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
Bone marrow aspiration is typically performed with local anesthesia or intravenous sedation, not general anesthesia. General anesthesia is not commonly used for this procedure.
a. Bone marrow aspiration is used to diagnose various hematological conditions, including anemia, so this statement is accurate.
b. Fasting before the procedure is necessary to reduce the risk of aspiration during the procedure and is an appropriate instruction.
d. Bone marrow aspiration can be performed from various sites, including the sternum, iliac crest, or other bones, so this statement is accurate.
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.
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