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 D

Explanation

Choice A rationale

Administering ibuprofen to a client with thrombocytopenia is contraindicated because it can further impair platelet function and increase the risk of bleeding. Alternative pain management options should be considered.

Choice B rationale

Instructing the client to shave with a disposable razor increases the risk of cuts and bleeding. An electric razor is safer for clients with thrombocytopenia due to its lower risk of causing injury.

Choice C rationale

Protective isolation is not necessary for thrombocytopenia. It is primarily used for clients with severe immunocompromise to protect them from infections. Thrombocytopenia management focuses on bleeding prevention.

Choice D rationale

Checking the client for ecchymosis is important because it indicates spontaneous bleeding under the skin, which is a common complication of thrombocytopenia. Monitoring for signs of bleeding helps manage and prevent serious outcomes.

Correct Answer is ["10"]

Explanation

Step 1: (25 mg ÷ 12.5 mg) × 5 mL = 2 × 5 mL = 10 mL.

Answer: 10 mL.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the plan of care for a client who has thrombocytopenia.Which of the following actions should the nurse include in the plan?

Correct Answer is D

Explanation

Correct Answer is ["10"]

Explanation

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