A nurse is preparing a client for a bone marrow biopsy. What is the primary reason for performing a bone marrow biopsy in the diagnostic evaluation of leukemia?

A) This choice is correct. Using a soft-bristled toothbrush helps prevent gum bleeding and trauma to the oral mucosa, reducing the risk of infection in clients with low platelet counts.

B) This choice is incorrect because during leukemia treatment, outdoor activities may expose the client to potential sources of infection. It is better to avoid crowded places and maintain good hand hygiene.

C) This choice is correct. Raw fruits and vegetables may carry bacteria and pathogens, and the client with leukemia, particularly those undergoing chemotherapy, is at a higher risk of infection. It is advised to thoroughly wash and cook fruits and vegetables before consumption.

D) This choice is incorrect because although emotional support from friends and family is essential, it is crucial to limit the number of visitors to reduce the risk of exposure to potential infections.

A) This choice is incorrect because mild redness and tenderness at the IV site are common findings and may indicate a local inflammatory response to the IV infusion.

B) This choice is incorrect because a temperature of 99.8°F (37.7°C) is slightly elevated but not a critical finding. The client's healthcare provider should be notified if the temperature is significantly elevated or if other symptoms are present.

C) This choice is incorrect because a small amount of blood in the IV tubing may be due to a minor infiltration or a common occurrence during IV administration. However, the nurse should monitor the IV site and flow rate closely.

D) This choice is correct. Crackles and decreased breath sounds on auscultation may indicate fluid overload or pulmonary edema, which could be a severe complication of IV chemotherapy. The healthcare provider should be notified immediately to assess the client's respiratory status and provide appropriate intervention.

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