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

Using clean gloves

Answer and Explanation

Correct Answer : B,E

A. Squeezing the client's finger can cause hemolysis and affect test accuracy.
B. Pricking the side of the finger is recommended because it is less painful and provides better blood flow.
C. Keeping the hand below heart level promotes better blood flow; elevating it can reduce blood flow.
D. Alcohol is preferred for cleansing; iodine can interfere with test results.
E. Wearing clean gloves is necessary for infection control and safety.

Nursing Test Bank

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Correct Answer is B

Explanation

Rationale for A: Providing oral care once every 8 hours is not directly related to relieving dyspnea. Oral care addresses comfort related to dry mouth, but it doesn't improve breathing difficulties.

Rationale for B: Repositioning the client every 4 hours can help alleviate dyspnea by improving lung expansion and preventing pooling of secretions. It also helps in reducing pressure injuries, promoting comfort, and preventing complications.

Rationale for C: Placing the head of the bed flat can exacerbate dyspnea by hindering lung expansion. It is recommended to elevate the head of the bed to improve air exchange and breathing.

Rationale for D: While using a fan can help with the sensation of breathlessness, repositioning every 4 hours is a more direct action to support ventilation and reduce dyspnea.

A. Avoid the use of facial gestures during the instructions. B. Determine the client's ability to use a communication board. C. Speak with a loud voice while providing the information. D. Provide the teaching without expecting the client to respond.

Correct Answer is B

Explanation

Rationale:

A. Avoiding the use of facial gestures during the instructions may not be effective for a client with expressive aphasia.

B. Determining the client's ability to use a communication board is appropriate because it helps the nurse understand how the client communicates.

C. Speaking with a loud voice while providing the information may not be effective for a client with expressive aphasia.

D. Providing the teaching without expecting the client to respond may not be effective for a client with expressive aphasia.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing end-of-life care to a client who is experiencing dyspnea. Which of the following actions should the nurse take?

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Explanation

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Correct Answer is B

Explanation

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