A nurse is obtaining a 2-hr postprandial blood glucose from a client. Which of the following actions should the nurse take?

Select the lateral side of the finger for puncture.

Hold the finger above the heart prior to puncture.

Smear the blood onto the reagent strip.

Puncture the finger while still damp with antiseptic solution.

Answer and Explanation

The Correct Answer is A

Explanation

Choice A Reason:

Selecting the lateral side of the finger for puncture is a correct. The lateral side of the finger is often recommended for blood glucose testing as it is less sensitive and typically produces less discomfort for the client compared to other areas of the finger.

Choice B Reason:

Holding the finger above the heart prior to puncture is not necessary for obtaining a blood glucose sample. Holding the finger above the heart could potentially affect the blood flow and result in an inaccurate reading.

Choice C Reason:

Smearing the blood onto the reagent strip is not correct. The blood should be applied directly to the designated area on the reagent strip without smearing to ensure accurate testing.

Choice D Reason:

Puncture the finger while still damp with antiseptic solution is not correct. Puncturing the finger while it is still damp with antiseptic solution can dilute the blood sample and interfere with accurate testing. The finger should be dried thoroughly before obtaining the blood sample.

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Correct Answer is C

Explanation

Choice A Reason:

"Have you noticed any swelling in your feet?" This question is inappropriate. Swelling in the feet is not directly related to postoperative pain following a cesarean birth. While swelling may indicate other issues such as fluid retention, it is not typically a primary indicator of pain requiring PRN pain medication.

Choice B Reason:

"Do you have any leakage from your incision?" This question is inappropriate. Leakage from the incision may indicate wound complications such as infection or dehiscence, but it does not specifically assess pain. PRN pain medication would be indicated based on the client's reported pain level, rather than the presence of incisional leakage alone.

Choice C Reason:

"Do you notice increased cramping with breastfeeding?" This question is appropriate. After a cesarean birth, it is common for women to experience cramping, especially during breastfeeding. This is due to the release of oxytocin, a hormone that helps the uterus contract back to its pre-pregnancy size. Increased cramping with breastfeeding can exacerbate postoperative pain in women who have undergone a cesarean birth. Therefore, asking about increased cramping with breastfeeding is an important question to assess pain and determine if additional pain medication is needed.

Choice D Reason:

"Are you able to pass gas?" This question is inappropriate. Passing gas is an important aspect of gastrointestinal function but is not directly related to postoperative pain following a cesarean birth. While constipation and gastrointestinal issues can contribute to discomfort, asking about the ability to pass gas does not specifically assess pain or indicate the need for PRN pain medication.

A. Vulva lesions B. Malodorous discharge C. Urinary frequency D. Thick, white vaginal discharge

Correct Answer is B

Explanation

Choice A Reason:

Vulva lesions are not typically associated with trichomoniasis. Trichomoniasis primarily affects the vagina and cervix rather than the vulva.

Choice B Reason:

Malodorous discharge is a common symptom of trichomoniasis. The discharge may have a strong, unpleasant odor.

Choice C Reason:

Urinary frequency is not a typical symptom of trichomoniasis. However, some individuals may experience mild urinary symptoms such as burning or discomfort during urination.

Choice D Reason:

Thick, white vaginal discharge is more indicative of a yeast infection (such as candidiasis) rather than trichomoniasis. Trichomoniasis typically presents with a frothy, yellow-green, or gray vaginal discharge.

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A nurse is obtaining a 2-hr postprandial blood glucose from a client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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