As an advocate for the child undergoing bone marrow aspiration, the nurse would most appropriately suggest:
1. General anesthesia.
2. Sedation prior to and during the procedure.
3. Intravenous narcotics 10 minutes before the procedure.
4. Oral pain medication for discomfort after the procedure.
2
Rationale:
1. General anesthesia is not necessary for bone marrow aspiration alone.
2. It is important for the child undergoing repeated procedures to be sedated prior to and during the initial procedure.
3. Narcotics alone will not provide appropriate sedation to keep the child from remembering the procedure.
4. While oral pain medication post-procedure is not inappropriate if discomfort exists, it is not the best answer. The child will have great anxiety and discomfort during the procedures and prior to future procedures.
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