A patient has been scheduled for a bone marrow biopsy and admits to the nurse that she is worried about the pain involved with the procedure. What patient education is most accurate?
A) "You'll be given painkillers before the test, so there won't likely be any pain?"
B) "You'll feel some pain when the needle enters your skin, but none when the needle enters the bone because of the absence of nerves in bone."
C) "Most people feel some brief, sharp pain when the needle enters the bone."
D) "I'll be there with you, and I'll try to help you keep your mind off the pain."
Ans: C
Feedback:
Patients typically feel a pressure sensation as the needle is advanced into position. The actual aspiration always causes sharp, but brief pain, resulting from the suction exerted as the marrow is aspirated into the syringe; the patient should be warned about this. Stating, "I'll try to help you keep your mind off the pain" may increase the patient's fears of pain, because this does not help the patient know what to expect.
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