While performing venipuncture, the phlebotomist observes a tissue swelling around the puncture site. He correctly recognizes the formation of a hematoma. The first action he is required to do is:
A ask the patient to apply pressure
B wait and assess the site of the bruise
C call the nurse for help
D release the tourniquet and stop the draw<\/p>\n\n\n\n
The correct answer and explanation is:<\/mark><\/strong><\/p>\n\n\n\n The correct answer is: Explanation:<\/strong> The first step in managing a hematoma is to release the tourniquet<\/strong> if it is still applied. The tourniquet is used to fill the veins with blood to make them more visible and easier to puncture. However, leaving it on too long or when complications like hematoma occur can increase the pressure in the affected area, leading to more blood leakage and worsening the hematoma. Stopping the draw<\/strong> immediately is also crucial to prevent further damage.<\/p>\n\n\n\n After releasing the tourniquet and stopping the draw, the phlebotomist should apply gentle pressure<\/strong> to the site to help reduce the bleeding. This will help minimize the extent of the hematoma. It is also recommended to apply an ice pack to the area to reduce swelling.<\/p>\n\n\n\n Asking the patient to apply pressure<\/strong> (Option A) may not be immediately effective, as the phlebotomist should control the situation by stopping the draw first. Waiting and assessing the site<\/strong> (Option B) may delay appropriate action, which could lead to complications. Calling the nurse for help<\/strong> (Option C) might be necessary if the situation worsens, but the immediate step is to manage the complication by stopping the draw.<\/p>\n","protected":false},"excerpt":{"rendered":" While performing venipuncture, the phlebotomist observes a tissue swelling around the puncture site. He correctly recognizes the formation of a hematoma. The first action he is required to do is:A ask the patient to apply pressureB wait and assess the site of the bruiseC call the nurse for helpD release the tourniquet and stop the […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-272079","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/272079","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=272079"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/272079\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=272079"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=272079"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=272079"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
D. Release the tourniquet and stop the draw<\/strong><\/p>\n\n\n\n
When a phlebotomist notices swelling at the puncture site, it is important to act promptly, as this could indicate the formation of a hematoma. A hematoma occurs when blood leaks from the vein and accumulates in the surrounding tissue, causing bruising and swelling. This can happen if the needle punctures through the vein or if the vein is damaged during the procedure.<\/p>\n\n\n\n