information that the physician's office needs to provide to a phlebotomist for the purpose of specimen collection.
Choice C reason:
The laboratory requisition form is the correct document that should be provided by the physician's office. This form contains the patient's demographic information, the tests ordered by the physician, special instructions for specimen collection, and any other pertinent information required for proper specimen handling and testing.
Choice D reason:
The physician's encounter form typically contains details of the patient's visit, including services provided, diagnoses, and billing information. It is not specifically used for laboratory specimen collection and therefore is not the information that should be provided to a phlebotomist for this purpose.
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