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

A.

Blood glucose level

B.

Serum creatinine level

C.

Complete blood count (CBC)

D.

Liver function tests (LFTs)

Answer and Explanation

The Correct Answer is C

Before a bone marrow aspiration, it is essential to assess the patient's CBC results, including platelet count and coagulation factors. This helps determine the patient's ability to clot effectively and assess the risk of bleeding during and after the procedure.

a. Blood glucose levels are not directly related to bone marrow aspiration and are typically not assessed before the procedure.

b. Serum creatinine levels are not directly related to bone marrow aspiration and are typically not assessed before the procedure.

d. Liver function tests (LFTs) are not directly related to bone marrow aspiration and are typically not assessed before the procedure.


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Related Questions

Correct Answer is A

Explanation

Infection at the needle insertion site is the most common complication associated with bone marrow aspiration. Patients are at risk of developing infections at the site where the needle was inserted into the bone marrow cavity.

b. Excessive bleeding during the procedure is a risk, but it is not the most common complication.

c. Formation of blood clots in the bone marrow is not a typical complication of bone marrow aspiration.

d. Development of bone fractures is not a common complication of the procedure. The needle used is usually very thin and does not cause fractures.

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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