Page 2105 - Saunders Comprehensive Review For NCLEX-RN
P. 2105

bone scan, because only a minimal amount of
                                                                radioactivity exists in the radioisotope used for the
                                                                procedure.
                                F. Bone or muscle biopsy
                                             1. Description: Biopsy may be done during surgery or
                                                through aspiration or punch or needle biopsy.
                                             2. Interventions
                                                             a. Ensure that informed consent was
                                                                obtained.

                                                                    b. Monitor for bleeding, swelling,

                                                                hematoma, or severe pain.
                                                             c. Elevate the site for 24 hours following
                                                                the procedure to reduce edema.
                                                             d. Apply ice packs as prescribed following
                                                                the procedure to prevent the
                                                                development of a hematoma and to
                                                                decrease site discomfort.
                                                             e. Monitor for signs of infection following
                                                                the procedure.
                                                             f. Inform the client that mild to moderate
                                                                discomfort is normal following the
                                                                procedure.
                                G. Electromyography (EMG)
                                             1. Description: EMG is used to evaluate muscle
                                                weakness.
                                                             a. Electromyography measures electrical
                                                                potential associated with skeletal
                                                                muscle contractions.
                                                             b. Needles are inserted into the muscle,
                                                                and recordings of muscular electrical
                                                                activity are traced on recording paper
                                                                through an oscilloscope.

                                                      2. Interventions

                                                             a. Ensure that informed consent was
                                                                obtained.
                                                             b. Instruct the client that the needle
                                                                insertion is uncomfortable.
                                                             c. Instruct the client not to take any
                                                                stimulants or sedatives for 24 hours
                                                                before the procedure.
                                                             d. Inform the client that slight bruising
                                                                may occur at the needle insertion sites.
                                                             e. Mild analgesics can be used for the
                                                                pain.
                    IV. Injuries
                                A. Strains



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