The nurse is providing pre-procedure education to a patient scheduled for a bone marrow aspiration. Which of the following statements by the patient indicates a need for further teaching?
"I should let the nurse know if I am taking any blood-thinning medications."
"I will need to avoid eating or drinking anything for 12 hours before the procedure."
"I should avoid strenuous activities for a day or two after the bone marrow aspiration."
"I will need to lie still during the procedure to minimize the risk of complications."
The Correct Answer is B
Unlike some other procedures that require fasting, bone marrow aspiration does not usually require the patient to fast. Fasting is not necessary for this procedure.
a. This statement is correct. It is essential to inform the healthcare team if the patient is taking any blood-thinning medications, as they may need to be temporarily discontinued before the procedure to reduce the risk of bleeding.
c. This statement is correct. After a bone marrow aspiration, the patient should avoid strenuous activities for a day or two to minimize the risk of complications and allow the site to heal.
d. This statement is correct. During the bone marrow aspiration procedure, the patient will be asked to lie still to ensure accurate needle placement and reduce the risk of complications.
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Related Questions
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.
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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