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.

Answer and Explanation

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

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Correct Answer is E,B,D,C,A

Explanation

Choice Erationale

Clamping the catheter tubing distal to the sampling port for 15 minutes helps to ensure that enough urine is collected in the tubing for an adequate sample.

Choice B rationale

Wiping the sample port with an alcohol wipe and letting it dry is essential to prevent contamination of the specimen with microorganisms from the outside of the port.

Choice D rationale

Attaching a sterile needleless syringe to the sample port and aspirating the specimen prevents the introduction of infection and ensures that the sample is sterile.

Choice Crationale

Emptying the urine into a sterile container labeled with the client's identifiers ensures proper identification and prevents contamination of the sample.

Choice Arationale

Documenting in the client's electronic medical record that the specimen was sent to the laboratory provides a record of the procedure and helps ensure that the sample is properly processed.

A. Weigh the client before and after the treatment. B. Use clean gloves when handling dialysate bags. C. Chill the dialysate prior to infusion. D. Monitor the client for diarrhea.

Correct Answer is A

Explanation

Choice A rationale

Weighing the client before and after peritoneal dialysis helps assess fluid balance and ensure that the correct amount of fluid is removed during treatment. Monitoring weight changes is critical for evaluating the effectiveness of the dialysis.

Choice B rationale

Clean gloves are not sufficient for handling dialysate bags; sterile technique is required to prevent infection. Peritoneal dialysis involves a sterile procedure to reduce the risk of peritonitis.

Choice C rationale

The dialysate should be warmed to body temperature before infusion to prevent discomfort and vasoconstriction. Chilling the dialysate can cause abdominal cramping and reduce the effectiveness of the treatment.

Choice D rationale

Monitoring for diarrhea is not a standard part of peritoneal dialysis care. Peritonitis, not diarrhea, is a common complication of peritoneal dialysis, so monitoring for signs of infection is crucial.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is obtaining a sterile urine specimen from a client who has an indwelling urinary catheter. Identify the sequence the nurse should follow.

Correct Answer is E,B,D,C,A

Explanation

A nurse is assisting with the care of a client who is receiving peritoneal dialysis.Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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