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.
Apply clean gloves.
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.
Correct Answer : B,C,E
A. Squeezing the client's finger until a blood drop forms can result in hemolysis and inaccurate results; instead, gentle milking or massaging of the finger is recommended.
B. Applying clean gloves is necessary to maintain infection control practices.
C. Pricking the side of the client's finger is the appropriate technique for obtaining a capillary blood specimen.
D. Elevating the client's hand above the level of the heart is not necessary and may impede blood flow.
E. Cleansing the client's finger with an iodine swab helps to disinfect the area prior to obtaining the blood specimen.
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Related Questions
Correct Answer is D
Explanation
A. This response may be perceived as judgmental and could potentially worsen the client's anxiety or stress.
B. While involving the doctor may eventually be necessary, it's important for the nurse to first acknowledge and respect the client's decision.
C. Asking "why" may seem confrontational and might not foster a therapeutic relationship. It's important to respect the client's autonomy and decision-making process.
D. This response acknowledges the client's decision and demonstrates understanding and acceptance, which can help build trust and rapport between the nurse and the client.
Correct Answer is B
Explanation
A. A BMI of 24 is within the normal range and is not typically considered a significant risk factor for cardiovascular disease.
B. Type 1 diabetes mellitus is a significant risk factor for cardiovascular disease due to its
association with insulin deficiency and potential complications such as coronary artery disease.
C. Family history of osteoporosis is a risk factor for osteoporosis, not cardiovascular disease.
D. Orthostatic hypotension, while a medical condition, is not typically considered a direct risk factor for cardiovascular disease.
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