Hematology NCLEX Questions | Nurselytic

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Question 1 of 5

The nurse is preparing the client for a bone marrow biopsy of the iliac crest. Place the nurse’s actions in order of priority.

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Premedicate with lorazepam
Obtain a signed informed consent
Position prone and provide emotional support
Verify that the HCP has explained the procedure
Check for signs of bleeding every 2 hours for 24 hours
Teach what may be expected during the procedure

Correct Answer: D, F, B, A, C, E:

Rationale: Verify that the HCP has explained the procedure. The HCP should include the purpose, intended outcomes, and potential complications. F. Teach what may be expected during the procedure, including that pressure or discomfort may be experienced. B. Obtain a signed informed consent. This is obtained only after the HCP has met with the client and teaching is completed. A. Premedicate with lorazepam (Ativan). Midazolam (Versed) is another option for sedation. A local anesthetic is used at the site, and some clients may not need sedation. C. Position prone and provide emotional support. The client should be prone because the iliac crest is the site being used for this biopsy, but the position will vary with the site. Holding the client’s hand and using guided imagery help support the client. E. Check for signs of bleeding every 2 hours for 24 hours. A pressure dressing is applied by the HCP after the procedure. Ice can be applied to reduce bruising and for comfort.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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