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The nurse is obtaining a client's fingerstick glucose level. After gently milking the client's finger, the nurse observes that the distal tip of the finger appears reddened and engorged. Which action should the nurse take?

Select another finger.

Apply pressure to the site.

Assess radial pulse volume.

Collect the blood sample.

Answer and Explanation

The Correct Answer is A

A. Selecting another finger is the best action to prevent discomfort and ensure an accurate blood sample. The reddened and engorged tip may indicate that milking the finger caused bruising or altered blood flow, which can affect the glucose reading.

B. Applying pressure to the site may be appropriate after collecting a sample, but it does not address the issue of obtaining an accurate sample from an engorged finger.

C. Assessing radial pulse volume is not relevant in this situation and does not address the problem at hand.

D. Collecting the blood sample from a reddened and engorged finger could yield an inaccurate result, so it is better to select a different finger.

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A. Assess the pulses proximal to the fracture site. B. Assess the pin sites for signs of infection. C. Administer pain medication at designated intervals around the clock. D. Remove traction every shift and provide skin care.

Correct Answer is A

Explanation

A. Assessing the pulses proximal to the fracture site is crucial for evaluating blood circulation to the affected limb and detecting potential complications such as compartment syndrome.

B. While monitoring pin sites for signs of infection is important, the priority is ensuring adequate circulation.

C. Administering pain medication is essential for comfort but does not address potential complications from skeletal traction.

D. Removing traction every shift is not advisable as it can compromise the alignment and healing of the fracture.

A. Obtain a keyboard designed to limit wrist flexion. B. Take a multivitamin that contains vitamin D daily. C. Keep both hands elevated during work breaks. D. Use a space heater to keep the workspace warm.

Correct Answer is D

Explanation

A. While obtaining a keyboard designed to limit wrist flexion may be beneficial for ergonomics, it does not specifically address the symptoms or management of Raynaud's syndrome.

B. Taking a multivitamin with vitamin D may not have a direct impact on Raynaud's syndrome and is generally unrelated to the specific concerns of this condition.

C. Keeping hands elevated during breaks does not effectively address the primary concern of temperature regulation that affects Raynaud's syndrome.

D. Using a space heater is a practical measure that can help keep the workspace warm, thereby reducing the likelihood of Raynaud's attacks, which are triggered by cold temperatures and stress.

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The nurse is obtaining a client's fingerstick glucose level. After gently milking the client's finger, the nurse observes that the distal tip of the finger appears reddened and engorged. Which action should the nurse take?

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Correct Answer is A

Explanation

Correct Answer is D

Explanation

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Take full exam for free The nurse is obtaining a client's fingerstick glucose level. After gently milking the client's finger, the nurse observes that the distal tip of the finger appears reddened and engorged. Which action should the nurse take?

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The nurse is obtaining a client's fingerstick glucose level. After gently milking the client's finger, the nurse observes that the distal tip of the finger appears reddened and engorged. Which action should the nurse take?