When performing a capillary puncture, the nurse should:
a. hold the lancet at a 45° angle to the skin.
b. puncture the skin 5 mm deep.
c. wipe off the first drop of blood with a sterile gauze.
d. apply heat to the puncture site.
ANS: C
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A patient in labor who is dilated 7 cm reports that narcotic pain medication given 3 hours ago has worn off and is asking for another dose. How should the nurse respond to this request?
A) "I will get permission from your doctor.". B) "Your stage of labor makes giving another dose unsafe.". C) "It is too early as the medication should be given only every 4 hours.". D) "Since it has been over 3 hours, you should be able to have more of the medication.".
A patient diagnosed with systemic lupus erythematosus has laboratory values indicative of an exacerbation. Which values should the nurse report to the physician?
Select all that apply. 1. positive antinuclear antibody 2. ESR 120 mm/h 3. trace blood in urine 4. Hgb 14.2 5. sodium 138
The nurse is preparing to administer a drug and learns that it is an indirect-acting cholinergic agonist. The nurse understands that this drug
a. acts on muscarinic receptors. b. acts on nicotinic receptors. c. inhibits cholinesterase. d. inhibits cholinergic receptors.
A nurse is providing discharge teaching to the parents of a 2-day-old neonate. Which of the following information should be included in the discharge teaching on umbilical cord care?
a. Cleanse the cord twice a day with hydrogen peroxide. b. Remove the cord with sterile tweezers if the cord does not fall off by 10 days of age. c. Call the doctor if greenish discharge appears. d. Cover the cord with sterile dressing until it falls off.