The nurse must do a heel stick on an ill neonate to obtain a blood sample. Which is recommended to facilitate this?
a. Apply cool, moist compresses.
b. Apply a tourniquet to ankle.
c. Elevate foot for 5 minutes.
d. Wrap foot in a warm washcloth.
ANS: D
Before the blood sample is taken, the heel is heated with warm moist compresses for 5 to 10 minutes to dilate the blood vessels in the area. Cooling causes vasoconstriction, making blood collection more difficult. A tourniquet is used to constrict superficial veins. It will have an insignificant effect on capillaries. Elevating the foot will decrease the blood in the foot available for collection.
You might also like to view...
As part of a diagnostic workup of a 22-year-old male with recently diagnosed schizophrenia, a neurologist wants to examine the levels of metabolic activity in particular areas of the client's brain
Which of the following diagnostic procedures is the physician most likely to order? A) Computed tomography (CT) B) Electroencephalography (EEG) C) Magnetic resonance imaging (MRI) D) Positron emission tomography (PET)
A measurement tool used to articulate the nursing workload for a specified patient or group of patients over a specific period of time is called:
a. benchmarking c. staffing pattern b. skill mix d. patient classification
A patient saying he is spiritually balanced will demonstrate which of the following characteristics?
a. anxiety c. powerlessness b. hopelessness d. capacity for love
The client is complaining of a metallic taste in their mouth, muscle cramping, and itching skin. The client has been recently diagnosed with renal failure. Which of the following findings is expected by the nurse? (Select all that apply.)
1. Complaints of malaise and fatigue 2. Complaints of generalized weakness 3. Increased blood urea nitrogen levels 4. Decreased creatinine levels 5. Increased serum amylase levels