The nurse is providing discharge instructions to a patient following a bone marrow aspiration. What should the nurse include in the instructions?
"You may resume your normal activities immediately after the procedure."
"Avoid drinking fluids for at least 4 hours after the procedure."
"Refrain from applying any pressure to the site for at least 24 hours."
"Report any signs of infection, such as redness or drainage, to your healthcare provider."
The Correct Answer is D
After a bone marrow aspiration, the patient should be instructed to report any signs of infection at the needle insertion site, such as redness, swelling, drainage, or increased pain, to their healthcare provider for prompt evaluation and treatment.
a. Patients are usually advised to avoid strenuous activities and heavy lifting for a period after the procedure. Normal activities may need to be restricted based on the healthcare provider's instructions.
b. Encouraging the patient to avoid drinking fluids is not appropriate after a bone marrow aspiration. Adequate hydration is essential for recovery and healing.
c. It is important to provide guidance on wound care after the procedure, but instructing the patient to avoid pressure on the site for 24 hours may not be necessary. The healthcare provider's specific instructions regarding wound care should be followed.
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Related Questions
Correct Answer is C
Explanation
In adults, the most common site for bone marrow aspiration is the sternum (breastbone). Other sites that can be used for aspiration include the iliac crest (hip bone) and the posterior superior iliac spine (back of the hip bone).
a. This statement is incorrect. While the femur can be used for bone marrow aspiration in some cases, the sternum is the most common site in adults.
b. This statement is incorrect. The humerus is not a common site for bone marrow aspiration in adults.
d. This statement is incorrect. The tibia is not a common site for bone marrow aspiration in adults.
Correct Answer is D
Explanation
The lateral decubitus position is commonly used for bone marrow aspiration. The patient lies on their side with the knees and hips flexed to provide better access to the sternum or iliac crest.
a. The prone position (lying face down) is not typically used for bone marrow aspiration.
b. The supine position (lying face up) is not the optimal position for bone marrow aspiration as it may limit access to the bone marrow sites.
c. The Trendelenburg position (head down, feet up) is not commonly used for bone marrow aspiration.
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