Martin is a 57-year-old client about to undergo a bone marrow biopsy
a. What type of teaching would you include?
b. Include both preprocedure and postprocedure.
Students' answers should include the following:
a. The preprocedure and postprocedure information should include all of the information the client initially needs to know. After he or she is agreeable to the procedure and understands, he or she signs consent forms and just prior to the procedure, the procedure is reiterated. Postprocedure information is given after the procedure is done.
b. Preprocedure includes the following information to discuss with the client:
The bone marrow aspiration or biopsy is done to determine the status of blood cell formation.
It is usually done with local anesthesia to the posterior iliac crest or the sternum.
The marrow is aspirated with a needle and then examined for types of mature and immature blood cells.
Postprocedure includes the following:
Monitor the client's status throughout the procedure and after the procedure.
The site is watched for bleeding.
Discharge instructions are given just prior to discharge to client and a significant other.
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The day shift nurse at the long-term care facility learns that a patient with dementia experienced sundowning late in the afternoon on the previous two days. Which action should the nurse take?
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1. Defensive Coping. 2. Disabled Family Coping. 3. Compromised Family Coping. 4. Ineffective Coping.