NHA Phlebotomy Practice Test 2020

24 July 2022
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First piece of PPE that should be removed
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GLOVES
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Which of the following should be collected first when taking a dermal sample?
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Lavender Top
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How long after a patient has taken an oral medication should blood be drawn for peak level of the medication?
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2 hours
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What should be done if vein collapsed half way through collecting blood from a patient for donation?
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use a new collection bag to draw a new unit of blood
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If a patient has a right side mastectomy .....
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use median cubital in the left arm
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If the site is sore where the tourniquet will placed
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place it over the patients sleeve
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If veins are not apparent after placing tourniquet
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have the patient dangle their arms for 1-2 min
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Red spots after placing a tourniquet is
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Petechiae
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anticoagulant tube used to collect sample for a PT/PTT test.
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sodium citrate to collect a sample for a PT/PTT test. (light blue)
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Identifier for specimen used while in a lab
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The accession number identifies a specimen as long as it remains in the laboratory.
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when collecting for an erythrocyte sedimentation rate test.
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use lavender-colored top
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Who should be asked to check if patient's vancomycin dose schedule is accurate for an accurate peak level collection
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ask the attending nurse if the patient's vancomycin dose schedule is accurate prior to collection
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Instructions that should be given to collect sputum
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instruct the patient to breathe deeply and then cough up a specimen into the container.
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First step that should be done when collecting blood
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check tests requisition form
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PPE removal order
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gloves, goggles, gown, then mask
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When applying a tourniquet
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tuck a section of a free end of the tourniquet under the circumferential portion next to the patient's skin
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peripheral blood smear from a patients capillary blood
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use the second drop of blood that emerges from the puncture to ensure accurate results
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when collecting a specimen for a CBC.
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The technician should use a collection tube that contains EDTA
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Why should serum be centrifuged before being transported
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cells must be separated
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What should be used for patients serum test
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collection tube that has the additive thrombin
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when working with patients who have active tuberculosis
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wear an N95 respirator
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Tube that should be use for thyroid studies
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a collection tube that has a speckled top when collecting a specimen for thyroid studies (T3, T4, and thyroid-stimulating hormone).
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when collecting a specimen for a lactic acid test
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a collection tube that has a gray-colored top
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when collecting a specimen for a potassium test
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a collection tube that has a green-colored top
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when collecting a specimen for a coagulation study
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a collection tube that has a light blue-colored top
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when entering the room to collect a blood specimen
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communicate her name and department affiliation to the patient
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Where should ammonia specimen be placed after collection
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in an ice-water slurry
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how should cold agglutinin specimen be kept after collection
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warmed
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how should bilirubin specimen be kept after collection
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away from light
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how should semen specimen be kept after collection
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kept at body temp
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The technician should ensure patient confidentiality by
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clearing phone numbers and email addresses from office equipment, such as fax machines and copiers.
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technician should follow contact precautions when interacting with a patient who has scabies
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wearing gloves and a gown.
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even if results are ready
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instruct the patient to contact the provider to obtain the laboratory results.
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in an inpatient setting.
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use a verbal confirmation of the patient's identity and the patient's wristband to identify a patient
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prior to performing the venipuncture
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check the requisition form for duplicate test orders, discrepancies, and missing information
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for a urine culture and sensitivity test
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obtain a clean-catch midstream collection
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which is photosensitive
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vitamin B6
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Povidone-iodine is contraindicated for
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potassium tests
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The technician should rinse the affected area for a minimum of
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15 minutes
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Chain of custody guidelines apply to
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drug screenings, forensic studies, blood alcohol tests, and paternity testing.
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if a hematoma forms...
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immediately remove the tourniquet and needle, and apply pressure to the site for 2 minutes
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tube used for chromosome analysis
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use a collection tube that contains the additive heparin
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for microbiology culture specimens
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use the anticoagulant sodium polyanethol sulfonate tube (yellow)
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after a receiving a needlestick injury is to decontaminate the puncture site by
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washing it with soap and water for 30 seconds.
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immediately report this findings of which levels of cholesterol to the provider
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300 mg/dL
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should place the specimens _____ to avoid spills during transportation
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in a lockable container
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The first action the technician should take when the patient reports feeling dizzy and lightheaded is to
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remove the tourniquet and needle
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Veins have a tendency to roll away from the needle
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hold the vein in place to help anchor it and prepare it for the puncture 2.5 to 5 cm with thumb
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protect the skin from infections that can be transmitted by contact (cutaneous diphtheria)
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wear a gown
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post-examination phase of the CLSI clinical laboratory workflow pathway
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Entering critical laboratory data
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pre-examination phase of the CLSI clinical laboratory workflow pathway
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post-puncture care
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examination phase of the CLSI clinical laboratory workflow pathway
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Reviewing and verifying results
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pre-examination phase of the CLSI clinical laboratory workflow pathway
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Processing the specimen
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collection for trough level of medication in the patient's blood
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collect the specimen no more than 15 min prior to administration of the next dose of medication
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to collect a blood specimen from the small vein of an older adult
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use a small needle
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to collect specimens from infants who are under 1 year of age
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use a heelstick
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OSHA requires employers to offer the
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hepatitis B vaccine to at risk employees within 10 days of hire at no cost to the employee
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When washing hands be sure to
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form a lather by rubbing her hands together for at least 15 seconds, covering all surfaces of her hands and fingers with soap
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Standard precautions require the technician to transport specimens in hot weather
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an enclosed container with ice packs and a biohazard label
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The technician should immediately notify the patient's provider that the patient has a fasting blood glucose of
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130 mg/dL, which is above the expected reference range of 70 to 110 mg/dL.
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to disinfect items that are contaminated by blood
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use a 1:10 dilution of sodium hypochlorite, or chlorine bleach with water
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to collect specimen from older adults with easy to collapse vein use a
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syringe and butterfly assembly and transfer to an ets tube
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when obtaining a blood culture specimen
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- withdraw the blood into a sterile safety syringe after obtaining it - collect 20 mL total (put 10 mL anaerobic bottle first then put 10 mL in aerobic bottle)
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a patient has a right side mastectomy and an IV on the left arm, where should blood be drawn?
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draw blood from a site below the IV
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an alternative antiseptic solution for patients who have allergies to alcohol or latex
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chlorhexidine
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When removing gloves, the technician should
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turn the first glove inside out during removal to decrease chances of contact with blood
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to eliminate the source of the electrical shock from a coworker getting shocked
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immediately shut off the instrument
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a patient who has just engaged in strenuous physical activity prior to blood collection
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the patient rest for 15 to 30 min before performing the venipuncture
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which specimen should be placed in an ice bath within 30 minutes of collection
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ABG specimen
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draw a maximum volume of ---- mL at one time from a newborn who weighs 3 kg
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3 mL kg x 100= ??? ???/100 = volume in mL
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The technician should identify that semen samples should be stored and transported at
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36 to 37ยฐ C (98.6ยฐ F)
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Order of Draw for Capillary Specimens and venipuncture is different because
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an increased rate of coagulation during capillary collections
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to avoid hemolysis
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allow alcohol to dry completely before venipuncture
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to access difficult veins in the patient's hand
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use a hand immobilizer
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The technician should immediately report ______ troponin levels finding to the provider
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of 0.3 ng/mL (expected reference range of 0 to 0.2 ng/mL)
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technician should collect a capillary specimen if
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veins are inaccessible due to IVs, scarring, or burns
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Tube that should be used for routine chemistry test that requires serum
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SST tube
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The technician should wear a _______ when collecting a blood specimen from a patient who has pneumonia,
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mask
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By extending his arm to the technician
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the patient is giving implied consent
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A health hazard is signified by the color ______ in the NFPA 704 Marking System
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blue
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A fire hazard is signified by the color ______ in the NFPA 704 Marking System
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red
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What should be done to specimens before leaving a patients room
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Mark each specimen with date time and initials
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How often should quality test on glucometer be performed in the laboratory
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everyday that it is used
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venipuncture collection site in order
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- Median Cubital - Distal Cephalic
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When collecting blood
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gloves should be worn
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What should be verified for premployment drug test
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45 mL of urine ( 30 mL in one bottle and 15 mL in another)
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When reviewing requisition form verify that
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it contains specimen ID code and patients ID
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When collection capillary blood drops on filter paper
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apply blood to printed side of filter
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How should the warming technique be use of a patients arm
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place warm towel in a plastic bag
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which indicates implied consent
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rolling of the sleeve
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_____ sharp painful and tangling sensation down arm and into hand
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nerve injury
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WBC ranges between
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4.4 to 11/mm3
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quality control of CLIA-waived glucose for point of care test performed
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once new kit is opened