. A nurse is assisting with the collection of a bone marrow specimen from a preschooler. Which of the following actions should the nurse take?

Place the child in prone position to expose the posterior iliac crest.

Position the child side-lying to expose the vertebrae.

Place the child supine with legs flexed outward into a frog-like position.

Position the child sitting with their buttocks at the edge of the table.

Answer and Explanation

The Correct Answer is A

A. The posterior iliac crest is the typical site for bone marrow aspiration in children. Placing the child in the prone position allows for proper access to the site while ensuring the child remains safe and stable during the procedure.

B. Positioning the child side-lying would expose the vertebrae but is not an optimal position for accessing the iliac crest for bone marrow aspiration.

C. The frog-like position (supine with legs flexed outward) is not an appropriate position for a bone marrow aspiration, as it does not provide the best access to the iliac crest or posterior iliac crest.

D. Sitting with the buttocks at the edge of the table would not adequately expose the posterior iliac crest, making it unsuitable for bone marrow aspiration.

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Correct Answer is C

Explanation

A. Aspirin is contraindicated for children due to the risk of Reye's syndrome, a potentially fatal condition associated with aspirin use in children under the age of 18.

B. Administering acetaminophen at this frequency could result in overdose or liver damage, especially in children. Acetaminophen should be given at appropriate intervals (usually every 4–6 hours) as per the prescribed dosage.

C. Lowering the temperature of the room can help reduce the child’s fever without overcooling. A comfortable room temperature helps to prevent further heat retention and promotes the child's comfort.

D. An ice bath can cause shivering, which could raise the body temperature and cause additional harm. It is not recommended for fever reduction in children.

A. Increased pulse B. Maculopapular rash C. Headache D. Wheezing

Correct Answer is D

Explanation

A. An increased pulse may occur as a response to a variety of factors, including the infection or the administration of the antibiotic, but it does not necessarily indicate a severe allergic reaction.

B. A maculopapular rash could be a mild allergic reaction or side effect to the antibiotic, but it is not as immediately concerning as wheezing, which could indicate an anaphylactic reaction.

C. A headache can be a side effect of antibiotics, but it is not typically an urgent concern unless accompanied by other signs of severe allergic reactions.

D. Wheezing is a critical finding and could indicate an allergic reaction or anaphylaxis, a potentially life-threatening condition. This symptom requires immediate attention and is the priority to report to the provider.

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. A nurse is assisting with the collection of a bone marrow specimen from a preschooler. Which of the following actions should the nurse take?

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