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 procedure involves removing a small sample of bone from the marrow."

"A needle will be inserted into my joint to collect the bone marrow."

"Bone marrow aspiration is done to evaluate lung function."

"The procedure is painless, and I won't need any numbing medication."

Answer and Explanation

The Correct Answer is A

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.

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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.

A. Mild bruising at the aspiration site B. Complaints of fatigue and drowsiness C. Presence of clear drainage at the aspiration site D. Temperature elevation of 100.4°F (38°C)

Correct Answer is D

Explanation

An elevation in body temperature to 100.4°F (38°C) or higher may indicate the development of an infection and requires further investigation and evaluation by the healthcare provider.

a. Mild bruising at the aspiration site is a common post-procedure finding and does not require further investigation unless accompanied by excessive bleeding or other complications.

b. Complaints of fatigue and drowsiness are typical post-procedure effects and do not require immediate concern.

c. Clear drainage at the aspiration site is expected during the healing process and is not indicative of a complication.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

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

Correct Answer is D

Explanation

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?

The nurse is explaining the purpose of a bone marrow aspiration to a patient. Which statement accurately describes the primary goal of this procedure?

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

The healthcare provider orders a bone marrow aspiration for a patient with persistent anemia. What is the primary indication for this procedure in this patient?

A patient with unexplained thrombocytopenia is scheduled for a bone marrow aspiration. What is the primary indication for this procedure 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 caring for a patient after a bone marrow aspiration. Which of the following symptoms should the nurse monitor for as potential complications?

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?