The nurse is obtaining a client's fingerstick glucose level. After gently milking the client's finger, the nurse observes that the distal tip of the finger appears reddened and engorged. Which action should the nurse take?
Select another finger.
Assess radial pulse volume.
Collect the blood sample.
Apply pressure to the site.
The Correct Answer is D
D. Applying pressure to the site helps to reduce engorgement and promote normal blood flow. This action can help alleviate the localized congestion and ensure a more accurate fingerstick glucose measurement. Once the pressure is applied and the congestion subsides, the nurse can proceed with collecting the blood sample.
A. While selecting another finger may be considered if the initial fingerstick attempt was unsuccessful or if the fingertip is excessively traumatized, it may not be necessary if the observation of redness and engorgement can be addressed with appropriate pressure application to the site.
B. Assessing radial pulse volume is not directly relevant to addressing the observed redness and engorgement of the fingertip after milking. This action is more appropriate for evaluating peripheral circulation and arterial perfusion in other clinical contexts
C. Collecting the blood sample without addressing the observed redness and engorgement of the fingertip may result in a suboptimal sample quality and could cause discomfort or further tissue trauma to the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}
Explanation
Inflammation and discoloration are key symptoms of an acute gout attack.
- Inflammation: This occurs when urate crystals in the joints trigger an immune response, causing swelling, redness, warmth, and significant pain.
- Discoloration: Typically presents as redness over the affected joint, due to increased blood flow and inflammation, highlighting the body's response to the crystal deposits.
These symptoms help healthcare providers identify and treat gout, focusing on reducing inflammation and managing uric acid levels.
Correct Answer is ["0.4"]
Explanation
Volume (mL) = Dose (units) / Concentration (units/mL) Given:
Dose of penicillin: 200,000 units Concentration of penicillin: 500,000 units/mL Plugging in the values:
Volume (mL) = 200,000 units / 500,000 units/mL Volume (mL) = 0.4 Ml
So, the nurse should administer 0.4 mL of penicillin to the client.
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