For 94 and 95 please select all possible answers and For number 96, it must be answered essay form. PLEASE REFER TO CASE 1
CASE 1: A doctor
... [Show More] requires an ICU patient, Jessica Cabreros, to be tested for potassium, platelet count, and Coagulation test: "Prothrombin time". The nurse calls the laboratory and the phlebotomist, Jim, is asked to extract blood from Jessica.
Upon entering the ICU, Jim verifies to the nurse in charge about the tests done to the patient written on the requisition form. No part of Jessica's body is edematous, but she is unconscious, intubated, and with IV lines on both left and right hands. Jim is required to extract a total of 8.5-ml blood sample (3mI for potassium test, 3 ml for platelet count, and 2.5 ml for coagulation test), but only extracts a total of 7 ml from the right foot using the syringe method since hematoma started to appear on the site of extraction. So he dispenses the first 3 ml of blood extracted into the tube for potassium determination using a transfer device then another 3 ml into the tube for platelet count, mixes them accordingly and labels them with Jessica's complete name, age, gender and time of extraction. He decides to extract again notifying the nurse, now from the left foot an additional 3 ml of blood using another syringe after not being able to obtain the right amount of blood on the right foot for one time extraction. He dispenses 2.5 ml of blood sample into the appropriate evacuated tube for Prothrombin time coagulation test, inverts the tube accordingly and labels it with the same details as the previous tubes. After extraction, Jim tells the nurse that the phlebotomy procedure is done and is ready to be brought to the lab for testing.
94. What evacuated tube color is/are appropriate for the tests requested? (2 pts)NOTE: Wrong or missing answers will be given no points.
A. Red
B. Black
C. Light blue
D. Lavender
E. Yellow
F. Gray
95. Is there any specimen for testing that may have been affected or compromised? If yes, choose which test/s is/are affected or compromised given the case? If none, choose None. (2pts)
A. Potassium
B. Platelet count
C. Prothrombin time
D. None
96. If your answer is "Yes" from the previous question, why do you think this test (these tests) is/are affected and what should have Jim done to avoid compromising the specimen? If you answered otherwise, explain why no test is affected or compromised. Explain in 2-3 sentences only. (3 pts)NOTE: Wrong answer in question "No. 95" will automatically invalidate your answer in question "No. 96".
Your answer:
For 97 to 101 please choose the letter only of the correct answer no need for explanation. PLEASE REFER TO CASE 2
CASE 2: Napa Callandy, a Med Tech intern, performed a venipuncture procedure to her patient Lantud Quaren Uy, for CBC and Electrolytes. She entered the patient's room without knocking but with a big smile, greeted the patient, and proceeded to the bedside. She arranged and prepared her venipuncture materials and then labeled the tubes with Maja Rotica. After selecting the vein for puncture, she wiped the site with alcohol then air-dried. She tied the tourniquet S inches above the site and puncture the vein. Upon inserting the needle, there was no backflow. With confidence she pulled the needle and pushed again, but still failed to hit the vein. After 5 minutes of pulling and pushing, finally she got collected enough sample for two tubes, and released the tourniquet. She transferred the blood to the lavender top, then to the red top. Upon arriving at the laboratory, she realized she was not able to invert the tubes. And the samples were rejected by her staff. [Show Less]