83. A phlebotomist is preparing to collect a blood specimen from a patient who has self-reported needle phobia. Which of the following actions should the phlebotomist take?
Answer: B
Instructing the patient to lie supine during the procedure helps manage needle phobia.
Having the patient lie supine can reduce anxiety and the risk of fainting, which is particularly beneficial for individuals with needle phobia. This position can also facilitate easier access for blood collection while providing comfort to the patient.
A) Encourage the patient to chew gum during the procedure.
This option is incorrect as chewing gum does not address the underlying anxiety associated with needle phobia. While it may provide some distraction, it is not a recommended practice for managing a patient's fear during a medical procedure.
B) Instruct the patient to lie supine during the procedure.
This option is correct because lying supine can help alleviate feelings of anxiety and prevent complications such as fainting. It provides a stable and comfortable position for the patient, which is crucial when dealing with phobias related to needles.
C) Place the patient's elbow joint in 90° of flexion.
This choice is incorrect as positioning the elbow in this manner does not specifically help with needle phobia. While it may be necessary for optimal venipuncture technique, it does not address the patient's psychological discomfort during the procedure.
D) Warm the site for 10 min before venipuncture.
This option is incorrect as warming the site primarily aids in venous dilation rather than addressing the anxiety associated with needle phobia. Although it may help improve blood flow, it does not provide emotional support or comfort to the patient.
Conclusion
Instructing the patient to lie supine effectively addresses both the physical and emotional needs of someone with needle phobia, reducing anxiety and the risk of fainting. Other options fail to provide adequate support for the patient's psychological distress during the procedure, highlighting the importance of considering both physical positioning and emotional well-being in clinical practice.