A client with leukemia is undergoing a bone marrow biopsy for diagnosis and staging. The nurse should explain that the primary purpose of this procedure is to:
Remove a tumor mass from the bone marrow.
Assess the presence of circulating cancer cells in the bloodstream.
Evaluate the overall blood cell count and differential.
Obtain a sample of bone marrow tissue for examination.
The Correct Answer is D
A) This choice is incorrect because a bone marrow biopsy is not performed to remove a tumor mass. The purpose of the procedure is to obtain a sample of bone marrow tissue for diagnostic evaluation.
B) This choice is incorrect because assessing the presence of circulating cancer cells in the bloodstream is typically done through a blood test, not a bone marrow biopsy. The biopsy provides direct information about the condition of the bone marrow.
C) This choice is incorrect because evaluating the overall blood cell count and differential is typically done through a complete blood count (CBC) test, not a bone marrow biopsy. The biopsy provides more detailed information about the bone marrow and its cellular composition.
D) This choice is correct. The primary purpose of a bone marrow biopsy is to obtain a sample of bone marrow tissue for examination under a microscope. This allows healthcare professionals to assess the presence of abnormal cells, determine the type and extent of leukemia, and guide treatment decisions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) This choice is incorrect because gentle stretching exercises are generally safe and do not significantly increase the risk of bleeding in clients with low platelet counts.
B) This choice is incorrect because deep vein thrombosis (DVT) prophylaxis, such as leg exercises and anti-embolism stockings, is essential to prevent blood clots but is not directly related to bleeding risk.
C) This choice is incorrect because using a soft-bristled toothbrush helps prevent gum bleeding and trauma to the oral mucosa but does not address the risk of bleeding from other areas.
D) This choice is correct. Vigorous nose blowing can lead to trauma to the nasal mucosa and increase the risk of bleeding, especially in clients with low platelet counts who are prone to bleeding episodes.
Correct Answer is B
Explanation
A) This choice is incorrect because leukemia is not primarily caused by exposure to infectious agents. While some viral infections may increase the risk of certain types of leukemia, infectious agents are not the main cause.
B) This choice is correct. The exact cause of leukemia is not fully understood, and it can vary among individuals. It is believed to result from a combination of genetic mutations and environmental factors, but no single cause has been identified for all cases.
C) This choice is incorrect because while genetic mutations can play a role in the development of some types of leukemia, they are not the only cause. Environmental factors and other unknown factors also contribute to leukemia.
D) This choice is incorrect because while environmental toxins and pollution may be risk factors for some individuals, they are not the leading factors in all cases of leukemia.
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