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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
An elevation in body temperature to 100.4°F (38°C) or higher may indicate the development of an infection and requires further investigation and evaluation by the healthcare provider.
a. Mild bruising at the aspiration site is a common post-procedure finding and does not require further investigation unless accompanied by excessive bleeding or other complications.
b. Complaints of fatigue and drowsiness are typical post-procedure effects and do not require immediate concern.
c. Clear drainage at the aspiration site is expected during the healing process and is not indicative of a complication.
Correct Answer is C
Explanation
To prevent infection, the nurse should prioritize keeping the aspiration site clean and dry with sterile dressings. This reduces the risk of contamination and promotes wound healing.
a. Administering intravenous antibiotics for 24 hours post-procedure is not a standard practice for routine bone marrow aspirations unless specifically indicated by the healthcare provider due to the patient's medical history or risk factors.
b. Strict isolation precautions are not necessary after a bone marrow aspiration, as the procedure is typically performed in a sterile environment and does not pose an infectious risk to others.
d. While proper nutrition is important for overall recovery, consuming a high-protein diet is not directly related to preventing infection after a bone marrow aspiration.
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