A nurse is preparing to obtain a blood sample from a newborn's heel. In what order should the nurse perform the procedure? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Apply a warm cloth to the newborn's heel for 5 to 10 min.

Clean the area with an antiseptic.

Puncture the outer aspect of the newborn's heel.

Collect the blood specimen.

Apply pressure to the site with a dry gauze pad.

Answer and Explanation

The Correct Answer is A,B,C,D,E

Choice A Reason:

Applying a warm cloth to the newborn's heel helps dilate the blood vessels, making it easier to obtain a blood sample by increasing blood flow to the area. This can improve the likelihood of a successful blood draw and minimize discomfort for the newborn.

Choice B Reason:

Cleaning the area with an antiseptic, such as alcohol or iodine solution, helps reduce the risk of introducing bacteria or other contaminants into the puncture site. This step is essential for preventing infection and ensuring the safety of the procedure.

Choice C Reason:

Puncturing the outer aspect of the newborn's heel with a lancet or other sterile device allows access to capillary blood vessels, from which a blood sample can be obtained. This step should be performed quickly and accurately to minimize discomfort and trauma to the newborn.

Choice D Reason:

After puncturing the newborn's heel, blood will start to flow from the capillaries. The nurse should collect the necessary amount of blood into a collection device, such as a microtainer or capillary tube, for laboratory analysis. It's important to ensure proper labeling of the specimen to prevent mix-ups.

Choice E Reason:

After obtaining the blood sample, applying pressure to the puncture site with a dry gauze pad helps promote clotting and minimize bleeding. This step is crucial for preventing excessive bleeding and ensuring the newborn's comfort. The pressure should be applied for an adequate amount of time to allow the blood to clot effectively.

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Correct Answer is A

Explanation

Choice A Reason:

Flank pain is correct. Pyelonephritis is a urinary tract infection (UTI) that involves the kidneys. Common manifestations of pyelonephritis include flank pain, which is usually unilateral and may be accompanied by fever, chills, and malaise. Flank pain is often described as a deep, dull ache or a sharp, stabbing pain in the back or side of the affected kidney.

Choice B Reason:

A temperature of 37.7°C (99.8°F) may indicate a low-grade fever, which can be associated with pyelonephritis. However, fever alone is not specific to pyelonephritis and can occur with various infections or inflammatory conditions.

Choice C Reason:

Abdominal cramping is not a typical manifestation of pyelonephritis. While some individuals with pyelonephritis may experience nonspecific abdominal discomfort or pain, the hallmark symptom is flank pain, which is localized to the back or side overlying the affected kidney.

Choice D Reason:

Epigastric discomfort, or discomfort in the upper abdomen, is not a typical manifestation of pyelonephritis. Epigastric discomfort is more commonly associated with gastrointestinal issues such as gastritis, peptic ulcer disease, or gallbladder problems. In pyelonephritis, the pain is typically localized to the flank region.

Correct Answer is ["8"]

Explanation

First, convert the total dose to milligrams:

2 g = 2000 mg

Then, divide the total dose by the strength of each tablet:

2000 mg / 250 mg/tablet = 8 tablets

Rounding the answer to the nearest whole number, the nurse should administer 8 tablets of 250 mg each to provide a total dose of 2 g of metronidazole.

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A nurse is preparing to obtain a blood sample from a newborn's heel. In what order should the nurse perform the procedure? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is at 30 weeks of gestation. Which of the following findings should the nurse identify as a manifestation of pyelonephritis?

Correct Answer is A

Explanation

A nurse is preparing to administer metronidazole 2 g PO to a client who has trichomoniasis. Available is metronidazole 250 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["8"]

Explanation

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