The nurse is preparing to assist the physician with a bone marrow biopsy. Which of the ff. interventions is most important for the nurse to do before the procedure?

Correct Answer: B

Rationale: Before a bone marrow biopsy procedure, it is most important for the nurse to observe the patient for any signs of bleeding. This includes assessing the patient's coagulation status, looking for any bleeding disorders, and checking the patient's platelet levels. By monitoring for bleeding tendencies before the procedure, the nurse can ensure that the patient is in a stable condition to undergo the bone marrow biopsy safely. Additionally, post-procedure monitoring for bleeding is crucial to prevent complications such as hematoma formation. Explaining the procedure to the family, administering an analgesic, and draping the biopsy site are important steps, but ensuring the patient's safety by assessing for bleeding is the highest priority.

Correct Answer: D

Rationale: More than 2 exacerbations per year suggest suboptimal asthma control, requiring reassessment of management strategies.

Correct Answer: D

Rationale: Acidosis in renal failure is associated with a wide anion gap due to the accumulation of unmeasured anions like sulfates and phosphates, which the kidneys fail to excrete effectively.

Correct Answer: C

Rationale: Family-centered care in pediatric nursing involves recognizing that the family is the constant in a child's life. This approach focuses on involving families in the care of the child, considering their preferences, needs, and beliefs. It acknowledges the important role that families play in the well-being of the child and aims to support and empower them in the care process. By centering care around the family, healthcare providers can ensure that the care provided is holistic, culturally sensitive, and tailored to meet the unique needs of the child and their family.

Correct Answer: A

Rationale: The t(4;11) translocation is commonly found in infantile ALL and is associated with a poor prognosis.