Nokea
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?
- A. Allow the site to dry.
- B. Pierce the puncture site quickly.
- C. Squeeze the site gently to obtain a blood droplet.
- D. Cleanse the site with an antiseptic swab.
- E. Apply blood to the test strip.
Correct Answer: D,A,B,C,E
Rationale: The order is: Cleanse with antiseptic (D), allow to dry (A), pierce (B), squeeze for blood (C), and apply to strip (E) for an accurate, sterile sample.
You may also like to solve these questions
A nurse is contributing to the plan of care for a client who has influenza. Which of the following interventions should the nurse include in the plan?
- A. Have the client wear a surgical mask during transport.
- B. Wear an N95 mask while providing care to the client.
- C. Administer an influenza immunization to the client.
- D. Place the client in a negative airflow room.
Correct Answer: A
Rationale: A surgical mask during transport prevents droplet spread of influenza. An N95 and negative airflow are for airborne diseases, and immunization isn't given during active infection.
A nurse is caring for a client who has a new diagnosis of tuberculosis (TB). The client asks the nurse why she needs to take four different antituberculotic medications. Which of the following replies should the nurse make?
- A. The organism that causes TB becomes resistant to antituberculotic medications when you only take one medication.
- B. Taking several antituberculotic medications will protect your liver from toxic effects.
- C. People who have a severe form of TB need several antituberculotic medications, but those who have less severe TB need just one medication.
- D. Adverse effects occur more often and are more severe when you take only one antituberculotic medication.
Correct Answer: A
Rationale: Multiple medications prevent resistance in TB treatment, as Mycobacterium tuberculosis can quickly adapt to a single drug, necessitating a combination regimen.
A nurse is reinforcing teaching with a client who will be wearing a Holter monitor for the next 24 hr. Which of the following information should the nurse include?
- A. You will need to record daily activities in a diary.
- B. You should remove the electrodes when you go to bed.
- C. You can bathe while wearing the electrodes.
- D. You should not have sexual intercourse while the monitor is in place.
- E. Avoid exercise entirely.
- F. Keep the monitor in water.
- G. Remove it if it beeps.
Correct Answer: A
Rationale: Recording activities helps correlate symptoms with heart activity; electrodes stay on, and bathing is avoided.
A nurse is reviewing a client's medical history to identify risk factors for osteoporosis. The nurse should identify that which of the following findings is a risk factor for developing steps
- A. Age 45 years
- B. Regular aerobic exercise
- C. Uses NSAIDS for pain relief
- D. Smokes cigarettes
Correct Answer: D
Rationale: Smoking increases osteoporosis risk by decreasing bone mass. The other options do not directly contribute to osteoporosis development.
A nurse is contributing to the plan of care for a client who is starting bowel training for the management of fecal incontinence. Which of the following interventions should the nurse recommend?
- A. Assist the client to the restroom 30 min after meals.
- B. Limit the client's physical activity until bowel continence is achieved.
- C. Limit the client's fluid intake to 1500 mL/day.
- D. Instruct the client to limit their intake of high-fiber foods
Correct Answer: A
Rationale: Assisting to the restroom 30 minutes after meals leverages the gastrocolic reflex to promote bowel regularity. Limiting activity, fluids, or fiber would hinder continence efforts.