What is the order of tube collection for a capillary puncture according to CLSI?
a.) tubes without additives, tubes with additives, EDTA
b.) EDTA, tubes without additives, all other tubes
c.) EDTA, tubes with other additives, tubes without additives
d.) varying depending on the importance of the test ordered
Ans: c.) EDTA, tubes with other additives, tubes without additives
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The nurse observes the anesthesiologist confirm the placement of the endotracheal tube (ET) using two different methods: a primary method and a secondary method. A secondary method of confirmation of ET placement includes:
A) Visualization of the ET through the vocal cords B) Auscultation of breath sounds in five areas on the chest C) Use of a CO2 detector D) Bilateral chest expansion
A female client receiving fluoxymesterone for metastatic breast cancer is disturbed by the physical changes seen in her body
The nurse provides support to the client based on assessment of which of the following features the client is experiencing related to this therapy? A) Deepening of the voice B) Hypopigmentation of the skin C) Decrease in clitoris size D) Increase in body weight
Which documentation entry reflects objective data?
a. An area of erythema is noted on the upper right extremity, measuring approximately 1 ? 4 inches. b. The patient complains of pain in the right left quadrant (RLQ) of the abdomen and rates it 5 on a pain scale of 1 to 10. c. The family states that the patient does not sleep at night and wanders around the house. d. The medical history reveals a history of drug abuse.
A student nurse is observing a client's heart rate and notices a regular rhythm, heart rate of 45, 1 p wave followed by 1 QRS, PR interval of 0.16 seconds and a QRS complex of 0.06 seconds. The student nurse identifies this rhythm as which of the following?
a. Atrial fibrillation b. Normal sinus rhythm c. Sinus bradycardia d. Atrial flutter