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?

To evaluate pancreatic function

To diagnose a skin condition

To assess iron stores in the bone marrow

To determine muscle strength

Answer and Explanation

The Correct Answer is C

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.

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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.

A. Avoiding all physical activities for the next 2 weeks B. Restricting movements of the affected limb for 48 hours C. Avoiding driving or operating heavy machinery for 24 hours D. Refraining from consuming solid foods for 12 hours post-procedure

Correct Answer is C

Explanation

After a bone marrow aspiration, patients may experience drowsiness or discomfort from the procedure, which can impair their ability to safely operate vehicles or machinery. It is essential to advise the patient to avoid such activities for 24 hours post-procedure.

a. Avoiding all physical activities for the next 2 weeks is not necessary after a bone marrow aspiration. Light activities are usually permitted after the initial recovery period.

b. Restricting movements of the affected limb for 48 hours is not typically required unless specified by the healthcare provider due to complications or the patient's specific condition.

d. Refraining from consuming solid foods for 12 hours post-procedure is not relevant to bone marrow aspiration care. Patients can resume their normal diet unless otherwise indicated by their healthcare provider.

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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?

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Naxlex Comprehensive Predictor Exams

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 providing discharge instructions to a patient after a bone marrow aspiration. What activity restriction should the nurse include in the instructions?

Correct Answer is C

Explanation

The nurse is preparing a patient for a bone marrow aspiration. What is the most common site for bone marrow aspiration in adults?

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

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 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?

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?

A patient is undergoing a bone marrow aspiration procedure. What position is commonly used to perform 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?

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