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.
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.
Apply clean gloves.
Correct Answer : B,E
A. Squeezing the client’s finger should be avoided as it can cause hemolysis and affect the accuracy of the blood sample.
B. Pricking the side of the client’s finger is recommended as it tends to be less painful and reduces tissue damage.
C. Elevating the hand above the heart level could reduce blood flow, making it more difficult to obtain a sample.
D. An alcohol swab, not iodine, is typically used to cleanse the site for a capillary blood draw, as iodine can interfere with certain lab results.
E. Applying clean gloves is a standard precaution to prevent contamination and protect both the nurse and the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The gown should be removed after the gloves, followed by goggles and mask.
B. Goggles should be removed after gloves and gown, to minimize contamination risk.
C. The mask is removed last to prevent inhalation of airborne contaminants during the process.
D. Gloves should be removed first because they are the most contaminated. Removing them first reduces the risk of contaminating other areas.
Correct Answer is C
Explanation
A. Urinating after specimen collection can contaminate the stool sample; the client should be instructed to collect the stool first.
B. Stool specimens should be kept cool (usually in a refrigerator) to prevent decomposition, not in a warm area.
C. Avoiding placing toilet tissue in the bedpan after defecation is crucial to prevent contamination of the stool specimen, indicating understanding of proper collection techniques.
D. The typical recommendation for stool specimen collection is usually larger than 1.3 cm (0.5 in) and varies based on the type of test; clarity on this guideline is important.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.