For a client scheduled for a bone marrow biopsy, the nurse will ...

[WhattoUnderstand]

For a client scheduled for a bone marrow biopsy, the nurse will instruct the client that the biopsy will be done on which site(s)? Place an X over the preferred sites for a bone marrow biopsy
 
  What will be an ideal response?

Question 2

For a lumbar puncture, the nurse should place the client in which position?
 
  1. Lateral with head bent toward the chest and knees flexed onto the abdomen
  2. Lying prone, with the knees drawn up toward the abdomen
  3. Sitting bent over from the waist with legs extended
  4. Supine with knees pulled toward the chest

[jaygar71]

Answer to Question 1

Correct Answer:
Rationale : Bone marrow biopsies are done on the sternum and iliac crests

Answer to Question 2

Correct Answer: 1
Rationale 1: Lying in the lateral position with the head bent toward the chest and knees flexed onto the abdomen is the correct position for a lumbar puncture. In this position the back is arched, increasing the spaces between the vertebrae so that the spinal needle can be readily inserted.
Rationale 2: Lying prone with knees down toward the abdomen would position the client too high for the physician and could lead to increased intracranial pressure.
Rationale 3: Sitting would not arch the back enough to increase the space between the vertebrae for puncture.
Rationale 4: Supine with knees pulled toward the chest does not expose the vertebrae to be punctured.

[WhattoUnderstand]

Thanks for the timely response, appreciate it

[amandanbreshears]

Gracias!