67. Which of the following samples should a phlebotomist present to the laboratory first for processing?

Answer: C

Explanation:

A stat potassium level from a patient in the emergency room

A stat potassium level from a patient in the emergency room should be presented first for processing because it is critical to assess potassium levels promptly, especially in emergency situations where imbalances can lead to serious complications.

A) A sodium level from a patient who has a DNR order

This option is not the best choice because while sodium levels are important, they do not typically require immediate processing, especially in the context of a do-not-resuscitate (DNR) order. The urgency of processing is less compared to a stat potassium level.

B) A hemoglobin and hematocrit level from a patient who is postoperative

While hemoglobin and hematocrit levels are important for evaluating a postoperative patient, they are generally not as critical as a potassium level in an emergency setting. Therefore, this sample does not take precedence over a stat potassium level.

C) A stat potassium level from a patient in the emergency room

This is the correct answer as it highlights the urgency required for potassium testing in an emergency scenario. Elevated potassium levels can lead to life-threatening conditions, necessitating immediate attention and processing.

D) A peak antibiotic level from a patient who is NPO

Although monitoring antibiotic levels is important, it is not as urgent as a stat potassium level, particularly in an emergency context. This option should follow the more critical tests that assess immediate patient safety.

Conclusion

The urgency of processing a stat potassium level from a patient in the emergency room is paramount due to the potential life-threatening consequences of potassium imbalances. Other options, while important, do not present the same immediate risk to the patient’s health, making them less critical for initial processing in comparison to the stat potassium level.