The healthcare provider is discussing the potential risks of bone marrow aspiration with a patient. Which statement by the patient indicates a need for further clarification?

"I may experience some discomfort at the needle insertion site."

"There is a risk of excessive bleeding during the procedure."

"Bone marrow aspiration can lead to the development of leukemia."

"I might need to have a blood transfusion after the procedure."

Answer and Explanation

The Correct Answer is C

Bone marrow aspiration is a diagnostic procedure used to evaluate various blood disorders, including leukemia. However, the procedure itself does not lead to the development of leukemia. Leukemia is a separate medical condition that can be diagnosed through bone marrow aspiration.

a. Some discomfort at the needle insertion site is a common side effect of bone marrow aspiration.

b. Excessive bleeding during the procedure is a risk, especially if the patient has a bleeding disorder or is on blood-thinning medications.

d. Some patients may experience significant blood loss during the procedure, necessitating a blood transfusion to replace lost blood components.

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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. Increased appetite and thirst B. Mild fatigue and drowsiness C. Shortness of breath and chest pain D. Slight redness and swelling at the site

Correct Answer is C

Explanation

The most critical complication to assess for after a bone marrow aspiration is the development of respiratory distress, shortness of breath, or chest pain, as these symptoms may indicate the occurrence of a pneumothorax, a serious condition that requires immediate medical attention.

a. Increased appetite and thirst are not typically associated with complications of bone marrow aspiration.

b. Mild fatigue and drowsiness are common post-procedure effects and do not require immediate concern.

d. Slight redness and swelling at the site are expected after the procedure and are not indicative of a critical complication.

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The healthcare provider is discussing the potential risks of bone marrow aspiration with a patient. Which statement by the patient indicates a need for further clarification?

Nursing Test Bank

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

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?

Correct Answer is C

Explanation

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

A nurse is preparing to assist with a bone marrow aspiration procedure. What equipment should the nurse ensure is readily available for the procedure?

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?

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

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

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

The nurse is explaining the bone marrow aspiration procedure to a patient. Which of the following statements is accurate?