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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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Correct Answer is B

Explanation

A. While the use of corticosteroid cream is relevant to treatment, it does not indicate a new cause for symptom exacerbation.

B. The introduction of a new dog could be a potential allergen, triggering an exacerbation of the client's eczema symptoms.

C. Receiving an influenza immunization is unlikely to be related to eczema exacerbations and is not a common trigger.

D. An old friend with eczema does not present a direct cause for the current exacerbation and is less relevant to the client's current condition.

Correct Answer is D

Explanation

A. While safe sex practices can reduce the risk of STIs, they do not eliminate the risk entirely, especially in cases where partners have multiple sexual partners.

B. Not all STIs are transmitted solely through sexual intercourse; some can be transmitted through other means, making this statement overly simplistic.

C. It's important to note that asymptomatic individuals can still be carriers of STIs, so this statement may give a false sense of security.

D. Teaching the importance of adhering to the medication regimen and ensuring follow-up appointments is critical in managing gonorrhea effectively and preventing complications or reinfection. This approach emphasizes the importance of treatment compliance and ongoing health management.

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