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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. Eat a soft diet with increased intake of milk and milk products. B. Eat a high fiber diet and increase fluid intake. C. Have small frequent meals and sit up for at least two hours after meals. D. Eat a bland diet and avoid spicy foods.

Correct Answer is B

Explanation

A. A soft diet may not provide sufficient fiber, which is essential for managing diverticulosis and preventing complications such as diverticulitis.

B. A high fiber diet helps to bulk up stool and promotes regular bowel movements, reducing the risk of complications associated with diverticulosis. Increased fluid intake is also essential to help fiber work effectively in the digestive system.

C. While sitting up after meals can aid digestion, it is not a primary dietary instruction for managing diverticulosis.

D. A bland diet may not be necessary; the focus should be on increasing fiber intake rather than avoiding specific flavors or spices unless they cause discomfort.

A. "I have a headache that gets worse when I sit up." B. "I am having pain in my lower back when I move my legs." C. "I feel sick to my stomach and am going to throw up." D. "My throat hurts badly when I swallow and when I talk."

Correct Answer is A

Explanation

A. A headache that worsens upon sitting up is characteristic of a post-lumbar puncture headache, indicating a potential complication related to cerebrospinal fluid leakage.

B. Pain in the lower back after the procedure can be normal and does not necessarily indicate a complication.

C. Nausea and vomiting can occur but are not specific indicators of a complication following a lumbar puncture.

D. Sore throat when swallowing and talking is not typically associated with lumbar puncture complications and may relate to other causes such as anxiety or dehydration.

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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 B

Explanation

Correct Answer is A

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?