A nurse is reinforcing teaching with a client who is to undergo a bone marrow aspiration. Which of the following statements should the nurse include in the teaching?
"You will need to fast for 2 hours before the procedure."
"You will have the bone marrow taken from your femur."
"You will not receive a local anesthetic agent for this procedure."
"I will hold pressure on the site after the procedure."
The Correct Answer is D
A. "You will need to fast for 2 hours before the procedure." Bone marrow aspiration typically does not require fasting. If the procedure involves sedation, the client may be instructed to fast for a certain period, but fasting is not a standard requirement for bone marrow aspiration.
B. "You will have the bone marrow taken from your femur." While the femur (thigh bone) can be a site for bone marrow aspiration, the most common site is the posterior iliac crest (the back of the pelvis). The nurse should clarify the exact site with the healthcare provider.
C. "You will not receive a local anesthetic agent for this procedure." Bone marrow aspiration is typically performed under local anesthesia to minimize discomfort at the site. The client will feel pressure during the procedure but should not experience pain due to the anesthesia.
D. "I will hold pressure on the site after the procedure." After a bone marrow aspiration, the nurse will apply pressure to the site to control any bleeding and help prevent hematoma formation. This is an important part of post-procedure care.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Soft, unformed stools.": This can be expected, depending on the location of the colostomy.
B. "Purplish stoma." A purplish stoma suggests compromised blood flow, which is a medical emergency.
C. "Noticeable stool odor.": Odor is normal with colostomies unless accompanied by infection or other symptoms.
D. "Slight bleeding around the stoma.": Minimal bleeding during cleaning is common and expected initially.
Correct Answer is D
Explanation
A. "I am only contagious while the lesions are present.": Viral shedding can occur even when lesions are not visible.
B. "The virus cannot spread to areas other than the genital area.": The virus can spread to other areas through autoinoculation or sexual contact.
C. "I can have unprotected sex as long as I am taking acyclovir.": Acyclovir reduces outbreaks but does not eliminate the risk of transmission.
D. "The lesions may reoccur in times of stress.": Herpes simplex virus type 2 is latent between outbreaks, but stress and other factors can trigger recurrences.
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