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.

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Moisturizing soap can leave a residue that may interfere with adhesion and is not recommended for stoma care.

B. Pressing the skin barrier for 30 seconds helps to ensure adhesion, which is necessary to prevent leakage and skin irritation.

C. The skin barrier opening should be cut close to the size of the stoma (about 1/8 inch larger) to prevent skin irritation and protect the peristomal skin.

D. Talc powder is not recommended, as it can interfere with the adhesive properties of the barrier.

A. Calf swelling B. Bradycardia C. Clammy skin D. Tortuous veins

Correct Answer is A

Explanation

A. Calf swelling is a common sign of deep-vein thrombosis (DVT) and should be reported as it could indicate a blood clot, which may lead to serious complications if not addressed.

B. Bradycardia is unrelated to DVT and may be due to other underlying conditions.

C. Clammy skin could indicate shock or other systemic issues but is not directly associated with DVT.

D. Tortuous veins are generally a sign of chronic venous insufficiency, not an acute finding indicative of DVT.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has an ostomy. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is collecting data from a client who is immobile and has a potential deep-vein thrombosis. Which of the following findings should the nurse report to the provider?

Correct Answer is A

Explanation

A nurse is preparing to set up a sterile field to change a sterile dressing on a client's abdominal wound. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

A nurse is caring for a client who is postpartum. Which of the following documentations should the nurse include in the client's health record?

A nurse is assisting with the care of a client who has cancer that has metastasized. The client has decided to discontinue chemotherapy treatment. Which of the following responses should the nurse make?

A nurse is reinforcing teaching with a client who is perimenopausal. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who requires a sterile dressing change. The nurse should recognize that the surgical field has been contaminated if which of the following actions occur?

A nurse in a provider's office is reviewing data from a client's medical record. Which of the following findings should the nurse identify as a risk factor for cardiovascular disease?

A nurse is collecting data from an older adult client who lives alone. Which of the following findings should the nurse identify as the priority?

A nurse is showing a newly licensed nurse how to use a mechanical lift. Which of the following statements by the newly licensed nurse indicates an understanding of this assistive device?