Nursing Interventions for Diagnostics
MRI: Ensure there is no metal present such as jewelry, IV pole, portable oxygen tanks, pacemakers or in the body with knee replacement for example, ensure the pt. is not claustrophobic, there will be loud noises during the procedure
Bone Marrow Aspiration: Position is lateral or prone, maintain sterile technique, observe for bleeding, signs of infection, bed rest for 1 hour after the procedure and administer PRN analgesics
Lumbar Puncture: Assist to sid-lying position with knees to the chest, maintain sterile field, lie flat for 48 hrs, perform neurologic assessment, assess the site for drainage, administer PRN analgesics
Paracentesis: Weigh pt., measure abdomen girth before, assist to fowlers position, limit amount of fluid drained to 1000 mL, assess for signs of shock (hypotension, tachycardia, change in mental status), assess for hemorrhage and abdominal pain, monitor strict I &O
Thoracentesis: Sitting position leaning forward, limit amount of fluid drained to 1000 mL, position to unaffected side after procedure, monitor vitals, assess puncture site, assess respiratory status and arrange for chest x-ray if ordered
Bronchoscopy: Keep NPO until gag reflex have returned, monitor respiratory status, encourage liquid diet for first 6 hours after procedure, instruct to report abdominal pain
Cystoscopy: Monitor voiding patterns, inspect for blood clots, frequent dysuria and pink to light red after the procedure is common
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