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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Inflating the catheter's balloon is not appropriate when resistance is encountered before reaching the bladder. It could cause trauma or injury.
B. Lowering the penis to a 45° angle may help facilitate catheter insertion initially, but if resistance is encountered, further interventions are needed.
C. Applying lidocaine gel to the urethra may help with discomfort during catheter insertion but will not address the issue of encountering resistance.
D. Twisting the catheter gently can help navigate any obstructions or curves in the urethra. This maneuver should be performed carefully to avoid causing trauma to the urethral mucosa.

Correct Answer is ["12.5"]

Explanation

To calculate the correct dosage, first convert the child's weight from pounds to kilograms. The child weighs 55 lb, which is approximately 55 ÷ 2.2 = 25kg

The prescribed dose is 50 mg/kg/day, so for a 25 kg child, this would be 25 kg × 50 mg = 1250 mg/day.

Since this is divided into 4 equal doses, each dose would be 1250 mg ÷ 4 = 312.5 mg. 125mg= 5ml

312.5mg= 312.5X5/125

=12.5ml

Therefore, the nurse should administer 12.5 mL per dose.

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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.)

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Naxlex Comprehensive Predictor Exams

A nurse is inserting an indwelling urinary catheter for a male client. After inserting the catheter 15 cm (6 in), the nurse feels resistance and no urine flows through the catheter. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

Correct Answer is ["12.5"]

Explanation

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