A nurse is preparing to assist with a bone marrow biopsy. Which anatomical site should the nurse anticipate will be used to obtain the specimen?
a. Posterior iliac crest
b. Long bones in the legs
c. Ribs
d. Humerus
ANS: A
An accurate bone marrow specimen in an adult can be obtained from the sternum, the spinous processes of the vertebrae, or the anterior or posterior iliac crests.
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A nurse caring for a cognitively impaired older adult client shows an understanding of the unique clinical symptoms of constipation in this population when: (Select all that apply.)
a. checking documentation to determine if the client has had a bowel movement in the last 24-36 hours. b. questioning staff as to whether the client has any unexplained falls in the last few days. c. asking the client to name all of his or her children and grandchildren. d. requesting that the client's temperature be taken now and again in 4 hours. e. reviewing the client's food intake over the last 24-36 hours.
The nursing instructor is observing the student nurse take a blood pressure on an older adult client. The nursing instructor intervenes when the student nurse is observed doing which of the following? Standard Text: Select all that apply
1. The student nurse ushers the client into the exam room and immediately assesses the client's blood pressure. 2. The student nurse places the blood pressure cuff on the client's arm over a lightweight, long-sleeved sweater. 3. The student nurse immediately reinflates the cuff after identifying the palpatory systolic blood pressure. 4. The student nurse has the client sit in a chair and supports the client's arm on a table at the level of the heart. 5. The student nurse places the blood pressure cuff on the thigh of a client with a bilateral mastectomy and takes the blood pressure using the popliteal artery.
A client is scheduled for a below-the-knee amputation for treatment of chronic infected arterial ulcers and leg pain. The client seems calm, and even happy. The nurse should respond to this client based on understanding that the client
a. cannot cope effectively with a life-altering procedure. b. is experiencing dysfunctional grieving for the leg. c. may prefer an amputation to living with chronic pain. d. might have cognitive defects preventing full understanding.
One of the major differences in clinical presentation between Crohn disease (CD) and ulcerative colitis (UC) is that UC is more likely to cause which clinical manifestation?
a. Pain b. Rectal bleeding c. Perianal lesions d. Growth retardation