Patient PreparationQuestion 88 of 100

During a draw the blood is bright red and pulses into the tube, filling it very quickly. What should the phlebotomist do?

a.Continue since fast filling means a good draw
b.Suspect arterial puncture, remove the needle at once, and apply firm pressure for at least five minutes
c.Apply a bandage without pressure and send the patient on
d.Reposition the needle and collect the remaining tubes

Explanation

Bright red blood that pulsates and fills rapidly suggests an artery was entered, so the needle is withdrawn immediately and firm pressure is held at least five minutes, with the patient observed and the event reported and noted for the laboratory. Continuing or repositioning risks significant bleeding. A bandage without sustained pressure will not control arterial bleeding.

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