A nurse is reinforcing teaching with a client who is to undergo a bone marrow aspiration. Which of the following statements should the nurse include in the teaching?

"You will need to fast for 2 hours before the procedure."

"You will have the bone marrow taken from your femur."

"You will not receive a local anesthetic agent for this procedure."

"I will hold pressure on the site after the procedure."

Answer and Explanation

The Correct Answer is D

A. "You will need to fast for 2 hours before the procedure." Bone marrow aspiration typically does not require fasting. If the procedure involves sedation, the client may be instructed to fast for a certain period, but fasting is not a standard requirement for bone marrow aspiration.
B. "You will have the bone marrow taken from your femur." While the femur (thigh bone) can be a site for bone marrow aspiration, the most common site is the posterior iliac crest (the back of the pelvis). The nurse should clarify the exact site with the healthcare provider.
C. "You will not receive a local anesthetic agent for this procedure." Bone marrow aspiration is typically performed under local anesthesia to minimize discomfort at the site. The client will feel pressure during the procedure but should not experience pain due to the anesthesia.
D. "I will hold pressure on the site after the procedure." After a bone marrow aspiration, the nurse will apply pressure to the site to control any bleeding and help prevent hematoma formation. This is an important part of post-procedure care.

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Correct Answer is ["B","D","E"]

Explanation

A. Restrict visitors to family members until the client is able to wear a prosthesis: Restricting visitors may increase isolation and hinder emotional support.
B. Encourage the client to talk with another client who completed rehabilitation for amputation: Peer support can provide emotional reassurance and motivate the client in their recovery process.
C. Instruct the client to ignore phantom pain sensations: Phantom pain is real and should not be dismissed; it requires management through medication or other interventions.
D. Suggest that family members bring clothing for the client from home: Familiar clothing can improve self-esteem and promote adjustment to body image changes.
E. Ask the client to describe her feelings about the loss of the affected limb: Exploring the client’s feelings helps address emotional and psychological aspects of coping with amputation.

A. Ginkgo biloba B. Flaxseed powder C. Probiotics D. Echinacea

Correct Answer is A

Explanation

A. Ginkgo biloba: Ginkgo biloba increases the risk of bleeding when taken with anticoagulants like enoxaparin, as it inhibits platelet aggregation.
B. Flaxseed powder: While flaxseed may have mild anticoagulant properties, it is less likely to pose a significant risk compared to ginkgo biloba.
C. Probiotics: Probiotics do not interact with anticoagulants or increase bleeding risk.
D. Echinacea: Echinacea is primarily used to boost immunity and does not increase bleeding risk.

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A nurse is reinforcing teaching with a client who is to undergo a bone marrow aspiration. Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse at a rehabilitation facility is contributing to the plan of care for a client who has had a below-the-knee amputation. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

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Explanation

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