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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?

A.

Select another finger.

B.

Apply pressure to the site.

C.

Assess radial pulse volume.

D.

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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View Related questions

Correct Answer is C

Explanation

A. While sipping fluids with meals can help prevent discomfort, it is generally recommended to avoid drinking fluids during meals to minimize the risk of overfilling the stomach.

B. Reducing intake of fatty foods is important, but it is not as critical as managing portion sizes and meal frequency after gastric bypass surgery.

C. Eating small frequent meals is crucial after gastric bypass surgery because it helps manage the reduced stomach capacity and promotes better nutrient absorption while preventing dumping syndrome and discomfort.

D. Chewing slowly and thoroughly is a good practice to aid digestion, but it is not as essential as the need for portion control and meal frequency following the surgery.

Correct Answer is C

Explanation

A. Oxycodone is an opioid analgesic used for moderate to severe pain management but is not typically the first-line medication in acute coronary syndrome scenarios.

B. Fentanyl is a potent opioid that may be used for severe pain; however, morphine is more commonly used in emergency situations for chest pain related to potential myocardial infarction.

C. Morphine is commonly used in emergency departments for the management of acute chest pain, particularly when associated with myocardial ischemia. It helps reduce pain and anxiety, lowers myocardial oxygen demand, and has vasodilatory effects that can alleviate the burden on the heart.

D. Hydromorphone is another opioid analgesic but is not usually the preferred choice for chest pain in the acute setting compared to morphine.

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