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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Drinking coffee can actually stimulate bowel movements and may help prevent constipation.
B. Opioid pain medications are known to slow bowel motility, which can lead to constipation, making this a risk factor for impaired bowel elimination.
C. Eating fiber-rich foods like apples and black-eyed peas can aid in maintaining regular bowel movements.
D. Adequate hydration, like drinking 2,000 mL of water daily, is beneficial for healthy bowel function and helps to prevent constipation.
Correct Answer is C
Explanation
A. Passive range-of-motion exercises do not provide sufficient bone-strengthening benefits for osteoporosis prevention.
B. Bowling, while weight-bearing, may involve sudden twists and movements that could risk injury for an older adult with osteoporosis.
C. Walking is a weight-bearing exercise that is low-impact, which helps improve bone density and is generally safe and recommended for osteoporosis prevention.
D. Jogging could be too high-impact and increase the risk of fractures in clients at risk for osteoporosis.
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