A patient is post-procedure after a bone marrow aspiration. What position should the nurse instruct the patient to assume for at least 30 minutes after the procedure?
Supine position with legs elevated
Lying flat on the abdomen
Semi-Fowler's position with the head elevated
Lateral decubitus position with the knees flexed
The Correct Answer is D
After a bone marrow aspiration, the nurse should instruct the patient to assume the lateral decubitus position with the knees flexed to help minimize the risk of bleeding and promote clotting at the aspiration site.
a. The supine position with legs elevated is not typically recommended after a bone marrow aspiration as it does not promote clotting at the aspiration site.
b. Lying flat on the abdomen is not recommended after a bone marrow aspiration as it may put pressure on the aspiration site and increase the risk of bleeding.
c. The semi-Fowler's position with the head elevated may be used for comfort, but it does not specifically address clotting at the aspiration site.
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Related Questions
Correct Answer is D
Explanation
The lateral decubitus position is commonly used for bone marrow aspiration. The patient lies on their side with the knees and hips flexed to provide better access to the sternum or iliac crest.
a. The prone position (lying face down) is not typically used for bone marrow aspiration.
b. The supine position (lying face up) is not the optimal position for bone marrow aspiration as it may limit access to the bone marrow sites.
c. The Trendelenburg position (head down, feet up) is not commonly used for bone marrow aspiration.
Correct Answer is C
Explanation
The most critical complication to assess for after a bone marrow aspiration is the development of respiratory distress, shortness of breath, or chest pain, as these symptoms may indicate the occurrence of a pneumothorax, a serious condition that requires immediate medical attention.
a. Increased appetite and thirst are not typically associated with complications of bone marrow aspiration.
b. Mild fatigue and drowsiness are common post-procedure effects and do not require immediate concern.
d. Slight redness and swelling at the site are expected after the procedure and are not indicative of a critical complication.
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