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 C
Explanation
A. It is not necessary for the client to remain supine for 10 minutes after administering otic medication. Typically, only a few minutes are needed to ensure the medication stays in the ear canal.
B. Pulling the pinna downward and back is the correct technique for children. For adults, the pinna should be pulled upward and back to straighten the ear canal.
C. Holding the ear dropper 1 cm from the ear prevents contamination while allowing for precise medication administration into the ear canal.
D. Cleansing the ear with isopropyl alcohol can cause irritation and is not generally required prior to otic medication administration.
Correct Answer is A
Explanation
A. Disclosing information to a medical interpreter is permissible for providing direct care to the client and does not require written consent. This action is part of necessary communication to ensure proper understanding of care.
B. Sharing information with a family member without the client’s consent is a breach of confidentiality, except in specific situations allowed by law.
C. Disclosing information to an employer for pre-employment screening would require explicit client consent due to confidentiality laws.
D. Providing information to an insurance agency for a life insurance policy would also require the client’s consent.
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