A nurse is preparing to obtain a capillary blood specimen from a client. Which of the following actions should the nurse take? (Select all that apply.)
Squeeze the client's finger until a blood drop forms.
Apply clean gloves.
Prick the side of the client's finger.
Elevate the client's hand above the level of the heart.
Cleanse the client's finger with an iodine swab.
Correct Answer : B,C,E
A. Squeezing the client's finger until a blood drop forms can result in hemolysis and inaccurate results; instead, gentle milking or massaging of the finger is recommended.
B. Applying clean gloves is necessary to maintain infection control practices.
C. Pricking the side of the client's finger is the appropriate technique for obtaining a capillary blood specimen.
D. Elevating the client's hand above the level of the heart is not necessary and may impede blood flow.
E. Cleansing the client's finger with an iodine swab helps to disinfect the area prior to obtaining the blood specimen.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Room number: Room numbers are not unique identifiers and may change depending on the client's location within the facility.
B. Medical diagnosis: Medical diagnoses are not unique identifiers and may apply to multiple clients.
C. Age: Age alone is not a reliable identifier, as multiple clients may share the same age.
D. Photograph: A photograph is a reliable and unique identifier that can help ensure the correct client receives the correct medications. It allows the nurse to visually confirm the client's identity before administering medications.
Correct Answer is A
Explanation
A. Conducting staff communications away from the client's room reduces noise levels near the client, promoting a quieter environment conducive to sleep.
B. Minimizing unnecessary entries into the client's room during the night helps prevent disruptions to sleep.
C. Turning on the client's TV introduces additional noise and stimulation, which may further disrupt sleep.
D. Alarms on bedside monitoring equipment should not be turned off unless clinically appropriate to ensure the client's safety.
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