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.
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.
Apply clean gloves.
Correct Answer : B,E
A. Squeezing the client’s finger should be avoided as it can cause hemolysis and affect the accuracy of the blood sample.
B. Pricking the side of the client’s finger is recommended as it tends to be less painful and reduces tissue damage.
C. Elevating the hand above the heart level could reduce blood flow, making it more difficult to obtain a sample.
D. An alcohol swab, not iodine, is typically used to cleanse the site for a capillary blood draw, as iodine can interfere with certain lab results.
E. Applying clean gloves is a standard precaution to prevent contamination and protect both the nurse and the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Applying antiseptic ointment is generally not recommended as it can cause irritation and may introduce bacteria.
B. Keeping the drainage bag below waist level helps maintain proper urine flow and reduces the risk of backflow, which can cause infection.
C. The drainage bag should be emptied when it is about half full, not only once a day, to prevent backflow and infection.
D. Clamping the tube is not advised as it could lead to urine retention and increase the risk of infection.
Correct Answer is D
Explanation
A. Postponing the procedure could put the client’s health at risk.
B. If the client cannot provide informed consent due to a developmental disability, they are not considered able to consent independently.
C. The provider does not sign the consent form on behalf of the client in this situation; rather, implied consent is used in emergencies.
D. In an emergency situation where delaying treatment could harm the client, implied consent allows for immediate life-saving procedures without waiting for guardian consent.
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