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.
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Related Questions
Correct Answer is D
Explanation
A. Wearing shoes with smooth soles can increase the risk of slipping; shoes should have good traction for safety.
B. When using a cane, the proper sequence is to move the cane and the weaker leg forward together, then follow with the stronger leg. This provides support as the weaker leg advances.
C. While moving the cane forward is necessary, the distance should typically be short and adjusted based on the client's comfort and stability.
D. The cane should be held on the stronger (unaffected) side to provide support and stability while moving the weaker leg. This technique promotes proper weight distribution and balance during ambulation.
Correct Answer is B
Explanation
A. Orthostatic hypotension is not a direct risk factor for cardiovascular disease, though it can be related to other health issues.
B. Type 1 diabetes mellitus increases the risk for cardiovascular disease due to chronic hyperglycemia, which can damage blood vessels over time.
C. Osteoporosis is a risk for bone health but is not a cardiovascular risk factor.
D. A BMI of 24 is within the normal range and does not pose a cardiovascular risk.
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