The nurse is preparing to obtain a blood specimen. Which step should the nurse implement when preparing for venipuncture?
a. Tie the tourniquet in a knot.
b. Use the tourniquet for at least 1 minute.
c. Place the tourniquet 5 to 10 cm (3 to 4 inches) above the selected site.
d. Apply the tourniquet tight enough to oc-clude distal pulses.
C
The nurse places the tourniquet around and above the selected site by 5 to 10 cm (3 to 4 inches) and tightens the tourniquet enough to occlude venous return but not distal pulses. A slipknot or a Velcro strip should be used for a quick, one-handed release of the tourniquet. The nurse should try to have the tourniquet in place for no longer than a minute, depending on the patient. The nurse is able to occlude the venous return without occluding arterial blood flow because the ar-terial system is a higher pressure system and thus requires more pressure to stop blood flow than a vein requires.
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A client is receiving a blood product. What should the nurse monitor for while the client is receiving this treatment? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected
1. Proteinuria 2. Hematuria 3. Dyspnea 4. Pruritus 5. Hyperglycemia
The nurse is providing support to parents at the time their child is diagnosed with chronic disabilities. The nurse notices that the parents keep asking the same questions. The nurse should:
a. Patiently continue to answer questions. b. Kindly refer them to someone else to answer their questions. c. Recognize that some parents cannot understand explanations. d. Suggest that they ask their questions when they are not upset.