A nurse is bathing a client who had a bone marrow aspiration from the right iliac crest 5 days ago. Which finding should cause the nurse to be concerned?
1. The client is doing isometric leg exercises.
2. The client complains of moderate pain in the right iliac crest.
3. The needle aspiration site is ecchymotic.
4. The needle insertion site is scabbed over and without drainage.
Answer: 2
1. Isometric exercises would not be contraindicated.
2. Continued pain after 3-4 days is abnormal, and should be reported.
3. Ecchymosis of the site would be normal at 5 days.
4. Evidence of site healing would not be reported.
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A) Occupational health nurse B) Community nurse specialist C) Nurse clinician D) Public health nurse
The nurse is caring for a patient who is postoperative day one from an abdominal surgery. The patient complains of a "popping sensation" and a wetness in her dressing. The nurse immediately suspects:
a. a wound infection. b. the stitches came loose. c. wound dehiscence. d. wound crepitus.
A patient expresses concern about becoming addicted to a prescription pain medication ordered postoperatively. What nursing responses are indicated?
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A pulse is usually taken by compressing an artery over a bone.
Answer the following statement true (T) or false (F)