The nurse is caring for a patient following a bone marrow aspiration. Which finding requires immediate intervention?
Mild tenderness at the needle insertion site
Bruising and swelling around the aspiration site
Slight elevation in the patient's body temperature
Complaints of tingling and numbness in the extremities
The Correct Answer is D
Complaints of tingling and numbness in the extremities may indicate nerve injury during the procedure and require immediate intervention and assessment by the healthcare provider.
a. Mild tenderness at the needle insert
ion site is a common side effect and does not require immediate intervention.
b. Bruising and swelling around the aspiration site are expected after the procedure and should subside on their own.
c. A slight elevation in body temperature may be a normal post-procedure response and can be monitored without immediate intervention.
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
Complaints of tingling and numbness in the extremities may indicate nerve injury during the procedure and require immediate intervention and assessment by the healthcare provider.
a. Mild tenderness at the needle insert
ion site is a common side effect and does not require immediate intervention.
b. Bruising and swelling around the aspiration site are expected after the procedure and should subside on their own.
c. A slight elevation in body temperature may be a normal post-procedure response and can be monitored without immediate intervention.
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