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A nurse has successfully inserted the Vacutainer needle into the client's right median cubital vein.Next, the nurse will correctly:


A) Draw the appropriate amount of blood.
B) Release the tourniquet to reduce pressure on the vein.
C) Transfer the collected blood into the appropriate evacuated tube.
D) Gently push the Vacutainer tube onto the sheathed end of the needle.

Correct Answer

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The inexperienced nurse labels collection tubes before obtaining the specimen.Which of the following may occur? Select all that apply.


A) The nurse may collect a specimen from the wrong client.
B) The nurse may be more likely to rupture veins.
C) There may be inaccuracy in the time of blood draw.
D) The writing on the label is more legible.
E) The nurse will work more efficiently in the room.

Correct Answer

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The nurse is preparing to perform venipuncture on a client.Which actions should the nurse take? Select all that apply.


A) Wash hands thoroughly.
B) Put on nonsterile gloves.
C) Label all tubes.
D) Arrange tubes in the order the samples will be drawn.
E) Wipe the site with alcohol and fan to dry completely.

Correct Answer

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The nurse is drawing blood on a client who has fragile skin and is obese.Which of the following actions could the nurse take to find and access veins more easily?


A) Apply the tourniquet more tightly than normal.
B) Apply a warm, wet towel to the arm.
C) Keep the client lying supine or sitting in the high Fowler position.
D) Allow the client to stand during venipuncture if the client is more comfortable that way.
E) Apply the tourniquet over a gown or clothing.

Correct Answer

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The nurse is caring for a client who is suspected of having septicemia.The health-care provider has ordered a blood culture specimen.The nurse understands that this specimen should be drawn under which circumstance?


A) After the client has eaten
B) During a temperature spike
C) After the client is given antibiotics
D) While the client is sleeping

Correct Answer

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The nurse has several clients who need to have their blood drawn.For which clients does the nurse anticipate having a more difficult time locating and accessing veins?


A) 30-year-old client who is obese
B) 22-year-old client who is severely dehydrated
C) 17-year-old client with a broken leg
D) 70-year-old client with diabetes
E) 40-year-old client with gallstones

Correct Answer

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A,B,D

The nurse is having difficulty drawing blood from a client.After 1 minute of trying without success, the nurse releases the tourniquet.Why does the nurse perform this action?


A) In clients with hypertension, extended tourniquet use causes increased blood pressure.
B) If the client's skin is fragile, the tourniquet can be uncomfortable.
C) Leaving the tourniquet on longer can cause edema.
D) Laboratory results may be altered if the tourniquet is left on.

Correct Answer

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The nurse is satisfied that a tourniquet is placed correctly on the client's arm when the:


A) Client's arm is cool to the touch.
B) Client is not complaining of discomfort.
C) Arterial pulse distal to the tourniquet is palpable.
D) The visibility of the veins increases.

Correct Answer

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After drawing the client's blood, the nurse will correctly do which of the following?


A) Have the client bend his or her elbow to help stop the bleeding.
B) Apply pressure for at least 1 full minute.
C) Leave the tourniquet on until the client has stopped bleeding.
D) Apply deep pressure for approximately 3 to 5 minutes.

Correct Answer

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A nurse knows that a blood culture specimen must be drawn if it is suspected that the client has:


A) Hemoconcentration.
B) Lymphostasis.
C) Septicemia.
D) Tortuous veins.

Correct Answer

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An experienced nurse is teaching a nursing student.Before drawing the client's blood, the experienced nurse carefully lines up evacuated tubes in the order in which they will be filled.The student nurse asks why the order of the tubes is important.Which response by the experienced nurse is accurate?


A) "This helps us work more efficiently in the room."
B) "Our facility's laboratory has requested this order."
C) "Going out of order may contaminate some of the samples."
D) "We collect the smallest samples first."

Correct Answer

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The nurse correctly understands that a skin puncture should be used for diagnostic tests in which of the following circumstances? Select all that apply.


A) The client is younger than 2 years.
B) The veins are inaccessible.
C) The client's fingers are calloused.
D) A simpler way to obtain blood is desirable.
E) A test requires a large volume of blood.

Correct Answer

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An 86-year-old female client has orders for a complete blood cell count this morning.As part of gathering the necessary equipment to collect the client's blood, the nurse will correctly gather a(n) :


A) Winged-infusion set.
B) Vacutainer holder. 3.50-mL syringe.
C) 18-gauge Vacutainer needle.

Correct Answer

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The nurse has inserted the Vacutainer needle into the client's left median cubital vein, but when the tube is activated, it does not fill with blood.The nurse correctly suspects which of the following?


A) There is no suction in the evacuator tube.
B) The bevel of the needle is damaged in some way.
C) The evacuated tube is too small.
D) The tourniquet is apparently too tight to allow blood to enter the tube.

Correct Answer

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A nursing instructor is preparing a lecture about the difference between veins and arteries.Which of the following statements are accurate? Select all that apply.


A) Veins carry oxygenated blood.
B) Blood pressure is higher in arteries, so arteries have thicker walls.
C) Veins have very few junctions.
D) Veins have valves, whereas arteries do not.
E) Arteries carry deoxygenated blood.

Correct Answer

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As the nurse attempts venipuncture in the client's right hand, the vein rolls.During this time, the client complains of feeling faint and light-headed.Which actions should the nurse take? Select all that apply.


A) Assist the client into the supine position.
B) Use the index finger and thumb of the nondominant hand to anchor the vein above and below the intended venipuncture site.
C) Use a winged-infusion set with a syringe rather than a Vacutainer.
D) Apply heat for several minutes to enhance the visibility of the vein.
E) Apply a cold cloth to the forehead or neck.

Correct Answer

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Which sites may be appropriate for performing venipuncture? Select all that apply.


A) The scalp vein of an infant
B) Skin with incisions
C) Veins that feel ropey
D) The client's arm that has an IV
E) Veins that feel bouncy

Correct Answer

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A,E

To prevent hemolysis after drawing blood, the nurse correctly:


A) Massages the puncture site to produce sufficient blood flow.
B) Pulls back quickly on the plunger of the syringe when drawing blood.
C) Selects a 23-gauge needle or larger.
D) Selects a 24-gauge needle or smaller.

Correct Answer

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A client who was admitted with possible septicemia must have blood cultures drawn.The nurse has correctly drawn blood cultures when:


A) Blood is collected in two separate bottles, one aerobic and the other anaerobic, while the client's temperature is spiked.
B) Blood cultures are drawn on admission to the unit and again when febrile.
C) Two lavender collection tubes of blood have been collected while the client's temperature is elevated above 101°F.
D) The client's blood cultures have been collected using either two anaerobic bottles or two aerobic culture bottles.

Correct Answer

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The following clients need to have their blood drawn.The nurse will perform venipuncture on which of the following? Select all that apply.


A) The hand of an infant
B) The right arm of a mastectomy client who has had a mastectomy on the right side
C) The feet of clients with poor circulation in the extremities
D) The arm of an elderly client with edema
E) The arm of a client who has an old tattoo

Correct Answer

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A,E

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