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?

To assess thyroid function

To diagnose liver cirrhosis

To evaluate bone marrow involvement

To determine lung health

Answer and Explanation

The Correct Answer is C

Bone marrow aspiration is commonly used to evaluate the extent of bone marrow involvement in conditions such as multiple myeloma, a cancer of the plasma cells in the bone marrow. By examining the bone marrow cells, healthcare providers can determine the progression of the disease and guide treatment decisions.

a. This choice is incorrect because bone marrow aspiration is not used to assess thyroid function. Thyroid function is typically assessed through blood tests, such as thyroid hormone levels.

b. This choice is incorrect because bone marrow aspiration is not used to diagnose liver cirrhosis. Liver cirrhosis is typically diagnosed through liver function tests and imaging studies.

d. This choice is incorrect because bone marrow aspiration is not used to determine lung health. Lung health is typically assessed through respiratory tests and imaging studies.

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Correct Answer is C

Explanation

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.

A. Administer a sedative medication as ordered by the healthcare provider. B. Explain the entire procedure in detail, including potential complications. C. Encourage the patient to distract themselves by reading or watching television. D. Inform the patient that bone marrow aspirations are always painful.

Correct Answer is C

Explanation

Encouraging the patient to distract themselves can help alleviate anxiety before the procedure. It allows the patient to focus on something other than the procedure, reducing stress.

a. Administering a sedative medication may be appropriate if ordered by the healthcare provider, but it should not be the first option for addressing anxiety.

b. Providing too much detailed information about potential complications can increase the patient's anxiety. The nurse should offer information in a reassuring and concise manner.

d. Informing the patient that bone marrow aspirations are always painful is incorrect and may cause unnecessary anxiety. The nurse should explain that discomfort can vary among individuals, and pain management measures will be provided during the procedure.

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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?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A patient is anxious about the upcoming bone marrow aspiration. What action by the nurse is most appropriate to help alleviate the patient's anxiety?

Correct Answer is C

Explanation

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

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

The nurse is preparing to perform a bone marrow aspiration on a patient. What is the primary purpose of the bone marrow aspiration?

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?

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?

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

The nurse is explaining the purpose of a bone marrow aspiration to a patient. What is the primary purpose of this procedure?

The nurse is monitoring a patient who underwent a bone marrow aspiration. What is the most critical complication to assess for during the post-procedure period?