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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
An elevation in body temperature to 100.4°F (38°C) or higher may indicate the development of an infection and requires further investigation and evaluation by the healthcare provider.
a. Mild bruising at the aspiration site is a common post-procedure finding and does not require further investigation unless accompanied by excessive bleeding or other complications.
b. Complaints of fatigue and drowsiness are typical post-procedure effects and do not require immediate concern.
c. Clear drainage at the aspiration site is expected during the healing process and is not indicative of a complication.
Correct Answer is D
Explanation
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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