Which of the following tests is performed to identify bacteremia?
Glucose tolerance test
Peripheral blood smear
Blood culture
Lactic acid
The Correct Answer is C
Choice A Reason:
A glucose tolerance test is used to diagnose diabetes by measuring the body's response to glucose over a period of time. It is not used to identify bacteremia, which is the presence of bacteria in the bloodstream.
Choice B Reason:
A peripheral blood smear involves examining a sample of blood under a microscope to look for abnormalities in blood cells. While it can reveal signs of infection, it does not specifically identify bacteremia.
Choice C Reason:
A blood culture is the primary test used to detect bacteremia. It involves taking a sample of blood and incubating it to see if bacteria grow, which would indicate the presence of bacteria in the bloodstream.
Choice D Reason:
Lactic acid levels in the blood are measured to assess the severity of sepsis, a condition that can result from bacteremia. Elevated lactic acid can indicate that tissues are not getting enough oxygen, but the test itself does not identify bacteremia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
A patient's room number is not a unique identifier as it is subject to change. Patients may be moved to different rooms during their hospital stay, and room numbers are not specific to individuals.
Choice B reason:
A patient's bed label is also not a unique identifier. Like room numbers, bed labels can change if patients are moved within the hospital for various reasons, such as changes in their medical condition or room availability.
Choice C reason:
The patient's inpatient chart demographic information is the correct unique identifier to use. This typically includes the patient's name, date of birth, and a unique medical record number assigned by the healthcare facility. These details are specific to the individual and do not change, making them reliable for patient identification.
Choice D reason:
A patient's verbal confirmation alone is not sufficient as a unique identifier. While it is important to engage the patient in the identification process, verbal confirmation must be used in conjunction with other identifiers to ensure accuracy, as patients may be confused or unable to communicate effectively.
Correct Answer is A
Explanation
Choice A reason:
Inverting the tube 5 to 8 times ensures that the clot activator mixes thoroughly with the blood, promoting proper clotting. Setting the tube aside for 30 minutes allows sufficient time for the blood to clot before centrifugation. This is the recommended procedure to ensure that the serum is properly separated from the clot, resulting in a quality specimen suitable for testing.
Choice B reason:
Inverting the tube only 1 to 3 times may not be enough to mix the clot activator with the blood adequately, which could lead to incomplete clotting and potentially compromised test results. Additionally, setting the tube for 1 hour before centrifugation is longer than necessary and does not offer any advantage over the recommended 30 minutes.
Choice C reason:
Inverting the tube 2 to 4 times might not fully mix the clot activator with the blood, and setting it for only 15 minutes does not provide enough time for proper clot formation. This could result in a suboptimal separation of serum and clot, affecting the integrity of the test results.
Choice D reason:
Inverting the tube 8 to 10 times could potentially cause hemolysis or disruption of the blood cells due to excessive agitation. Setting the tube for 2 hours prior to centrifugation is not recommended as it could lead to serum degradation or other changes that may affect the test results.
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