The nurse admits the patient to rule out leukemia and prepares him for definitive diagnostic testing. Which is the best question to ask the patient before the procedure?
a. "Do you ever feel claustrophobic?"
b. "Are you allergic to iodine or shellfish?"
c. "Have you ever had an electrocardio-gram?"
d. "Can you lie on your stomach for 20 to 30 minutes?"
D
To rule out leukemia, the patient needs to have a bone marrow biopsy to examine the marrow for malignant white blood cells. A bone marrow biopsy requires the patient to lie in the lateral or prone position when the provider chooses to obtain the bone marrow specimen from the iliac crest. These positions provide access to the hip and allow the provider to apply enough pressure to reach the marrow with the hollow core needle. If the patient cannot tolerate the positioning, the provider can choose the sternum. Allergies to shellfish and iodine are of key interest when performing tests that use contrast medium. Claustrophobia is important to determine before computed tomography or magnetic resonance imaging. The nurse asks about previous electro-cardiograms to compare with current electrocardiograms.
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