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 {"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

Increase daily sun exposure

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.

A. Secure the restraints with a square knot. B. Check the client's range of motion every 6 hr. C. Make sure two fingers fit under the restraints. D. Request a prescription renewal from the provider every 36 hr.

Correct Answer is C

Explanation

A. Securing the restraints with a square knot may be too tight and could restrict circulation or cause injury. Using a quick-release knot is preferable to allow for quick removal if necessary.
B. While it is important to assess the client's range of motion regularly, this action does not directly address the proper application of the restraints.

C. This is the correct action to ensure that the restraints are not too tight, allowing for adequate circulation and preventing injury. The ability to fit two fingers under the restraints ensures that they are applied with proper tension.
D. Requesting a prescription renewal from the provider every 36 hours may be necessary according to facility policy, but it does not directly address the proper application of the
restraints.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Explanation

A nurse is caring for a client who is confused and has a prescription for wrist restraints. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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A nurse is providing end-of-life care to a client who is experiencing dyspnea. Which of the following actions should the nurse take?

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.)