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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Inflating the catheter's balloon is not appropriate when resistance is encountered before reaching the bladder. It could cause trauma or injury.
B. Lowering the penis to a 45° angle may help facilitate catheter insertion initially, but if resistance is encountered, further interventions are needed.
C. Applying lidocaine gel to the urethra may help with discomfort during catheter insertion but will not address the issue of encountering resistance.
D. Twisting the catheter gently can help navigate any obstructions or curves in the urethra. This maneuver should be performed carefully to avoid causing trauma to the urethral mucosa.
Correct Answer is D
Explanation
A. Confidential health information should not be disclosed to family members without the
client's consent unless there is a legal or ethical obligation to do so, such as in cases of imminent harm or emergency situations.
B. Health information should not be disclosed to an employer without the client's consent unless required by law or for specific occupational health purposes.
C. Health information should not be disclosed to an insurance agency without the client's consent unless required by law or for specific insurance-related purposes.
D. Health information may be disclosed to a medical interpreter service as necessary to facilitate communication between the client and healthcare providers. However, the interpreter should be informed of confidentiality obligations.
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