As an advocate for the child undergoing bone marrow aspiration, ...

[acc299]

As an advocate for the child undergoing bone marrow aspiration, the nurse would most appropriately suggest:
 
  1. General anesthesia.
  2. Sedation prior to and during the procedure.
  3. Intravenous narcotics 10 minutes before the procedure.
  4. Oral pain medication for discomfort after the procedure.

Question 2

The nurse reviews a prenatal lab report. She notes that the enzyme-linked immunosorbent assay (ELISA) test is positive. The nurse concludes
 
  a. the client probably has AIDS and treatment should be begun immediately
  b. the result is a false positive and should be repeated
  c. a Western blot test should be ordered
  d. the client is positive for HIV

[alexisweber49]

Answer to Question 1

2
Rationale:
1. General anesthesia is not necessary for bone marrow aspiration alone.
2. It is important for the child undergoing repeated procedures to be sedated prior to and during the initial procedure.
3. Narcotics alone will not provide appropriate sedation to keep the child from remembering the procedure.
4. While oral pain medication post-procedure is not inappropriate if discomfort exists, it is not the best answer. The child will have great anxiety and discomfort during the procedures and prior to future procedures.

Answer to Question 2

C
A positive ELISA should be followed by a Western blot test. False-positives and false-negatives rarely occur with the ELISA and Western blot tests for HIV.

[acc299]

Excellent

[nyrave]

TYSM