A patient has a bone marrow aspiration from the posterior iliac crest. Before the procedure, the patient's vital signs were as follows: blood pressure 132/82 mm Hg and pulse 88 beats/min
One hour after the procedure, the blood pressure is 108/70 mm Hg and pulse is 96 beats/min. Which assessment is least important at this time?
a. Observe the puncture site.
b. Determine if the patient had any medications before the procedure.
c. Ask the patient about feelings of lightheadedness or dizziness.
d. Check the patient's most recent complete blood count report.
ANS: D
The vital signs indicate a change in status following the biopsy—possible causes include bleeding from the site or a medication response. Symptoms of low blood pressure include lightheadedness or dizziness. The most recent blood count is not immediately helpful unless it is used to compare with a new, postbiopsy report.
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