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)

Apply clean gloves.

Prick the side of the client's finger.

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

Cleanse the client's finger with an iodine swab.

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

Answer and Explanation

Correct Answer : A,B,E

A. Apply clean gloves: Correct. Gloves should be worn to maintain hygiene and prevent contamination during the blood collection process.

B. Prick the side of the client's finger: Correct. The side of the finger is preferred for capillary blood collection to avoid pain and to ensure a sufficient blood flow.

C. Squeeze the client's finger until a blood drop forms: Incorrect. Squeezing the finger can cause hemolysis and affect the accuracy of the results. Gentle pressure or massaging the area prior to pricking is preferred.

D. Cleanse the client's finger with an iodine swab: Incorrect. Iodine is not used for capillary blood collection; instead, an alcohol swab is used to cleanse the site to prevent contamination and ensure accurate results.

E. Elevate the client's hand above the level of the heart: Correct. Elevating the hand can help with blood flow to the site and improve the ease of obtaining a sample.

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Correct Answer is C

Explanation

A. Keep legs straight.: Keeping legs straight while lifting places undue stress on the back muscles and increases the risk of injury. The correct approach is to bend the knees while keeping the back straight to use the strength of the legs.

B. Bend at the waist.: Bending at the waist while lifting can cause strain on the back muscles and lead to injury. The proper technique involves bending the knees and keeping the back straight to reduce the risk of back injury.

C. Tighten the abdominal muscles.: Tightening the abdominal muscles helps to stabilize the core and support the spine during lifting, which helps to prevent back injury. Engaging the core muscles is an important part of safe lifting techniques.

D. Hold object away from the body.: Holding an object away from the body increases the leverage and strain on the back muscles, which can lead to injury. The object should be held close to the body to maintain better balance and reduce strain.

A. A client who has tuberculosis B. A client who has rubella C. A client who has had varicella D. A client who is HIV-positive

Correct Answer is C

Explanation

A. A client who has tuberculosis: Tuberculosis (TB) is a highly contagious airborne disease. Herpes zoster, or shingles, is transmitted through direct contact with lesions or airborne droplets from lesions, making TB a risky roommate choice due to its airborne transmission.

B. A client who has rubella: Rubella is a viral infection that is spread via respiratory droplets. Given that herpes zoster can cause transmission through lesions, it would be safer to avoid placing this client with someone who has rubella, which can also be contagious through the air.

C. A client who has had varicella: Varicella (chickenpox) and herpes zoster (shingles) are caused by the same virus, varicella-zoster. A client who has had varicella is less likely to contract herpes zoster, making them an appropriate roommate choice as they have already been exposed to the same virus.

D. A client who is HIV-positive: Clients with HIV may have compromised immune systems. While HIV itself isn’t contagious through casual contact, it is prudent to avoid placing them with someone who has a condition like herpes zoster due to the potential for more severe complications in immunocompromised individuals.

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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)

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Naxlex Comprehensive Predictor Exams

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