Nokea
A nurse is obtaining a 2-hr postprandial blood glucose from a client. Which of the following actions should the nurse take?
- A. Puncture the finger while still damp with antiseptic solution.
- B. Smear the blood onto the reagent strip.
- C. Hold the finger above the heart prior to puncture.
- D. Select the lateral side of the finger for puncture.
Correct Answer: D
Rationale: The correct answer is D: Select the lateral side of the finger for puncture. This is important because the lateral side of the finger has fewer nerve endings, which can reduce pain for the client. Puncturing the finger while still damp with antiseptic solution (choice A) can dilute the blood sample and affect the accuracy of the test. Smearing the blood onto the reagent strip (choice B) can lead to incorrect results due to inadequate blood volume or improper application. Holding the finger above the heart prior to puncture (choice C) can increase blood flow and may result in a higher blood glucose reading. Therefore, selecting the lateral side of the finger for puncture is the most appropriate action to ensure accurate and less painful blood glucose monitoring.
You may also like to solve these questions
A nurse is caring for a client who has a placenta previa. Which of the following findings should the nurse expect?
- A. Spotting
- B. Nausea
- C. Polyhydramnios
- D. Uterine tenderness
Correct Answer: A
Rationale: Spotting is a common symptom of placenta previa due to the abnormal placement of the placenta near or over the cervix. Nausea, polyhydramnios, and uterine tenderness are not typically associated with this condition.
Which of the following nursing actions should the nurse plan to take? For each potential nursing action, click to specify it the intervention is indicated or contraindicated for the client.
- A. Insert a large bore intravenous catheter.
- B. Assess cervical dilation.
- C. Weigh perineal pads.
- D. Administer methotrexate.
Correct Answer: A, C
Rationale: Inserting a large bore IV catheter is indicated to manage potential hemorrhage. Weighing perineal pads helps quantify blood loss. Assessing cervical dilation is contraindicated as it may exacerbate bleeding. Administering methotrexate is not relevant in this context.
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider?
- A. Substernal retractions
- B. Acrocyanosis
- C. Overlapping suture lines
- D. Head circumference 33 cm (13 in)
Correct Answer: A
Rationale: Substernal retractions are a sign of respiratory distress in newborns and require immediate medical attention to ensure proper oxygenation.
What is the recommended method of screening for group B streptococcus during pregnancy?
- A. Culture of a vaginal swab
- B. Rapid antigen test of a vaginal swab
- C. PCR test of a vaginal swab
- D. All of the above
Correct Answer: A
Rationale: Culture of a vaginal swab is the recommended method for screening for group B streptococcus during pregnancy.
Which of the following is a potential barrier to implementing evidence-based practice in maternal and newborn healthcare?
- A. Resistance to change
- B. Limited access to technology
- C. Lack of funding
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Resistance to change can hinder implementation as healthcare professionals may be reluctant to adopt new practices. Limited access to technology can impede the use of evidence-based tools and resources. Additionally, lack of funding can prevent healthcare facilities from investing in necessary training and resources for evidence-based practice. Therefore, all these factors collectively serve as potential barriers to implementing evidence-based practice in maternal and newborn healthcare.