Following a bone marrow biopsy, which of the following assessments would indicate the patient is experiencing a complication as a result of this diagnostic procedure?
A)
BP 90/60, heart rate 132, excess bleeding, and hematoma noted at the insertion site
B)
BP 130/80, oxygen saturation 95%, and crackles heard on inspiration
C)
Respiratory rate 24 and complaining of pain at insertion site
D)
Heart rate regular 64 beats/minute and temperature 99.6 °F orally
Ans:
A
Feedback:
The major hazard of a bone marrow biopsy is the risk of hemorrhage. This is usually seen by a decrease in BP, tachycardia, edema from blood pooling in the tissues, etc. All of the other answers are s/s other than shock. Crackles in the lungs correlate with fluid/secretions in the lungs. A bone marrow aspiration is usually performed on the posterior iliac crest and should not cause an elevated respiratory rate. A low-grade fever is not considered a complication.
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