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Zorluk: KolayReduction of Risk Potential

A practical nurse is preparing to perform a capillary blood glucose test for an adult client with diabetes mellitus. To ensure an accurate result and reduce the risk of complications, in which order should the nurse perform the following steps? Arrange the actions in the correct chronological sequence.

  1. 1Perform hand hygiene and put on clean gloves.
  2. 2Cleanse the lateral aspect of the finger with an alcohol swab and allow it to air dry.
  3. 3Puncture the side of the fingertip using a sterile lancet.
  4. 4Wipe away the first drop of blood using a clean gauze pad.
  5. 5Apply the next drop of blood to the reagent test strip.

Cevap

The correct sequence is: perform hand hygiene and don gloves, cleanse the site and let it air dry, puncture the finger, wipe away the first drop of blood, and finally apply the second drop of blood to the test strip.
Following the correct chronological sequence ensures that standard precautions are maintained, the site is properly prepped without alcohol interference, and the specimen is undiluted by tissue fluid. This methodical approach directly reduces the risk of inaccurate laboratory results and subsequent incorrect insulin administration.

Adım Adım Çözüm

1
Perform hand hygiene and put on clean gloves.
Standard precautions are established.
Reduces the risk of pathogen transmission between the nurse and the client.
2
Cleanse the lateral aspect of the finger with an alcohol swab and allow it to air dry.
The puncture site is prepared and free of wet alcohol.
Wet alcohol can mix with the blood sample, causing inaccurate readings and increased pain for the client.
3
Puncture the side of the fingertip using a sterile lancet.
Capillary blood flow is initiated.
The lateral aspect of the finger provides adequate blood flow with less discomfort than the center of the finger pad.
4
Wipe away the first drop of blood using a clean gauze pad.
Interstitial fluid is removed from the puncture site.
The initial drop contains tissue fluid that can dilute the blood and result in a falsely low glucose reading.
5
Apply the next drop of blood to the reagent test strip.
An accurate glucose measurement is obtained.
The second drop consists of pure capillary blood, reducing the risk of clinical errors based on false lab values.

Anahtar Kavram

Proper procedural technique for capillary blood glucose testing to ensure accurate diagnostic values.
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