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.

Answer and Explanation

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.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

Infection (Option 1): The patient's WBC count has decreased from 8,000/mm³ (normal range) to 4,000/mm³ (below normal), indicating leukopenia. This puts the client at increased risk for infections, especially since they are undergoing chemotherapy, which can further suppress the immune system.

WBC count (Option 2): The decreased WBC count is a direct indicator of the risk for infection, as a low white blood cell count reduces the body’s ability to fight off infections.

A. "The best time to perform a breast self-examination is on the first day of my period." B. "I can expect to have regular periods until I am in menopause." C. "I might have headaches due to a decline in my estrogen levels." D. "I should stop receiving Papanicolaou tests once I reach menopause."

Correct Answer is C

Explanation

A. The best time for breast self-examination is usually about a week after the period starts when the breasts are less tender.

B. During perimenopause, menstrual cycles can become irregular; the client may not have regular periods until menopause.

C. Declining estrogen levels during perimenopause can indeed lead to various symptoms, including headaches, indicating the client understands the information.

D. Women should continue to receive Papanicolaou tests as recommended by their healthcare provider even after menopause, so this statement is incorrect.

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Body system	Findings
Neurological	Alert and oriented to person, place, and time: deep tendon reflexes 4+
Musculoskeletal	Generalized weakness with equal bilateral muscle strength and mild leg cramping
Respiratory	Lungs clear
Cardiovascular	Heart rate irregular: Heart rate 95/min
Gastrointestinal	Bowel sounds hyperactive x 4 quadrants

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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client. Exhibits Complete the following sentence by using the list of options The client is at risk for developing ___ as evidenced by the client's ___

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

A nurse is reinforcing teaching with a client who is perimenopausal. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client about advance directives. Which of the following client statements indicates an understanding of the teaching?

A nurse is caring for a client who is postpartum. Which of the following documentations should the nurse include in the client's health record?

A nurse in a provider's office is reviewing data from a client's medical record. Which of the following findings should the nurse identify as a risk factor for cardiovascular disease?

A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

A nurse is caring for an adult client who has a developmental disability. The client requires an emergency appendectomy, and the staff cannot reach the appointed guardian. Which of the following is an appropriate action for the nurse to take?

A nurse is reinforcing teaching with a client who has an ostomy. Which of the following statements by the client indicates an understanding of the teaching?