A nurse is preparing to collect a capillary blood specimen from the heel of a 4-month-old infant. Which of the following actions should the nurse take?
Wipe the site with alcohol after the puncture.
Puncture the outer aspect of the heel.
Apply a cool pack to the heel prior to the procedure.
Use a surgical blade to obtain the specimen.
The Correct Answer is B
A. Factor VIII concentrate is used to treat hemophilia, not iron deficiency anemia.
B. Ferrous sulfate is an iron supplement commonly used to treat iron deficiency anemia.
C. Good oral hygiene is important but it does not directly address the underlying issue of iron deficiency anemia.
D. There is no need for protective precautions in iron deficiency anemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A"]
Explanation
Given the child's recent motor vehicle accident and subsequent orthopedic surgeries, assessing the peripheral circulation is crucial. Comparing pedal pulses helps to determine the adequacy of blood flow to the lower extremities and identify any potential complications such as compartment syndrome. This assessment should be prioritized immediately.
While assessing pain, sedation level, and rechecking temperature are all important, they do not take precedence over assessing the child's circulation and perfusion status following major orthopedic surgeries.
Correct Answer is C
Explanation
A. During a 24-hour urine collection, all urine produced over the 24-hour period should be collected in a single container. The final specimen (the last urine voided at the end of the 24 hours) should be added to the same container as the rest of the collected urine, not saved separately.
B. For a 24-hour urine collection, there is no need to cleanse the perineum with a povidone-iodine solution before each collection. The focus should be on collecting all urine over the 24-hour period in the designated container. However, proper hygiene practices are important to avoid contamination.
C. The 24-hour urine collection starts after the first void of the day, which should be discarded. The collection begins with the second void and continues until the same time the next day, including the final void. Discarding the first void is essential to ensure that the collection accurately reflects the urine produced over a full 24-hour period.
D. During a 24-hour urine collection, the client should void as needed but collect all urine produced over the 24 hours in the designated container. There is no requirement to void every hour; the key is to ensure that every drop of urine is collected and included in the total 24-hour collection period.
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