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

Bone marrow aspiration is commonly used to evaluate the production of blood cells, including platelets. In a patient with thrombocytopenia (low platelet count), bone marrow aspiration can help identify the cause of decreased platelet production.

a. This choice is incorrect because bone marrow aspiration is not used to assess lung function. Lung function is typically evaluated through respiratory tests, such as spirometry or arterial blood gas analysis.

b. This choice is incorrect because bone marrow aspiration is not used to diagnose gastrointestinal disorders. Gastrointestinal disorders are typically diagnosed through various gastrointestinal tests and imaging studies.

d. This choice is incorrect because bone marrow aspiration is not used to determine kidney health. Kidney health is typically assessed through blood and urine tests.

Severe pain during a bone marrow aspiration may indicate complications or improper needle placement. The nurse should notify the healthcare provider immediately to assess the patient and take appropriate actions.

a. Applying a warm compress may not be appropriate for severe pain during a bone marrow aspiration. The cause of the pain needs to be addressed first.

b. Administering pain medication as ordered may not be sufficient for severe pain during the procedure. The healthcare provider needs to evaluate the patient's condition and decide on further interventions.

c. While documenting the patient's complaint is essential, it should not be the first action when the patient reports severe pain during a procedure. Addressing the patient's immediate needs and notifying the healthcare provider take priority.