The nurse is assessing a patient's post-procedure recovery following a bone marrow aspiration. Which finding would require further investigation?
Mild bruising at the aspiration site
Complaints of fatigue and drowsiness
Presence of clear drainage at the aspiration site
Temperature elevation of 100.4°F (38°C)
The Correct Answer is D
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.
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Related Questions
Correct Answer is A
Explanation
After a bone marrow aspiration, the nurse should monitor for signs of infection or other complications, such as fever, chills, and an increased heart rate. These symptoms may indicate an infection or bleeding at the site.
b. This statement is incorrect. Elevated blood pressure and sweating are not typical symptoms of complications after a bone marrow aspiration.
c. This statement is incorrect. Excessive thirst and dry mouth are not typical symptoms of complications after a bone marrow aspiration.
d. This statement is incorrect. Muscle weakness and fatigue are not typical symptoms of complications after a bone marrow aspiration.
Correct Answer is C
Explanation
Encouraging the patient to distract themselves can help alleviate anxiety before the procedure. It allows the patient to focus on something other than the procedure, reducing stress.
a. Administering a sedative medication may be appropriate if ordered by the healthcare provider, but it should not be the first option for addressing anxiety.
b. Providing too much detailed information about potential complications can increase the patient's anxiety. The nurse should offer information in a reassuring and concise manner.
d. Informing the patient that bone marrow aspirations are always painful is incorrect and may cause unnecessary anxiety. The nurse should explain that discomfort can vary among individuals, and pain management measures will be provided during the procedure.
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