A nurse is preparing to perform a blood glucose test.
After performing hand hygiene and donning gloves, in which order should the nurse perform the following actions to obtain a capillary blood sample?
(Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Squeeze the site gently to obtain a blood droplet.
Allow the site to dry.
Apply blood to the test strip.
Cleanse the site with an antiseptic swab.
Pierce the puncture site quickly.
The Correct Answer is D,B,E,A,C
Choice D rationale
Cleansing the site with an antiseptic swab reduces the risk of infection by removing surface bacteria and contaminants. It is essential to prepare the site adequately for a clean puncture.
Choice B rationale
Allowing the site to dry prevents the antiseptic from diluting the blood sample and ensures accurate readings. Moisture at the puncture site can interfere with the effectiveness of the glucose meter.
Choice E rationale
Piercing the puncture site quickly minimizes discomfort for the client and ensures a clean puncture. A swift puncture reduces the risk of the site becoming overly irritated or bruised.
Choice A rationale
Squeezing the site gently helps to obtain an adequate blood sample without causing excessive damage to the surrounding tissue. It ensures a sufficient droplet size for testing without causing additional trauma.
Choice C rationale
Applying blood to the test strip allows the glucose meter to measure the blood glucose level accurately. It is the final step in obtaining a capillary blood sample for testing. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice D rationale
Easily bruised is a common sign of Cushing's syndrome due to increased cortisol levels, which weaken blood vessel walls, leading to capillary fragility and easy bruising.
Choice A rationale
Jaundice is not a typical finding in Cushing's syndrome. It is usually associated with liver conditions where bilirubin levels increase.
Choice B rationale
Muscle rigidity is not a common symptom of Cushing's syndrome. It is more associated with neurological or muscular disorders.
Choice C rationale
Weight loss is contrary to what is seen in Cushing's syndrome, where weight gain, particularly in the abdomen and face (moon face), is more typical.
Correct Answer is A
Explanation
Choice A rationale
Placing white tape on the edges of stairs helps improve visibility and prevent falls, especially for older adults with vision impairments. This simple modification enhances safety in the home by making the edges of steps more noticeable, reducing the risk of missteps or trips.
Choice B rationale
Area rugs on wooden floors can be a tripping hazard, especially for older adults. They may cause slips or falls if they are not securely anchored, leading to potential injuries. It's generally safer to avoid using loose area rugs in high-traffic areas of the home.
Choice C rationale
Furnaces should be inspected annually, not every 2 years. Regular inspections ensure the furnace operates safely and efficiently, reducing the risk of carbon monoxide leaks or other hazards. An annual inspection is a key component of maintaining a safe home environment.
Choice D rationale
Running wires and cords under carpeting can create a fire hazard and increase the risk of electrical shock. This practice can damage the cords and cause overheating. It's safer to use cord protectors or secure cords along baseboards to prevent accidents.
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