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.

Answer and Explanation

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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Correct Answer is D

Explanation

A. Providing teaching without expecting the client to respond does not facilitate communication or ensure the client understands the information. The goal is to enhance communication, not to bypass it.

B. Speaking with a loud voice is unnecessary and can be counterproductive. Expressive aphasia affects the client’s ability to express themselves, not their hearing. Speaking loudly will not improve the client's ability to understand or communicate.

C. Avoiding facial gestures is not recommended. Non-verbal communication, such as facial expressions and gestures, can be valuable in helping the client understand the information being conveyed.

D. Determining the client’s ability to use a communication board is the most appropriate action. A communication board can help the client express their needs and understand instructions more effectively, making it a valuable tool for reinforcing teaching in clients with expressive aphasia.

A. Overweight B. Ideal body weight C. Obese D. Underweight

Correct Answer is A

Explanation

A. BMI of 29 falls within the overweight range, which is typically defined as a BMI between 25 and 29.9.
B. A BMI of 29 does not fall within the ideal body weight range, which is typically considered to be between 18.5 and 24.9.
C. Obesity is typically classified as a BMI of 30 or higher. While a BMI of 29 is close to the obese range, it falls within the overweight category.
D. A BMI of 29 does not fall within the underweight range, which is typically considered to be a BMI below 18.5.

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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.)

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Naxlex Comprehensive Predictor Exams

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