A school-age child is scheduled for a bone marrow aspiration to ...

[DelorasTo]

A school-age child is scheduled for a bone marrow aspiration to confirm the diagnosis of aplastic anemia. What should the nurse instruct the child about this procedure?
 
  A) Leg pain will occur after the procedure.
  B) It will be done under general anesthesia.
  C) A narrow needle is used so there is no pain.
  D) The patient will have to lie on the stomach for the procedure.

Question 2

A school-age child weighing 55 lb is prescribed to receive 15 ml/kg of packed red blood cells.
 
  If the child is to receive 10 ml/kg/hr, how many hours will it take to infuse the prescribed amount of blood for this patient? (Calculate to the nearest 10th decimal point.)

[jesse.fleming]

Answer to Question 1

D
Feedback:
The child is to lie on prone on a hard surface for the procedure. Leg pain is not expected after the procedure. Conscious sedation and not general anesthesia is used for the procedure. This is a painful procedure, and topical anesthesia is applied in addition to conscious sedation to help reduce the pain.

Answer to Question 2

1.5 hours
Feedback:
The child weighs 55 lb. To determine weight in kilogram, divide 55 lb by 2.2 = 25 kg. Then multiply the weight in kg by 15 ml to determine the total amount of blood the patient is to receive or 15 ml  25 kg = 375 ml. Then to determine the amount of blood to infuse per hour, multiply 10 ml  25 kg = 10  25 = 250 ml. If the child is to receive a total of 375 ml of blood, divide 375 ml by 250 ml to determine that the prescribed amount of blood will take 1.5 hours to infuse.

[DelorasTo]

TYSM

[Liddy]

Excellent