The nurse is caring for a patient after a bone marrow aspiration. Which of the following symptoms should the nurse monitor for as potential complications?
Fever, chills, and increased heart rate
Elevated blood pressure and sweating
Excessive thirst and dry mouth
Muscle weakness and fatigue
The Correct Answer is A
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.
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Correct Answer is C
Explanation
Bone marrow aspiration is a procedure used to obtain a sample of the bone marrow for diagnostic purposes. It is commonly performed to assess and diagnose various blood disorders, such as leukemia, anemia, and other hematological conditions. It is also used to detect cancers that may originate in the bone marrow.
a. This statement is incorrect. Bone marrow aspiration is not used to assess lung function. Lung function is typically evaluated through respiratory tests, such as spirometry or arterial blood gas analysis.
b. This statement is incorrect. Bone marrow aspiration is not used to diagnose heart conditions. Heart function is usually assessed through cardiac tests, such as electrocardiography (ECG) or echocardiography.
d. This statement is incorrect. Bone marrow aspiration is not used to assess kidney function. Kidney function is typically evaluated through blood and urine tests, such as creatinine clearance or serum electrolytes.
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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