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","D"]
Explanation
A. Vomiting is a common symptom of NEC. It can occur due to the inflammation and necrosis in the intestines, which disrupt normal digestion and absorption. In NEC, the vomit may also contain bile or even blood, depending on the severity of the condition.
B. Tachypnea, or rapid breathing, can be observed in infants with NEC, though it is not the most specific sign. Tachypnea may result from the body's response to systemic infection or sepsis, which can occur with NEC. However, tachypnea alone is not as directly indicative of NEC compared to other signs.
C. Hypertension (high blood pressure) is not a typical finding associated with NEC. The condition is more commonly linked with signs of gastrointestinal distress and systemic infection. Hypertension is less commonly observed in this context and is not a primary indicator of NEC.
D. A rounded abdomen can be a sign of abdominal distension, which is a key finding in NEC. Abdominal distension occurs due to the accumulation of gas and fluid in the intestines as a result of inflammation and necrosis. This can lead to a visibly swollen or rounded appearance of the abdomen.
Correct Answer is D
Explanation
A. Crying is a common response to post-operative pain. While it should be addressed, it's not the most critical concern.
B. Adequate hydration is essential, but it's not as critical as the risk of hemorrhage.
C. Pain management is crucial, but it's not the most immediate concern.
D. Frequent swallowing is a classic sign of postoperative hemorrhage. It indicates the child is trying to clear blood from the throat. This is the priority assessment finding and requires immediate intervention.
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