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

"The procedure will help diagnose my anemia."

"I should avoid eating or drinking for several hours before the procedure."

"I will be under general anesthesia during the procedure."

"The bone marrow will be collected from my sternum."

Answer and Explanation

The Correct Answer is C

Bone marrow aspiration is typically performed with local anesthesia or intravenous sedation, not general anesthesia. General anesthesia is not commonly used for this procedure.

a. Bone marrow aspiration is used to diagnose various hematological conditions, including anemia, so this statement is accurate.

b. Fasting before the procedure is necessary to reduce the risk of aspiration during the procedure and is an appropriate instruction.

d. Bone marrow aspiration can be performed from various sites, including the sternum, iliac crest, or other bones, so this statement is accurate.

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Correct Answer is B

Explanation

Obtaining informed consent from the patient is an essential pre-procedure action. It ensures that the patient is aware of the procedure, its risks, benefits, and alternatives, and gives their voluntary permission for the bone marrow aspiration.

a. Administering intravenous antibiotics is not typically part of the pre-procedure care for bone marrow aspiration. Antibiotics are usually administered if there is a risk of infection, but it is not a routine pre-procedure action.

c. Providing a high-calorie meal before the procedure is not necessary for bone marrow aspiration. In fact, patients may be advised to have a light meal or be NPO (nothing by mouth) for a certain period before the procedure.

d. Restricting fluid intake for 8 hours before the procedure is not recommended for bone marrow aspiration. Patients are usually advised to maintain adequate hydration before the procedure.

A. Administering intravenous antibiotics B. Applying a tourniquet to the limb C. Checking the patient's platelet count D. Restricting the patient's fluid intake

Correct Answer is C

Explanation

Platelets are essential for blood clotting, and a low platelet count can increase the risk of excessive bleeding during a bone marrow aspiration. Checking the patient's platelet count before the procedure allows the healthcare team to assess the risk of bleeding and take appropriate measures if needed.

a. Administering intravenous antibiotics is not a pre-procedure intervention to prevent excessive bleeding during a bone marrow aspiration.

b. Applying a tourniquet to the limb is not a recommended practice for bone marrow aspiration. Tourniquets can impede blood flow and cause complications.

d. Restricting the patient's fluid intake is not a necessary intervention before a bone marrow aspiration. Adequate hydration is essential for the patient's well-being.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a patient for a bone marrow aspiration. Which action is essential in the pre-procedure care?

Correct Answer is B

Explanation

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

Correct Answer is C

Explanation

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 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 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?

A nurse is preparing a patient for a bone marrow aspiration procedure. What type of anesthesia is typically used for this procedure?

The nurse is caring for a patient following a bone marrow aspiration. Which finding requires immediate intervention?

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?

A patient underwent a bone marrow aspiration as part of a diagnostic evaluation. What post-procedure care should the nurse prioritize to prevent infection?

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