A nurse is using a glucometer to measure a client's capillary blood glucose level. Which of the following actions should the nurse take?
Select the central tip of a finger.
Wear sterile gloves.
Keep the finger in a dependent position.
Milk or massage the finger site.
The Correct Answer is C
Choice A Reason:
Select the central tip of a finger is incorrect. The nurse should select a puncture site on the side of the finger, slightly off-center from the central tip, as it tends to be less painful. The side of the finger has an adequate blood supply and can provide an accurate blood sample without causing excessive discomfort.
Choice B Reason:
Wearing sterile gloves is incorrect. Sterile gloves are not typically necessary for routine capillary blood glucose monitoring. However, clean hands and proper hand hygiene are essential. The nurse should perform hand hygiene before the procedure.
Choice C Reason:
Keeping the finger in a dependent position is correct. Keeping the finger in a dependent position (hanging down) can promote blood flow and make it easier to obtain a blood sample. This is a recommended technique to facilitate the puncture and collection of blood.
Choice D Reason:
Milking may hemolyze specimen and introduce excess tissue fluid.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
During ECT, the client is under anesthesia, so they should not be awake or able to feel discomfort. Discomfort should be addressed by the anesthesia and ECT team, and the client would not be able to notify the provider during the procedure.
Choice B Reason:
Clients typically need to be NPO (nothing by mouth) for several hours before ECT, not just 1 hour. This is to reduce the risk of aspiration during the procedure due to the use of anesthesia.
Choice C Reason:
After ECT, clients may experience confusion or disorientation due to the effects of anesthesia and the procedure itself. Providing frequent reorientation helps in reducing confusion and aiding recovery.
Choice D Reason:
ECT treatments are usually scheduled more frequently, typically 2 to 3 times per week at the beginning of the treatment course, rather than monthly.
Correct Answer is A
Explanation
a. Support the client's decision to stop the treatment.
As a nurse, it is important to respect the client's autonomy and right to make decisions about their own care. The decision to stop dialysis treatment is a personal one and should be respected by the healthcare team. The nurse should support the client's decision and provide information and resources to help the client manage symptoms and maintain comfort during the end-of-life process.
It is not appropriate for the nurse to suggest that the client discuss the decision with her family or to discuss alternative treatment methods, as these decisions should be made by the client in conjunction with their healthcare provider.
It may be appropriate to offer spiritual or emotional support to the client, but this should be based on the client's preferences and not imposed upon them by the healthcare team.
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