A client is scheduled for a bone marrow aspiration and is extremely apprehensive about having the procedure done. The nurse explains that there may be a feeling of pressure or discomfort when puncturing the bone

What intervention can the nurse provide to assist with this concern? A) Inform the client that he will not be able to move and will have to tolerate the discomfort for 20 minutes.
B) Inform the client that if he is concerned that he will move when the bone is punctured, soft wrist restraints can be used if the client approves.
C) Assist the client with focused imagery to avoid focusing on the procedure and any discomfort associated with it.
D) Suggest chewing gum or eating candy in order to focus on something other than the discomfort.


C
Feedback:
Suggest distraction techniques to avoid focusing on the pressure or discomfort associated with puncturing the bone that may take approximately 20 minutes. Restraints should not be applied during the procedure because the client may not be able to determine if they are too tight. The client has a right to pain relief and should not have to "tolerate" pain for 20 minutes. Chewing gum or eating candy may increase the client's risk for aspiration during the procedure.

Nursing

You might also like to view...

The nurse is caring for a client who is admitted to the hospital with a diagnosis of pneumonia. The client is on a monitor, and vital signs are recorded from the monitor in order to leave the client undisturbed during the night

The nurse observes that blood pressure, heart rate, and respirations are below baseline for this client. Based on this data, which conclusion by the nurse regarding the changes in vital signs is the most appropriate? A) The client is about to have a cardiac arrest. B) The client is in stage IV of NREM sleep. C) The client's metabolic rate has increased. D) The client is in stage II of NREM sleep.

Nursing

The nurse is meeting with several pregnant clients to discuss breastfeeding. There are several benefits to breastfeeding for both the mother and the infant

Which of the following statements are true about these benefits that the nurse should point out to the women? Select all that apply. A) Breastfeeding may decrease the risk of food allergies in the infant. B) Breastfeeding may be protective against breast cancer in the mother. C) Breastfeeding provides reliable contraception. D) Breastfeeding can mobilize fat stores to help women lose weight, particularly in the lower body. E) Breastfeeding decreases bone density.

Nursing

A pregnant woman is scheduled to undergo percutaneous umbilical blood sampling. When discussing this test with the woman, the nurse reviews what can be evaluated with the specimens collected

Which of the following would the nurse include? (Select all that apply.) A) Rh incompatibility B) Fetal acid–base status C) Sex-linked disorders D) Enzyme deficiencies E) Coagulation studies

Nursing

Which of the following is an expected finding in the physical assessment of the middle-aged adult?

a. Increased skin turgor b. Limited extraocular movement c. Respiratory rate of 12 to 20 breaths per minute d. Regular heart rate between 80 and 120 beats per minute

Nursing