A nurse is caring for a client who has anorexia related to AIDS.
Which of the following laboratory values should the nurse monitor to confirm the client's nutritional intake is adequate?

Choice A rationale

Fasting is not required before a bone marrow aspiration, as the procedure does not involve anesthesia requiring an empty stomach. Preparation focuses on minimizing anxiety and ensuring access to the site, rather than dietary restrictions.

Choice B rationale

Local anesthetic agents are administered during a bone marrow aspiration to numb the insertion site and reduce pain. This intervention is crucial for client comfort and is standard practice in most healthcare facilities.

Choice C rationale

Pressure is applied to the aspiration site immediately after the procedure to control bleeding. Bone marrow aspiration involves penetrating the bone, and applying pressure helps achieve hemostasis and reduces the risk of complications such as hematoma formation.

Choice D rationale

The bone marrow is typically aspirated from the iliac crest (hip bone) rather than the femur. This site is preferred because it is more accessible, less painful for the client, and contains sufficient marrow for analysis.

Choice A rationale

Pulling the glove cuff over the wrist of the gown ensures a proper seal, reducing the risk of exposure to pathogens during respiratory suctioning. This technique is a standard practice in PPE protocols to maintain contamination prevention and does not indicate improper teaching.

Choice B rationale

Removing gloves after completing suctioning is an essential step in infection control. Gloves are contaminated during the procedure, and removing them first prevents cross-contamination when handling other parts of PPE or surfaces.

Choice C rationale

An N95 respiratory mask is required to protect the healthcare worker from inhaling airborne pathogens during suctioning for clients with pneumonia. It is essential for respiratory protection in procedures involving potential aerosolization of infectious particles.

Choice D rationale

Limiting conversation with the client while wearing a mask is not scientifically grounded as an infection control measure. Masks are designed to prevent pathogen transmission without restricting verbal communication, making this statement incorrect and in need of correction.