The nurse is preparing to assist the physician with a bone marrow biopsy. Which intervention is most important for the nurse to carry out before the procedure?
Drape the biopsy site.
Observe the patient for bleeding.
Explain the procedure to the patient's family.
Administer an analgesic to the patient.
The Correct Answer is D
A. While draping is essential for maintaining sterility, it's typically done right before the physician performs the biopsy, not as a primary pre-procedure step for the nurse.
B. Monitoring for bleeding is important after the procedure, not necessarily beforehand.
C. Although informing the family can be helpful, the patient's understanding and consent are the top priority. Pain management is crucial for patient comfort and cooperation during the procedure.
D. Administering an analgesic helps reduce the patient's anxiety and discomfort during the bone marrow biopsy, which can be a painful procedure. This improves patient tolerance and allows the physician to perform the procedure more efficiently.
Nursing Test Bank
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Related Questions
Correct Answer is B
Explanation
A. While renal calculi (kidney stones) can cause renal issues, they are not directly related to diminished renal output in this scenario. Hypovolemia, or low blood volume, is more pertinent to the patient's presentation of scant voiding and inability to eat or drink.
B. Diminished renal output, as evidenced by scant voiding, can be indicative of hypovolemia. Hypovolemia reduces kidney perfusion, leading to decreased urine output as the kidneys conserve fluid.
C. While inactivity can contribute to various health issues, it's not directly related to diminished renal output in this case. The primary concern is addressing the immediate physiological impact of decreased renal function.
D. While nephrotoxic drugs can impair renal function, there's no indication in the scenario that the patient has been exposed to such drugs. Thus, they are not directly relevant to the current situation.
Correct Answer is A
Explanation
A. Straining urine is important to catch any stones that are passed, which can then be analyzed to determine their composition and inform future treatment and prevention strategies.
B. While cold therapy may provide some relief from discomfort associated with kidney stones, it is not the primary intervention for managing kidney stones.
C. Bedrest is generally not recommended for patients with kidney stones. Remaining active may help promote passage of the stone.
D. Adequate fluid intake is essential for preventing kidney stone formation and facilitating stone passage. Restricting fluids can exacerbate the problem by leading to concentrated urine and increased risk of stone formation.
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