The nurse is assisting the physician with a bone marrow aspiration and biopsy on an assigned client who has leukemia with a low platelet count
When the physician has completed this test, it is most important for the nurse to do which of the following? 1. Hold pressure on the wound for approximately five minutes
2. Label and refrigerate the specimen obtained by the physician
3. Make certain the client understands the purpose of the test
4. Dispose of the equipment used, and clean the area properly
1. Hold pressure on the wound for approximately five minutes
Rationale:
The most important task for the nurse is to prevent bleeding after the biopsy. Holding pressure on the wound for five minutes is effective. Dealing with the specimen is accomplished by a third party or after the nurse stabilizes the client. An explanation of the test is performed before the procedure is begun. Cleaning the area is completed after the client is stable and the specimen is sent to the laboratory.
You might also like to view...
A nursing instructor is raising her two granddaughters after her daughter and son-in-law were killed in a motor vehicle accident. How is this family form best described?
a. Extended family b. Single-parent family c. Blended family d. Alternative pattern of relationship
What is the most important advantage of an advance directive?
A) Such a will indicates how property is to be passed on after death and avoids probate for inheritors B) It spares the family the burden of making significant decisions for a patient regarding terminal care C) It settles the issue of guardianship without the expense of going to court for each incident D) It frees health professionals from any liability derived from Do Not Resuscitate orders
The nurse is providing care to a client who is diagnosed with hypertension. Which response by the nurse is an appropriate example of informational confrontation with the client?
A) "I noticed you rubbing your head and your eyes, are you hurting? Let's take your blood pressure." B) "I heard raised voices when I was coming down the hall to your room. Are you upset?" C) "It is 3 p.m. and time to take your blood pressure before I give you your medication." D) "Is the blood pressure medication making your head hurt?"
Mental health professionals working with clients who have psychiatric problems or drug abuse problems have an obligation to:
a. arrange for continuing care and follow-up of the client b. bill for all services provided to the client in advance c. provide the client with a free copy of all written records, such as the chart d. see the same client in both the inpatient and outpatient settings