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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.)

A.

Squeeze the client's finger until a blood drop forms.

B.

Apply clean gloves.

C.

Prick the side of the client's finger.

D.

Elevate the client's hand above the level of the heart.

E.

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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Related Questions

Correct Answer is C

Explanation

A. Documenting client education on self-care needs is important but does not specifically relate to the postpartum status or immediate healthcare concerns.
B. While documenting vital signs like oral temperature is important for monitoring the client's health, this specific finding does not relate directly to the postpartum status unless it is elevated beyond normal ranges and indicates a potential complication.
C. Documenting the condition of the episiotomy site, including its approximation and length, is essential for assessing wound healing and preventing infection in the postpartum period.

D. While hydration is important for postpartum recovery, documenting fluid intake is not as crucial as assessing the healing of specific postpartum interventions like an episiotomy.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

​​​​​​

Provider prescription

Expected

Unexpected

Home health evaluation of home safety

X

Vitamin D supplement 2,500 units daily

X

Vitamin D supplement 2,500 units daily

X

Increase caffeine intake

X

Physical therapy for muscle- strengthening and balance-

training

X

Increase daily sun exposure

X
  • Home health evaluation of home safety: Expected, as it can help prevent falls, which are a significant risk for patients with osteoporosis due to increased fracture risk.
  • Vitamin D supplement 2,500 units daily: Expected, since Vitamin D is essential for calcium absorption and bone health, and supplementation is commonly recommended for osteoporosis patients.
  • Calcium 1500 mg po once daily on an empty stomach: Expected, because adequate calcium intake is crucial for maintaining bone density and overall bone health.
  • Increase caffeine intake: Unexpected, as excessive caffeine can interfere with calcium absorption and exacerbate bone density loss.
  • Physical therapy for muscle-strengthening and balance-training: Expected, to improve muscle strength, balance, and coordination, which can help reduce the risk of falls and subsequent fractures.
  • Increase daily sun exposure: Expected, but with caution. While sun exposure helps with Vitamin D synthesis, it should be balanced with skin cancer risk, especially in older adults.

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