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 ["12.5"]
Explanation
To calculate the dosage, first convert the child's weight to kilograms (1 kg = 2.2 lbs), so 55 lbs is approximately 25 kg. The total daily dose of ampicillin prescribed is 50 mg/kg/day, which for a 25 kg child is 1250 mg/day (50 mg/kg * 25 kg). This total daily dose should be divided into 4 equal doses, resulting in 312.5 mg per dose (1250 mg/day ÷ 4 doses/day). The concentration of the ampicillin suspension is 125 mg/5 mL, so to find out how many mL per dose, divide the dose in mg by the concentration and multiply by the volume: 312.5 mg per dose ÷ 125 mg/5 mL = 2.5 * 5 mL = 12.5 mL per dose. Therefore, the nurse should administer 12.5 mL per dose.
Correct Answer is A
Explanation
A. Asking the client to explain her feelings shows empathy and encourages open communication. It allows the nurse to understand the client's concerns and address them appropriately.
B. Requesting family participation may be helpful, but it does not address the client’s specific feelings of reluctance.
C. While explaining the importance of participation can be beneficial, it may not address the client's emotional response or specific concerns.
D. Simply telling the client it is safe to touch her ostomy does not address her reluctance or provide emotional support.
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