The nurse admits the client to rule out leukemia and prepares the client for definitive diagnostic testing. Which is the best question to ask the client before the procedure?

Question

1. Do you ever felt claustrophobia?
2. Are you allergic to iodine or shellfish?
3. Have you ever had an electrocardiogram?
4. Can you lie on your stomach for 30 minutes?

Answer 1

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4. To rule out leukemia, the client needs to have a bone marrow biopsy to examine the marrow for malignant white blood cells. A bone marrow biopsy requires the client to lie in the lateral or prone position when the provider chooses to obtain the bone marrow specimen from the iliac crest because these positions provide access to the hip and allow the provider to apply enough pressure to reach the marrow with the hollow core needle. If the client cannot tolerate the positioning, the provider can choose the sternum.
1. Allergies to shellfish and iodine precede testing that uses contrast medium.
2. Claustrophobia is important to determine before computed tomography or mag-netic resonance imaging.
3. The nurse asks about previous electrocardiograms to compare with current elec-trocardiograms.