The first and perhaps the single most important step in phlebotomy, and often where an error occurs, is:

a. cleansing the site b. patient identification
c. using a clean needle d. using the proper evacuated tube

b

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Which of the following differences in the pediatric respiratory system should be considered when assessing the pediatric patient? 1. You will most likely note that the child's abdomen rises and falls during respiration, more than that of an adult. 2. Breath sounds from functional areas of the lung may be transmitted through the chest wall such that a pneumothorax may go undetected. 3. The

resiliency of the pediatric ribs causes them to absorb most of the energy from blunt trauma, thereby protecting the underlying organs. 4. Although a child's smaller ribs fracture more easily, it is uncommon to see rib fractures in the abused child. 5. The pediatric patient will more readily display mediastinal shift with a tension pneumothorax. A) 1, 4, and 5 B) 1, 2, 3, and 5 C) 1, 2, and 5 D) 2, 3, and 4

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Which of the following pulmonary function improvements have been associated with lung vol-ume-reduction surgery (LVRS) in patients with emphysema?

1. Improved exercise endurance 2. Improved FEV1 3. Improved quality-of-life 4. Improved survival a. 1, 3, and 4 only b. 2 and 4 only c. 3 only d. 2, 3, and 4 only

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