A client with suspected aplastic anemia is scheduled for a bone marrow aspiration. What would be the best nursing action in the care of this client after a bone marrow aspiration from the left posterior iliac crest?
Hold pressure with a gloved hand directly for 10 minutes,
Administer a transfusion of platelets.
Apply pressure to the puncture site with sterile gauze.
Draw blood for a type and crossmatch and prepare for a blood transfusion.
The Correct Answer is C
A. Holding direct pressure is important, but sterile gauze should be used to reduce infection risk.
B. A platelet transfusion is not routinely given unless the client has severe thrombocytopenia with active bleeding.
C. Applying pressure with sterile gauze is the appropriate nursing intervention to control bleeding and reduce the risk of hematoma formation after a bone marrow aspiration.
D. A type and crossmatch for blood transfusion is unnecessary unless the client has symptomatic anemia requiring intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["42"]
Explanation
The total volume to be infused is 250 mL.
The total time for the infusion is 6 hours.
Infusion rate = Total Volume/time= 250/6
= 41.67 ml/hr
= 42 mL/hr (rounded off to the nearest whole number)
Correct Answer is ["A","B","C","D"]
Explanation
A. Histamine is released by mast cells in response to injury, leading to vasodilation and increased capillary permeability.
B. Vasodilation increases blood flow to the affected area, causing redness and warmth.
C. Increased capillary permeability allows immune cells and proteins to reach the injury site, contributing to swelling.
D. Migration of white blood cells (WBCs) to the injured site helps fight infection and remove damaged tissue.
E. The parasympathetic nervous system is not involved in inflammation; the sympathetic nervous system is more likely to be activated in response to injury.
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