Special Needs Phlebotomy: Techniques and Considerations for Diverse Patients

Question 1

Which technique is NOT used to reduce pain during phlebotomy for an elderly patient?

Accepted Answer

Inserting the needle at a 90-degree angle

Answer

Applying a topical anesthetic cream

Answer

Using a butterfly needle

Answer

Applying warm compresses

Question 2

Which of the following is NOT a consideration when performing phlebotomy on an elderly patient?

Accepted Answer

Applying a tourniquet for a shorter duration

Answer

Assessing for skin fragility and bruising

Answer

Using a smaller needle to minimize discomfort

Answer

Checking for postural hypotension prior to the procedure

Question 3

Which of the following is NOT a consideration when performing phlebotomy on an elderly patient?

Accepted Answer

Draw blood more quickly to reduce the risk of fainting

Answer

Use a tourniquet carefully to avoid bruising

Answer

Check for skin integrity and use a smaller needle to minimize discomfort

Answer

Obtain informed consent and explain the procedure clearly

Question 4

Which vein is generally preferred for phlebotomy in elderly patients?

Accepted Answer

Cephalic vein

Answer

Median cubital vein

Answer

Basilica vein

Answer

Antebrachial vein

Question 5

What is the primary purpose of applying a tourniquet when drawing blood?

Accepted Answer

To increase venous pressure, facilitating blood flow

Answer

To reduce discomfort during the procedure

Answer

To prevent bruising at the puncture site

Answer

To ensure a sterile environment for blood collection

Question 6

Which of the following is NOT a special consideration when performing phlebotomy on an elderly patient?

Accepted Answer

Use of anticoagulant medications.

Answer

Increased fragility of veins.

Answer

Possible cognitive impairment.

Answer

Higher risk of bruising.

Question 7

Which of the following is NOT a recommended practice in phlebotomy?

Accepted Answer

Eating or drinking during the procedure.

Answer

Using a sterile technique.

Answer

Wearing gloves.

Answer

Properly disposing of sharps.

Question 8

The butterfly needle is generally most suitable for phlebotomy on patients with:

Accepted Answer

Small or fragile veins

Answer

Deep veins

Answer

Obese patients

Answer

Patients with excessive blood flow

Question 9

When interacting with a patient with a disability during phlebotomy, it is essential to:

Accepted Answer

Treat them with respect and dignity

Answer

Ignore any potential communication challenges

Answer

Rush through the procedure to save time

Answer

Use excessive force if necessary

Question 10

Phlebotomy on patients with hemophilia poses a potential risk of:

Accepted Answer

Excessive bleeding

Answer

Blood clotting

Answer

Infection

Answer

Bruising

Question 11

When collecting blood from a child, it's essential to:

Accepted Answer

Establish a calm and reassuring environment to minimize fear and anxiety.

Answer

Use larger needles and tubes to reduce discomfort.

Answer

Puncture the skin forcefully to minimize pain.

Answer

Ignore any fear or anxiety the child may express.

Question 12

When performing phlebotomy on a patient with a disability, it's essential to:

Accepted Answer

Adapt your approach to meet their specific needs and communicate effectively.

Answer

Treat them like any other patient, regardless of their disability.

Answer

Avoid any physical contact with the patient.

Answer

Prioritize speed over patient comfort.

Question 13

When collecting blood from a patient with a bleeding disorder, the phlebotomist should:

Accepted Answer

Apply direct pressure to the puncture site for an extended period and elevate the arm to minimize bleeding.

Answer

Elevate the patient's arm to stop the bleeding.

Answer

Use a butterfly needle to minimize blood loss.

Question 14

Which of the following is a potential complication of phlebotomy in obese patients?

Accepted Answer

Difficulty locating accessible veins due to thicker subcutaneous tissue.

Answer

Reduced blood volume

Answer

Increased risk of infection

Answer

Enhanced pain sensitivity

Question 15

When collecting blood from a patient with diabetes, it's crucial to:

Accepted Answer

Avoid drawing blood from the arm used for insulin injections and check for signs of nerve damage.

Answer

Ignore any reports of numbness or tingling from the patient

Answer

Prioritize the use of tourniquets to obtain a larger sample

Question 16

When performing phlebotomy on a patient with impaired mobility, the phlebotomist should:

Accepted Answer

Position the patient comfortably, use pillows for support, and communicate clearly.

Answer

Ignore the patient's requests for comfort measures

Answer

Rush the procedure to avoid discomfort

Question 17

Which technique is most appropriate for obtaining a blood sample from an infant?

Accepted Answer

Heel stick

Answer

Venipuncture

Answer

Finger stick

Answer

Butterfly needle stick

Question 18

When performing phlebotomy on an elderly patient, which factor is of primary concern?

Accepted Answer

Fragile veins

Answer

Decreased skin thickness

Answer

Increased hemoglobin levels

Answer

Increased blood pressure

Question 19

Which of the following disabilities may necessitate modifications to the phlebotomy procedure?

Accepted Answer

Visual impairment

Answer

Hypertension

Answer

Diabetes

Answer

Asthma

Question 20

Which of the following is a potential complication that can occur during phlebotomy in children?

Accepted Answer

Vasovagal response

Answer

Myocardial infarction

Answer

Stroke

Answer

Anaphylaxis

Question 21

When performing phlebotomy on an anxious patient, the phlebotomist should:

Accepted Answer

Adopt a calming and reassuring demeanor

Answer

Ignore the patient's anxiety

Answer

Physically restrain the patient

Answer

Avoid communicating with the patient

Question 22

Which of the following is a contraindication for venipuncture?

Accepted Answer

Severely burned arm

Answer

Scar on the arm

Answer

Bruise on the arm

Answer

Tattoos on the arm

Question 23

When obtaining a blood sample from a patient receiving anticoagulant therapy, the phlebotomist should:

Accepted Answer

Select a vein that is not being used for medication administration

Answer

Draw blood from the same vein that is being used for medication administration

Answer

Apply excessive pressure to the puncture site

Question 24

Which ethical consideration is paramount when performing phlebotomy on an unconscious patient?

Accepted Answer

Obtaining consent from the patient's legal guardian

Answer

Disregarding the patient's unconscious state

Answer

Performing the procedure without informing the patient

Question 25

When drawing blood from a patient with a history of fainting, the phlebotomist should:

Accepted Answer

Position the patient in a semi-reclining position

Answer

Lay the patient flat

Answer

Administer oxygen to the patient

Answer

Keep the patient standing upright