Exam 2: Vascular Access

The disintegration or destruction of red blood cells along with subsequent rupture of the cell membrane and release of the cell contents, is the definition of which of the following terms?

Which of the following is the most important aspect of assessing a patient's readiness for education?

The purpose of an incident report is:

Which of the following is the "proper order of draws"?

A nurse is working in the ER when an unconscious patient is received from rescue paramedics, without family members in attendance. The nurse performs a stat draw for several tests, while the entire ER team begins lifesaving treatment. This is an example of what form of consent?

Where is the antecubital fossa located?

A hospital supervisor is preparing for an evaluation of health care service quality on the surgical and medical wards of the hospital. The evaluators inspected the nursing staff's compliance with the standards and criteria provided by the hospital and accrediting agency. This method of quality assurance is called:

A nurse is changing a client's abdominal dressing. A nursing assistant enters the room and informs the nurse that the IV fluid ordered for another client, who is experiencing difficulty breathing, has just arrived from the pharmacy. The nurse's most appropriate action is to:

What special precaution should be observed when collecting a specimen for blood cultures?

A nurseTech is working in the ER when an unconscious patient is brought in with a massive hemorrhagic injury. A card is found in the patient's wallet indicating the patient's wishes in the event she is unable to speak for herself. The card indicates she would not want transfusion of blood products. What is this card known as and which type of consent does it cancel out?

A patient has just returned from a radiology test that included an IV injection of dye. The nurse collects the blood specimen and notes the radiographic test and time it was performed on the requisition form. Why did the nurse do this?

The following are accurate statements about informed consent except:

An amendment created to ensure accurate laboratory results was passed in 1988 and enacted in 1992; it applies to every American clinical laboratory. What is the name of this amendment?

A nurse is working in the hospital's blood bank. He is collecting an autologous blood donation from a patient who will have surgery in a few weeks. Because the patient's surgery could involve significant blood loss, she has been coming to the hospital's blood bank every week for the past four weeks. While collecting the blood, the patient complains of feeling faint. The nurse observes that the patient is pale, her skin is cool and clammy, and her breathing appears very rapid and shallow. He immediately clamps the blood collection tubing, covers the patient with a blanket, re-positions the blood donor chair into the Trendelenburg position, and calls for help. Why did the nurse do this?

Ana, a 22-year-old student, was admitted for a needle biopsy of a breast mass. A day after the procedure, Ana developed a high fever accompanied by localized redness of the IV site. The physician suspects bacteremia. Which of the following actions could prevent this infection from spreading?

A senior nurse is explaining the procedure for arterial puncture to a new nurse. She is explaining to the new nurse the sign to watch for to confirm the needle is in the artery. Which of the following terms refers to this sign?

The appropriate time for labeling a patient specimen is:

"All equipment that contains needles must have a system to single-handedly permanently resheath the needle." Is the above a federal requirement of healthcare employers?

For which of the following test(s) should alcohol wipes NOT be used when drawing samples?

What is the most important action a nurse can do to protect themself if they become the target of legal action from a patient?