A nurse is preparing to obtain a blood sample from an adult client for a capillary blood glucose test. Which of the following sites should the nurse select?

The pad of the thumb

The pinna of the ear

The pad of the big toe

The side of the ring finger

Answer and Explanation

The Correct Answer is D

Choice A Reason:

The pad of the thumb is not typically recommended for capillary blood glucose testing. While it is possible to obtain a blood sample from the thumb, it is less commonly used due to the thickness of the skin and the presence of more nerve endings, which can make the procedure more painful. Fingertips, especially the sides of the fingers, are preferred because they have a rich supply of capillaries and are less painful.

Choice B Reason:

The pinna of the ear is not a standard site for capillary blood glucose testing. This area is not commonly used because it is less accessible and may not provide a reliable blood sample. The fingertips are more practical and provide consistent results due to their capillary density.

Choice C Reason:

The pad of the big toe is also not a common site for capillary blood glucose testing. Similar to the thumb, the skin on the toes is thicker and may be more painful to puncture. Additionally, the toes are less convenient and hygienic for frequent testing compared to the fingers.

Choice D Reason:

The side of the ring finger is one of the most recommended sites for capillary blood glucose testing. This area is preferred because it has a good capillary supply, making it easier to obtain an adequate blood sample. Additionally, the sides of the fingers are less sensitive than the pads, reducing discomfort during the procedure. Using the sides of the fingers also helps to avoid the more sensitive central part of the fingertip.

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Correct Answer is D

Explanation

Choice A Reason: Constricted Pupils

Constricted pupils, also known as miosis, are typically associated with opioid use or exposure to certain toxins. While opioids are sometimes used to manage chronic pain, constricted pupils are not a direct result of chronic pain itself. Therefore, this option is not the correct answer.

Choice B Reason: Bradycardia

Bradycardia, or a slower than normal heart rate, is not commonly associated with chronic pain. Chronic pain can lead to various physiological responses, but a significant reduction in heart rate is not typically one of them. This makes bradycardia an unlikely choice.

Choice C Reason: Diaphoresis

Diaphoresis, or excessive sweating, is more commonly associated with acute pain or stress responses rather than chronic pain. Chronic pain tends to have more long-term psychological and physiological effects rather than immediate autonomic responses like sweating. Hence, this is not the correct answer.

Choice D Reason: Depression

Depression is a well-documented consequence of chronic pain. Chronic pain can significantly impact a person’s quality of life, leading to feelings of hopelessness, sadness, and a lack of interest in daily activities. The persistent nature of chronic pain often results in psychological distress, making depression a common finding in individuals suffering from chronic pain.

A. Move quickly to a position in front of the client. B. Remain upright as the client falls toward them. C. Allow the client to slide down their outstretched leg. D. Place their arms around the client to prevent the fall.

Correct Answer is C

Explanation

Choice A Reason:

Moving quickly to a position in front of the client is not recommended. This action could result in both the nurse and the client falling, potentially causing injury to both parties.

Choice B Reason:

Remaining upright as the client falls toward them is incorrect. This action does not provide adequate support or control, increasing the risk of injury to the client.

Choice C Reason:

Allowing the client to slide down their outstretched leg is the correct action. This technique helps control the fall and minimizes the risk of injury by providing a controlled descent to the floor.

Choice D Reason:

Placing their arms around the client to prevent the fall is not advisable. This action can lead to both the nurse and the client falling, which could result in injuries.

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A nurse is preparing to obtain a blood sample from an adult client for a capillary blood glucose test. Which of the following sites should the nurse select?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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