A client is admitted with leukopenia and is scheduled for a bone marrow aspiration. The practical nurse (PN) assists in positioning the client for specimen collection by exposing which site?
Right clavicle and upper thorax.
Left lower abdomen.
Posterior iliac spine.
Lower lumbar vertebrae.
The Correct Answer is C
A. Right clavicle and upper thorax: Not a standard site for bone marrow aspiration.
B. Left lower abdomen: Incorrect; bone marrow aspiration is not performed in the abdomen.
C. Posterior iliac spine: This is the preferred site in adults due to accessibility and safety.
D. Lower lumbar vertebrae: Rarely used; risk of injury to spinal structures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
A. Record automatic blood pressure readings: Measuring and recording vital signs is part of the assessment phase.
B. Develop the initial plan of care: This is part of the planning phase, not assessment.
C. Initiate range of motion exercises: This is part of implementation, not assessment.
D. Gather information about the client's symptoms: Collecting subjective data is part of assessment.
E. Observe for muscle weakness and fatigue: Gathering objective data by observation is part of assessment.
Correct Answer is A
Explanation
A. Have the UAP notify the client in pain that the PN will be in to check on the client after completing the procedure in progress:
Pain assessment and medication administration require licensed personnel. The PN should finish the current task and promptly address the client in pain.
B. Finish measuring the residual and assign the UAP to provide the bolus feeding so the PN can administer an analgesic:
UAPs cannot administer tube feedings unless trained and delegated appropriately, and in most settings, PEG bolus feeding is the PN’s responsibility.
C. Tell the UAP that the client's pain will subside when the client is not disturbed:
Ignoring or delaying pain relief is inappropriate and unethical.
D. Ask the UAP to finish measuring the residual volume while the PN assesses the pain level of the surgical client:
Measuring gastric residual requires clinical judgment and is a PN responsibility, not a UAP task.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
