The nurse is performing venipuncture on a client to obtain blood for ordered tests. Which of the following is a recommended guideline for this procedure?
A) Apply the tourniquet about 4 to 6 inches above the proposed site.
B) Check for the presence of an apical pulse and locate a peripheral vein.
C) Ask the client to open and close the fist, ending with an open fist.
D) If a vein is difficult to access, raise the arm above the level of the heart.
A
Feedback:
The correct procedure for venipuncture is to check for presence of a radial pulse. Locate a peripheral vein, apply the tourniquet about 4 to 6 inches above the proposed insertion site, and ask the client alternately to open and close the fist, ending with a closed fist. If a vein is difficult to locate, the nurse should lower the arm below the level of the heart and/or tap or stroke the area, while gently moving away from the heart.
You might also like to view...
The nurse is assessing a patient's stool and notes that the color is red. While the red color does not appear to be blood, the nurse performs a hemoccult test on the stool that is found to be negative
The nurse asks the patient if he has recently consumed which of the following foods that may turn the stool red? A) Beef B) Carrots C) Spinach D) Catsup
The nurse cautions the recovering alcoholic who is on disulfiram (Antabuse) that even the smallest exposure to alcohol can cause: (Select all that apply.)
a. chest pain. b. nausea and vomiting. c. hypertension. d. blurred vision. e. blinding headache.
Which complaint made by a client at 35 weeks of gestation requires additional assessment?
a. Abdominal pain b. Ankle edema in the afternoon c. Backache with prolonged standing d. Shortness of breath when climbing stairs
Which of the following terms refers to the swelling of the optic disc visible upon ophthalmoscopic exam of the fundus?
A) Cataract B) Glaucoma C) Papilledema D) Hordeolum