Author Question: A client being prepared to have a bone marrow transplant expresses concern that the procedure will ... (Read 37 times)

imowrer · **on:** Jun 25, 2018

A client being prepared to have a bone marrow transplant expresses concern that the procedure will be painful. What should the nurse explain to the client?

1. You will be given some analgesic, since it can be painful.
2. The procedure is very quick and not very painful.
3. It should not be any more painful than having an injection.
4. A local anesthetic is given, and so you won't feel any pain.

Question 2

During the change-of-shift report, the nurse learns that an assigned client has a hemoglobin level of 8 g/dL. Based on this information, the nurse should plan to:

1. Keep the client on strict bedrest to restrict activity.
2. Encourage ambulation to prevent thrombophlebitis.
3. Space activities in order to conserve energy.
4. Prevent exposure to infectious diseases.

bpool94 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 1

1. The procedure can be painful, and analgesics are given to control pain.
2. The procedure is not necessarily quick.
3. The procedure is more painful than an injection.
4. A local anesthetic is used, but it might not totally prevent pain and pressure felt during the procedure.

Answer to Question 2

Answer: 3

1. Strict bedrest would not be necessary.
2. Platelet abnormalities and inactivity place client at risk for thrombophlebitis.
3. Hemoglobin is the oxygen-carrying protein in red blood cells; 8 g/dL is well below the normal level of 12-15 g/dL, and would predispose the client to dyspnea, fatigue, and weakness.
4. Hemoglobin level does not measure exposure to infectious diseases.