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 B
Explanation
A. Restraint prescriptions typically need to be renewed at least every 24 hours, not every 36 hours, to comply with regulatory standards.
B. Ensuring that two fingers fit under the restraints is essential to confirm that they are not too tight, allowing for circulation and comfort while still securing the client.
C. Checking the client's range of motion should occur more frequently than every 6 hours; ideally, it should be assessed more regularly to prevent complications.
D. Restraints should be secured using a quick-release knot, not a square knot, to ensure they can be removed easily in an emergency.
Correct Answer is A
Explanation
A. Starting mammograms at age 40 is recommended by various health organizations for average-risk women, making this the correct choice.
B. Breast ultrasounds are not typically recommended as routine screening for average-risk women; mammograms are preferred.
C. While breast self-examinations can be beneficial, starting them at age 35 is not a standard recommendation; they are often advised from age 20.
D. Annual breast examinations by a provider starting at age 30 is not a common guideline; it is typically recommended to have clinical exams every 1 to 3 years starting at age 20, and annually after age 40.
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