A patient is suspected of having leukemia. The healthcare provider orders a bone marrow aspiration to confirm the diagnosis. What is the primary indication for this procedure in this patient?

To assess bone density

To detect brain abnormalities

To diagnose cancer of the blood

To evaluate cardiac function

Answer and Explanation

The Correct Answer is C

Bone marrow aspiration is commonly used to diagnose various blood disorders, including leukemia, which is a cancer of the blood and bone marrow. By examining the bone marrow cells, healthcare providers can determine if cancerous cells are present and confirm the diagnosis of leukemia.

a. This choice is incorrect because bone marrow aspiration is not used to assess bone density. Bone density is typically evaluated through bone density scans or DEXA scans.

b. This choice is incorrect because bone marrow aspiration is not used to detect brain abnormalities. Brain abnormalities are typically diagnosed through imaging tests such as MRI or CT scans.

d. This choice is incorrect because bone marrow aspiration is not used to evaluate cardiac function. Cardiac function is typically assessed through various cardiac tests, such as electrocardiography (ECG) or echocardiography.

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Correct Answer is A

Explanation

Bone marrow aspiration involves the insertion of a needle into the bone marrow space to collect a small sample of bone marrow for examination. This statement accurately describes the procedure.

b. This choice is incorrect because bone marrow aspiration is not performed by inserting a needle into the joint. It is done by inserting a needle into the bone marrow cavity.

c. This choice is incorrect because bone marrow aspiration is not done to evaluate lung function. It is used to evaluate the production of blood cells and diagnose various blood disorders.

d. This choice is incorrect because bone marrow aspiration may cause discomfort or mild pain, so local anesthetics are often used to numb the area before the procedure.

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 suspected of having leukemia. The healthcare provider orders a bone marrow aspiration to confirm the diagnosis. What is the primary indication for this procedure in this patient?

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

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

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

The nurse is caring for a patient who underwent a bone marrow aspiration. What is the most common complication associated with this procedure?

The nurse is providing pre-procedure education to a patient scheduled for a bone marrow aspiration. Which of the following statements by the patient indicates a need for further teaching?

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

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

A patient with a history of multiple myeloma requires monitoring of disease progression. What is the primary indication for bone marrow aspiration in this patient?

The patient asks the nurse about the potential complications of a bone marrow aspiration. What is the nurse's best response?

The nurse is reviewing a patient's laboratory results before a bone marrow aspiration. Which laboratory parameter is essential to assess before the procedure?