A patient is scheduled to undergo a bone marrow aspiration. What pre-procedure intervention is essential to prevent excessive bleeding during the procedure?

Administering intravenous antibiotics

Applying a tourniquet to the limb

Checking the patient's platelet count

Restricting the patient's fluid intake

Answer and Explanation

The Correct Answer is C

Platelets are essential for blood clotting, and a low platelet count can increase the risk of excessive bleeding during a bone marrow aspiration. Checking the patient's platelet count before the procedure allows the healthcare team to assess the risk of bleeding and take appropriate measures if needed.

a. Administering intravenous antibiotics is not a pre-procedure intervention to prevent excessive bleeding during a bone marrow aspiration.

b. Applying a tourniquet to the limb is not a recommended practice for bone marrow aspiration. Tourniquets can impede blood flow and cause complications.

d. Restricting the patient's fluid intake is not a necessary intervention before a bone marrow aspiration. Adequate hydration is essential for the patient's well-being.

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Correct Answer is C

Explanation

Bone marrow aspiration can be used to assess the iron stores in the bone marrow, providing valuable information about iron metabolism and helping to confirm a diagnosis of iron-deficiency anemia.

a. This choice is incorrect because bone marrow aspiration is not used to evaluate pancreatic function. Pancreatic function is typically assessed through blood tests, such as pancreatic enzyme levels.

b. This choice is incorrect because bone marrow aspiration is not used to diagnose skin conditions. Skin conditions are typically diagnosed through visual examination and skin biopsies, if necessary.

d. This choice is incorrect because bone marrow aspiration is not used to determine muscle strength. Muscle strength is typically assessed through physical examination and strength testing.

A. Return to the clinic for a follow-up appointment in 3 months. B. Contact the healthcare provider immediately if bleeding occurs at the aspiration site. C. Resume regular physical activities and exercise immediately after the procedure. D. Discontinue any prescribed medications related to pain management.

Correct Answer is B

Explanation

Post-procedure follow-up for bone marrow aspiration includes instructing the patient to monitor the aspiration site for any signs of bleeding or infection. If bleeding occurs, the patient should contact the healthcare provider promptly for further evaluation and intervention.

a. A follow-up appointment in 3 months is not typically required for a routine bone marrow aspiration. Follow-up appointments are usually scheduled within a shorter timeframe after the procedure.

c. It is essential for the patient to rest and avoid vigorous physical activities immediately after the procedure to prevent complications and promote healing.

d. Pain management medications may be prescribed after the procedure to alleviate discomfort and should not be discontinued without consulting the healthcare provider.

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A patient is scheduled to undergo a bone marrow aspiration. What pre-procedure intervention is essential to prevent excessive bleeding during the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with suspected iron-deficiency anemia is scheduled for a bone marrow aspiration. What is the primary indication for this procedure in this patient?

Correct Answer is C

Explanation

The nurse is providing discharge instructions to a patient who underwent a bone marrow aspiration. What post-procedure follow-up should the nurse recommend?

Correct Answer is B

Explanation

The nurse is assessing a patient's post-procedure recovery following a bone marrow aspiration. Which finding would require further investigation?

The nurse is reviewing the medical record of a patient who had a bone marrow aspiration. What information should the nurse seek in the medical record to plan appropriate post-procedure follow-up care?

The healthcare provider is explaining the bone marrow aspiration procedure to a patient. Which statement by the patient indicates an understanding of the procedure?

A patient with unexplained thrombocytopenia is scheduled for a bone marrow aspiration. What is the primary indication for this procedure in this patient?

During a bone marrow aspiration procedure, the patient reports severe pain at the site of the needle insertion. What should the nurse do first?

A nurse is preparing a patient for a bone marrow aspiration procedure. What type of anesthesia is typically used for this procedure?

The nurse is educating a patient about bone marrow aspiration. Which statement by the patient indicates a need for further teaching?

A patient underwent a bone marrow aspiration as part of a diagnostic evaluation. What post-procedure care should the nurse prioritize to prevent infection?