ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 30 : Introduction to the Hematopoietic and Lymphatic Systems Questions
Question 1 of 5
The nurse is assisting the physician with obtaining a sample to determine the status of blood cell formation. What type of procedure will the nurse have prepared the client for?
Correct Answer: A
Rationale: A bone marrow aspiration is performed to determine the status of blood cell formation. In this procedure, the physician applies local anesthesia and removes bone marrow from the posterior iliac crest or the sternum. The marrow is examined for the types and percentage of immature and maturing blood cells.
Question 2 of 5
A client is scheduled for a bone marrow aspiration and is extremely apprehensive about having the procedure done. The nurse explains that there may be a feeling of pressure or discomfort when puncturing the bone. What intervention can the nurse provide to assist with this concern?
Correct Answer: C
Rationale: Suggest distraction techniques to avoid focusing on the pressure or discomfort associated with puncturing the bone that may take approximately 20 minutes. Restraints should not be applied during the procedure because the client may not be able to determine if they are too tight. The client has a right to pain relief and should not have to 'tolerate' pain for 20 minutes. Chewing gum or eating candy may increase the client's risk for aspiration during the procedure.
Question 3 of 5
The nurse will be assisting the physician with a bone marrow aspiration. Where should the nurse cleanse, clip hair, and drape the skin prior to the procedure?
Correct Answer: A
Rationale: The posterior superior iliac crest is the preferred site because no vital organs or blood vessels are nearby. The anterior tibia, radius, or metatarsal area are not used for bone marrow aspirations.
Question 4 of 5
The nurse is preparing the client for a bone marrow aspiration at the posterior iliac crest. What would be the best position for the nurse to place the client in for the test?
Correct Answer: C
Rationale: The client should be positioned on the back or side to facilitate access to the aspiration site. The 90?° semi-Fowler's and prone position would not allow adequate access to the bone marrow aspiration site. The lithotomy position is used for genitourinary and gynecological testing and procedures.
Question 5 of 5
A client has type AB blood. What type of blood must this client receive during a blood transfusion?
Correct Answer: A
Rationale: People with type AB blood are considered universal recipients because both A and B antigens are present on the red cell membrane. Clients with type AB blood can receive blood from persons with any type of blood, but the Rh factor must be compatible. The other distractors are incorrect because the client can receive blood from any type.