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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. In nephrotic syndrome, there is significant protein loss leading to edema. Increasing fluid intake would exacerbate the problem. Fluid restriction is often necessary.
B. Daily weight monitoring is crucial in nephrotic syndrome to assess fluid retention and the effectiveness of treatment. Weight gain indicates fluid accumulation.
C. Elevating the child's head and legs can help reduce edema. Supine positioning might worsen it.
D. Adequate nutrition is essential for healing and recovery. Restricting calories is not necessary and could be harmful.

A. Facial twitching B. Kyphosis C. Enuresis D. Constipation

Correct Answer is A

Explanation

A. Facial twitching could be a sign of neurological complications, such as a stroke, which is a serious complication of sickle cell disease. This finding requires immediate medical attention.
B. Kyphosis is a common postural abnormality that can occur in children with sickle cell disease due to chronic pain and limited activity but is not a priority finding.
C. Enuresis, or bedwetting, is not uncommon in children with chronic illnesses but is not a priority finding in this context.
D. Constipation is a common problem in children with sickle cell disease due to dehydration and decreased activity but is not a priority finding.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is B

Explanation

A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?

Correct Answer is A

Explanation

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