Your client needs a bone marrow aspiration. Which site(s) will most likely be used for bone marrow aspiration and analysis to determine your client's ability to produce blood cells?
1. osteoblastic
2. osteoclastic
3. sternum and part of the pelvis
4. femur
ANS: 3
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An older patient with a terminal illness is extremely thin and is prescribed to use oxygen via a face mask at home. Which is the priority nursing consideration to ensure the patient's oxygenation needs are met?
A) Ensure a tight seal around the face mask. B) Maintain the patency of the nasal passages. C) Observe the patient for signs of pneumonia. D) Educate the family about risks of oxygen use.
While reviewing exercises to do when pregnant, a client of European descent tells the nurse that she was taught never to reach over the head because this will harm the baby. Based on this data, which action by the nurse is appropriate?
A) Provide dietary instruction to ensure the client does not gain excessive weight. B) Suggest limiting exercise to household chores. C) Provide alternative activities to do instead of exercise. D) Assure that reaching over the head will not harm the baby.
The nurse uses the SAD PERSONS scale as he interviews a client who has expressed suicidal
ideation. This tool provides data relevant to a. mood disturbance. b. suicide potential. c. current stress level. d. level of anxiety.
The nurse is caring for a teenage girl with a new ileostomy. She tells the nurse tearfully that she cannot go to the prom with an ostomy. Which is the nurse's best response?
a. "You should get your prom dress one size larger to hide the ostomy appliance." b. "You should avoid broccoli and carbo-nated drinks so that the pouch won't fill with air under your dress." c. "Let's talk to the enterostomal therapist (ET) about options for ostomy supplies and dress styles so that you can look beautiful for the prom." d. "You can remove the pouch from your ostomy appliance when you are at the prom so that it is less noticeable."