Phil is preparing to collect a blood specimen. During his examination of the patients arm for a potential site, Phil observes the presence of petechiae scattered across both of the patients’ arms. Phil understands what this indicates. He proceeds with the venipuncture, allowing extra time to make sure the site has completely stopped bleeding before leaving the patient. Why did Phil do this?
  1. Petechiae indicate possible clotting problems.
  2. Petechia indicates possible blood pressure problems.
  3. Petechia indicates possible infectious disease.
  4. Petechia indicates possible areas of inflammation.
Explanation
Answer: A - Phil knows that the presence of petechiae indicates there may be possible excessive bleeding problems after the venipuncture procedure.

It is the responsibility of the phlebotomist to be aware of all possible complications and special precautions necessary. A phlebotomist should not leave a patient until bleeding from the venipuncture site has completely stopped. If excessive bleeding occurs, the phlebotomist should apply pressure over the site, and elevate the arm above the level of the heart for five to ten minutes or until the bleeding has stopped. Notify nursing personnel before leaving the floor.
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