The nurse is preparing to assist the physician with a bone marrow biopsy. Which intervention is most important for the nurse to carry out before the procedure?

Drape the biopsy site.

Observe the patient for bleeding.

Explain the procedure to the patient's family.

Administer an analgesic to the patient.

Answer and Explanation

The Correct Answer is D

A.   While draping is essential for maintaining sterility, it's typically done right before the physician performs the biopsy, not as a primary pre-procedure step for the nurse.
B.   Monitoring for bleeding is important after the procedure, not necessarily beforehand.
C.   Although informing the family can be helpful, the patient's understanding and consent are the top priority. Pain management is crucial for patient comfort and cooperation during the procedure.
D.   Administering an analgesic helps reduce the patient's anxiety and discomfort during the bone marrow biopsy, which can be a painful procedure. This improves patient tolerance and allows the physician to perform the procedure more efficiently.

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Free Nursing Study Resources

Correct Answer is ["A","B","D"]

Explanation

A. Hodgkin's disease is characterized by the presence of Reed-Sternberg cells, which are large, abnormal lymphocytes.
B. Enlarged, painless lymph nodes, particularly in the neck, armpits, or groin, are characteristic of Hodgkin's disease.
C. Skeletal pain is not a typical symptom of Hodgkin's disease. Patients may experience generalized symptoms such as fatigue, fever, and weight loss.
D. Hodgkin's disease has a relatively high cure rate, especially in comparison to other types of lymphomas. Advances in treatment have improved outcomes for many patients with Hodgkin's disease.
E. Philadelphia chromosome is associated with chronic myeloid leukemia, not Hodgkin's disease.

A. Encourage the client to consume at least 2 L of fluid daily. B. Monitor intake and output hourly C. Provide ibuprofen for retroperitoneal discomfort. D. Provide a diet high in protein.

Correct Answer is B

Explanation

A. In the oliguric phase of acute kidney injury, fluid intake may need to be restricted rather than encouraged to prevent fluid overload.
B. Hourly intake and output monitoring is crucial for managing fluid balance and assessing the progression of kidney injury. Close monitoring can help prevent fluid overload, which is a risk due to the reduced urine output. It also aids in the timely adjustment of fluid administration and the detection of any changes in the client's condition that may necessitate intervention.
C. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen are contraindicated in acute kidney injury as they can further impair renal function.

D. In the oliguric phase, protein intake may need to be restricted to reduce the workload on the kidneys and minimize azotemia. A high-protein diet can increase the burden on already compromised kidneys due to the increased production of urea, a byproduct of protein metabolism that requires excretion by the kidneys.

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The nurse is preparing to assist the physician with a bone marrow biopsy. Which intervention is most important for the nurse to carry out before the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following are characteristics of Hodgkin's disease? (Select All that Apply.)

Correct Answer is ["A","B","D"]

Explanation

A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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