Venipuncture and Blood Cultures

The nurse is caring for a client who needs venipuncture. The client has IV fluids running in the left forearm. The client asks where the nurse will perform the venipuncture. What is the best response by the nurse? -"Anywhere in the right arm." -"Anywhere above the IV in the left arm." -"Anywhere in the left arm." -"Anywhere below the IV in the left arm."

"Anywhere in the right arm."

The nurse is caring for a female client who needs venipuncture. The client has a history of breast cancer. What is an important assessment question for the nurse? -"Have you been diagnosed with anemia?" -"Have you had a recent fever?" -"Have you had chemotherapy?" -"Have you had a mastectomy?"

"Have you had a mastectomy?"

A nurse is attempting to enlarge the veins of a client before venipuncture. Which techniques are appropriate? Select all that apply. -Lightly tap the skin over the vein. -Ask the client to make a fist. -Lower the client's arm before applying the tourniquet. -Leave the tourniquet in place for up to 5 minutes before attempting venipuncture. -Apply a warm compress to the limb before applying the tourniquet.

-Apply a warm compress to the limb before applying the tourniquet., -Ask the client to make a fist., -Lower the client's arm before applying the tourniquet., -Lightly tap the skin over the vein.

A nurse is collecting a venous blood specimen from an adult for culture and sensitivity. Which actions should the nurse perform? Select all that apply. -Collect the specimens at two different times. -Collect the specimens from two different sites. -Collect blood-culture specimens before other specimens. -Insert the needle into the vein at a 45-degree angle to the skin. -Collect two bottles of specimen, totalling 30 mL. -Clean the client's skin at the puncture site with an antimicrobial swab.

-Collect the specimens from two different sites., -Collect two bottles of specimen, totalling 30 mL., -Clean the client's skin at the puncture site with an antimicrobial swab., -Collect blood-culture specimens before other specimens.

The nurse is preparing to perform venipuncture to obtain a venous blood sample. Place the following steps in the correct order. -Apply gentle pressure to the puncture site. -Clean client's skin with antimicrobial swab. -Release tourniquet when blood flows into collection tube. -Reapply a tourniquet 3 to 4 in (3.75 to 10 cm) above the puncture site. -Insert the needle, bevel up, at a 15-degree angle. -Hold the client's arm in a downward position.

1)Clean client's skin with antimicrobial swab. 2)Reapply a tourniquet 3 to 4 in (3.75 to 10 cm) above the puncture site. 3)Hold the client's arm in a downward position. 4)Insert the needle, bevel up, at a 15-degree angle. 5)Release tourniquet when blood flows into collection tube. 6)Apply gentle pressure to the puncture site.

The nurse must obtain a venous blood specimen for culture and sensitivity. The client is very anxious about having the procedure and wants to know each step beforehand. When explaining the procedure, where will the nurse tell the client that the tourniquet will be placed? -1 to 2 in (2.5 to 5 com) below the selected site -3 to 4 (2.5 to 5 com) above the selected site -3 to 4 in (7.5 to 10 cm) below the selected site -1 to 2 in (2.5 to 5 com) above the selected site

3 to 4 (2.5 to 5 com) above the selected site

After the venipuncture site has been selected and disinfected, what should the nurse do next? -Quickly proceed with needle puncture before the cleaning solution has dried. -Avoid touching the clean site prior to needle puncture. -Remove the tourniquet and proceed with the needle puncture. -Repalpate the venous site before needle puncture.

Avoid touching the clean site prior to needle puncture.

The nurse must obtain a venous blood specimen for culture and sensitivity. Why does the nurse gather two separate collection bottles? -Each collection bottle contains a different type of medium allowing for different types of bacteria growth. -To collect extra blood that can be used for future blood tests as well. -To ensure the laboratory has an adequate amount of blood for testing. -A large amount of blood is needed when testing a venous blood specimen for culture and sensitivity.

Each collection bottle contains a different type of medium allowing for different types of bacteria growth.

A nurse is preparing to collect a venous blood specimen for culture and sensitivity from a client. The client has large, distended, highly visible veins in both arms. Which action should the nurse take when collecting blood from this client? -Perform venipuncture using veins in the lower extremities. -Perform venipuncture on an arm without a tourniquet. -Apply warm compresses to the selected site on the arm 15 to 20 minutes before venipuncture. -Stop the procedure and notify the client's health care provider.

Perform venipuncture on an arm without a tourniquet.

A nurse needs to obtain a venous blood sample from a term neonate. On the basis of recent research, which is the method of choice for collecting this client's sample? -Heel lance -Finger lancet -Venipuncture with standard needle -Venipuncture with butterfly needle

Venipuncture with butterfly needle