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. An elevated hemoglobin level generally does not affect the pulse oximeter reading directly.
B. Nail polish, especially dark colors, can interfere with the pulse oximeter’s ability to read oxygen saturation accurately by blocking the light sensor.
C. While fever can increase metabolic rate, it does not directly affect the pulse oximeter reading itself.
D. A ring worn on the finger does not interfere with oxygen saturation measurement, as the sensor typically focuses on the fingertip.
Correct Answer is D
Explanation
A. Gathering personal belongings is appropriate for safekeeping or distribution to family members.
B. Closing the client’s eyes is part of respectful postmortem care.
C. Washing the client’s face is a standard part of preparing the body for viewing.
D. Dentures are typically left in place to maintain facial structure and present a natural appearance for family visitation.
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