When explaining the procedure of bone marrow aspiration to a child with leukemia, what would be the best explanation?
A) "You will need to lie still afterward to prevent a headache."
B) "You will feel pressure on your hip from the needle."
C) "You will have to lie on your back and hold your breath."
D) "You won't feel any pain at all, because you will be asleep."
B
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The child is recovering from a bone marrow transplant. Which is the priority nursing concern in this early stage management?
1. Early recognition of symptoms of graft-versus-host disease. 2. Providing discharge instructions to the parents. 3. Avoiding latex products. 4. Monitoring the child for return of bone marrow function.
A nurse is caring for an older adult in a hospital who has an indwelling catheter. The nurse as-sesses the patient based on the knowledge that which of the following are correct indications for an indwelling catheter? (Select all that apply.)
a. To assist with incontinence management b. To manage acute urinary retention c. To assist in healing of open sacral or peri-neal wounds in incontinent patients d. To accurately measure urinary output in critically ill patients e. To prevent falls related to toileting in hos-pitalized older patients
A nurse is performing the three accuracy checks before administering an oral liquid medication to a patient. When will the nurse perform the second accuracy check?
a. At the patient's bedside b. Before going to the patient's room c. When checking the medication order d. When selecting medication from the unit-dose drawer
The nurse is assessing an older adult client whose health problems include receding gums. The nurse notes gum ischemia and worn tooth surfaces. Which question would be most important for the nurse to ask?
A) Have you lost any teeth recently?
B) How would you describe your typical diet?
C) Has your dentist screened you for oral cancer recently?
D) Are you able to taste the food you eat?