A nurse is preparing to obtain a capillary blood specimen from a client. Which of the following actions should the nurse take? (Select all that apply.)

Squeeze the client's finger until a blood drop forms.

Apply clean gloves.

Prick the side of the client's finger.

Elevate the client's hand above the level of the heart.

Cleanse the client's finger with an iodine swab.

Answer and Explanation

Correct Answer : B,C

A. Squeezing the client's finger until a blood drop forms can result in hemolysis and inaccurate results; instead, gentle milking or massaging of the finger is recommended.
B. Applying clean gloves is necessary to maintain infection control practices.

C.   Pricking the side of the client's finger is the appropriate technique for obtaining a capillary blood specimen.

D.   Elevating the client's hand above the level of the heart is not necessary and may impede blood flow.
E.   Cleansing the client's finger with an iodine swab helps to disinfect the area prior to obtaining the blood specimen.

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Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

Explanation

At 1000, when the nurse enters the client's room and the client is experiencing an aura followed by generalized jerking contractions of arms and legs, the first action the nurse should take is to ensure the client's safety. This includes removing any potential hazards from the immediate vicinity, such as pillows that could obstruct the airway or cause suffocation.

The next critical action is to turn the client to their side, which helps maintain an open airway, allows for any secretions to drain, and reduces the risk of aspiration should vomiting occur. These steps are vital in managing a seizure and are part of the standard care procedures to protect the client during and after a seizure episode.

A. "I will empty my drainage bag once a day." B. "I will apply antiseptic ointment to the tip of my penis." C. "I will keep the drainage bag below the level of my waist." D. "I will clamp the tube when I go for a walk."

Correct Answer is C

Explanation

Emptying the drainage bag once a day is not frequent enough and could lead to overfilling and potential urinary tract infections.

Applying antiseptic ointment to the tip of the penis is not recommended as it can cause irritation and increase the risk of infection.

Keeping the drainage bag below the level of the waist helps prevent backflow of urine into the bladder and reduces the risk of infection.

Clamping the tube when going for a walk can cause urine to back up into the bladder and increase the risk of infection.

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A nurse is preparing to obtain a capillary blood specimen from a client. Which of the following actions should the nurse take? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a client. Exhibits Complete the following sentence: At 1000 the nurse enters the client's room. The first action the nurse should take is dropdownfollowed by dropdown

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

Explanation

A nurse is reinforcing discharge teaching with a male client who has an indwelling urinary catheter. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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