NCLEX-PN

Remember that effective communication and education are crucial in promoting client understanding and compliance. Tailor your approach to each client's individual needs and preferences, and ensure they

feel empowered and informed about their healthcare journey. Blood Sample Collection: Peripheral and Central Line Collecting blood samples from different sources requires precise steps: Peripheral Venous Blood Samples 1.​ Perform hand hygiene 2.​ Don gloves 3.​ Tube Preparation: Assemble the appropriate laboratory tubes for specimen collection. 4.​ Site Selection: Choose a suitable site for venipuncture. 5.​ Tourniquet Placement: Position the tourniquet on the client's arm, around 3 to 4 inches above the selected site. 6.​ Vein Palpation: Gently feel for the vein to ensure proper placement.

10.​ Needle Insertion: Insert a sterile needle into the vein at a 15 to 30-degree angle. 11.​ Tube Attachment: Attach the collection tube to the needle's tubing. 12.​ Tourniquet Removal: Remove the tourniquet once the last tube is filled. 13.​ Needle Removal: Carefully withdraw the needle. 14.​ Gauze Application: Apply sterile gauze with enough pressure to prevent bleeding for 1 to 2 minutes. 15.​ Gauze Removal: Afterward, remove the gauze. 16.​ Bandage Application: Cover the puncture site with an adhesive bandage. 17.​ Specimen Labeling: Ensure proper labeling of the specimen with all required data per facility protocols.

7.​ Site Cleaning: Use an alcohol prep pad to clean the site in a circular pattern, extending from the puncture site to its surroundings. 8.​ Drying: Allow the cleaned area to air dry. 9.​ Client's Cooperation: Ask the client to form a fist to make the vein more accessible.

Central Line Blood Samples

Some central venous catheters have multiple lumens. To obtain a blood sample:

1.​ Port Cleansing: Cleanse the port that will be used for drawing the sample with alcohol. Scrub the hub for 10 -15 seconds generating friction

2.​ Blood Disposal: Discard a small amount of blood to clear the line.

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