A nurse is assessing a patient 20 minutes after a bone marrow biopsy. Which statement by the patient is cause for the most concern?
Explanation & Rationale
A. "I had a sharp pain in my leg when they pulled the needle out.": Sharp, momentary pain during the procedure is common as the needle passes through the periosteum or during aspiration. B. "I am thirsty.": While thirst can be a sign of shock, it is non-specific and less likely to be the primary indicator of a localized post-biopsy complication compared to active bleeding. C. "There is fresh blood on my dressing.": The primary risk after a bone marrow biopsy is hemorrhage. "Fresh" (bright red) blood suggests active bleeding from the site, requiring immediate pressure and notification of the provider. D. "My hip feels bruised where they stuck the needle.": Soreness and bruising are expected findings following a bone marrow biopsy, as the procedure involves penetrating the bone.