The nurse is providing discharge instructions to a patient after a bone marrow aspiration. What activity restriction should the nurse include in the instructions?

Avoiding all physical activities for the next 2 weeks

Restricting movements of the affected limb for 48 hours

Avoiding driving or operating heavy machinery for 24 hours

Refraining from consuming solid foods for 12 hours post-procedure

Answer and Explanation

The Correct Answer is C

After a bone marrow aspiration, patients may experience drowsiness or discomfort from the procedure, which can impair their ability to safely operate vehicles or machinery. It is essential to advise the patient to avoid such activities for 24 hours post-procedure.

a. Avoiding all physical activities for the next 2 weeks is not necessary after a bone marrow aspiration. Light activities are usually permitted after the initial recovery period.

b. Restricting movements of the affected limb for 48 hours is not typically required unless specified by the healthcare provider due to complications or the patient's specific condition.

d. Refraining from consuming solid foods for 12 hours post-procedure is not relevant to bone marrow aspiration care. Patients can resume their normal diet unless otherwise indicated by their healthcare provider.

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Correct Answer is C

Explanation

Before a bone marrow aspiration, it is essential to assess the patient's CBC results, including platelet count and coagulation factors. This helps determine the patient's ability to clot effectively and assess the risk of bleeding during and after the procedure.

a. Blood glucose levels are not directly related to bone marrow aspiration and are typically not assessed before the procedure.

b. Serum creatinine levels are not directly related to bone marrow aspiration and are typically not assessed before the procedure.

d. Liver function tests (LFTs) are not directly related to bone marrow aspiration and are typically not assessed before the procedure.

A. Supine position with legs elevated B. Lying flat on the abdomen C. Semi-Fowler's position with the head elevated D. Lateral decubitus position with the knees flexed

Correct Answer is D

Explanation

After a bone marrow aspiration, the nurse should instruct the patient to assume the lateral decubitus position with the knees flexed to help minimize the risk of bleeding and promote clotting at the aspiration site.

a. The supine position with legs elevated is not typically recommended after a bone marrow aspiration as it does not promote clotting at the aspiration site.

b. Lying flat on the abdomen is not recommended after a bone marrow aspiration as it may put pressure on the aspiration site and increase the risk of bleeding.

c. The semi-Fowler's position with the head elevated may be used for comfort, but it does not specifically address clotting at the aspiration site.

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The nurse is providing discharge instructions to a patient after a bone marrow aspiration. What activity restriction should the nurse include in the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing a patient's laboratory results before a bone marrow aspiration. Which laboratory parameter is essential to assess before the procedure?

Correct Answer is C

Explanation

A patient is post-procedure after a bone marrow aspiration. What position should the nurse instruct the patient to assume for at least 30 minutes after the procedure?

Correct Answer is D

Explanation

A patient with unexplained thrombocytopenia is scheduled for a bone marrow aspiration. What is the primary indication for this procedure in this patient?

The nurse is explaining the purpose of a bone marrow aspiration to a patient. What is the primary purpose of this procedure?

A patient with suspected iron-deficiency anemia is scheduled for a bone marrow aspiration. What is the primary indication for this procedure in this patient?

The nurse is reviewing the medical record of a patient who had a bone marrow aspiration. What information should the nurse seek in the medical record to plan appropriate post-procedure follow-up care?

The patient asks the nurse about the potential complications of a bone marrow aspiration. What is the nurse's best response?

A patient underwent a bone marrow aspiration as part of a diagnostic evaluation. What post-procedure care should the nurse prioritize to prevent infection?

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?

The nurse is explaining the purpose of a bone marrow aspiration to a patient. Which statement accurately describes the primary goal of this procedure?