Author Question: The nurse is caring for a patient with pernicious anemia immediately following a bone marrow biopsy ... (Read 165 times)

geoffrey · **on:** Jun 25, 2018

The nurse is caring for a patient with pernicious anemia immediately following a bone marrow biopsy of the left posterior iliac crest. Which action should the nurse perform first?

a. Inform the patient that he may feel pres-sure and sharp, brief pain.
b. Check the pulses in the leg and foot distal to the puncture.
c. Administer an ordered analgesic.
d. Apply pressure to the site for 5 minutes with an ice pack.

Question 2

The nurse is aware that unlike dogs, humans do not contract such diseases as distemper. Which type of immunity explains this protection?

a. Passive immunity
b. Acquired immunity
c. Innate immunity
d. Passive natural immunity

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

Answer to Question 1

D
The most immediate priority concern for this patient is bleeding. The nurse should apply pressure to the site to prevent a hematoma. The patient would feel pressure and sharp brief pain during the aspiration, not afterward. The nurse can assess pulses in the leg and foot, although this assessment would be most appropriate if the procedure involved an arterial stick. The nurse should administer the ordered analgesic after hemostasis is obtained.

Answer to Question 2

C
Innate immunity is based on the genetic makeup of a particular species that allows that species to be immune to specific diseases without having had the infection themselves. An example is hu-mans don't get distemper, but dogs do. Humans do not get hoof-and-mouth disease, but cows do.