During a bone marrow aspiration procedure, the patient reports severe pain at the site of the needle insertion. What should the nurse do first?
Apply a warm compress to the site
Administer pain medication as ordered
Document the patient's complaint in the medical record
Notify the healthcare provider immediately
The Correct Answer is D
Severe pain during a bone marrow aspiration may indicate complications or improper needle placement. The nurse should notify the healthcare provider immediately to assess the patient and take appropriate actions.
a. Applying a warm compress may not be appropriate for severe pain during a bone marrow aspiration. The cause of the pain needs to be addressed first.
b. Administering pain medication as ordered may not be sufficient for severe pain during the procedure. The healthcare provider needs to evaluate the patient's condition and decide on further interventions.
c. While documenting the patient's complaint is essential, it should not be the first action when the patient reports severe pain during a procedure. Addressing the patient's immediate needs and notifying the healthcare provider take priority.
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Correct Answer is B
Explanation
Obtaining informed consent from the patient is an essential pre-procedure action. It ensures that the patient is aware of the procedure, its risks, benefits, and alternatives, and gives their voluntary permission for the bone marrow aspiration.
a. Administering intravenous antibiotics is not typically part of the pre-procedure care for bone marrow aspiration. Antibiotics are usually administered if there is a risk of infection, but it is not a routine pre-procedure action.
c. Providing a high-calorie meal before the procedure is not necessary for bone marrow aspiration. In fact, patients may be advised to have a light meal or be NPO (nothing by mouth) for a certain period before the procedure.
d. Restricting fluid intake for 8 hours before the procedure is not recommended for bone marrow aspiration. Patients are usually advised to maintain adequate hydration before the procedure.
Correct Answer is C
Explanation
To prevent infection, the nurse should prioritize keeping the aspiration site clean and dry with sterile dressings. This reduces the risk of contamination and promotes wound healing.
a. Administering intravenous antibiotics for 24 hours post-procedure is not a standard practice for routine bone marrow aspirations unless specifically indicated by the healthcare provider due to the patient's medical history or risk factors.
b. Strict isolation precautions are not necessary after a bone marrow aspiration, as the procedure is typically performed in a sterile environment and does not pose an infectious risk to others.
d. While proper nutrition is important for overall recovery, consuming a high-protein diet is not directly related to preventing infection after a bone marrow aspiration.
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