A client with suspected aplastic anemia is scheduled for a bone marrow aspiration. What would be the best nursing action in the care of this client after a bone marrow aspiration from the left posterior iliac crest?

Hold pressure with a gloved hand directly for 10 minutes,

Administer a transfusion of platelets.

Apply pressure to the puncture site with sterile gauze.

Draw blood for a type and crossmatch and prepare for a blood transfusion.

Answer and Explanation

The Correct Answer is C

A. Holding direct pressure is important, but sterile gauze should be used to reduce infection risk.

B. A platelet transfusion is not routinely given unless the client has severe thrombocytopenia with active bleeding.

C. Applying pressure with sterile gauze is the appropriate nursing intervention to control bleeding and reduce the risk of hematoma formation after a bone marrow aspiration.

D. A type and crossmatch for blood transfusion is unnecessary unless the client has symptomatic anemia requiring intervention.

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Correct Answer is B

Explanation

A. Using an electric shaver reduces the risk of cuts and bleeding.

B. Clients with aplastic anemia are at high risk for bleeding due to thrombocytopenia; frequent nose blowing can cause nasal trauma and bleeding.

C. Fatigue is common in aplastic anemia due to anemia and decreased oxygen-carrying capacity, so allowing for rest is essential.

D. A surgical mask helps protect the immunocompromised client from infections due to neutropenia.

A. Warfarin B. Vitamin D supplements C. Iron supplements D. Zidovudine

Correct Answer is C

Explanation

A. Warfarin is an anticoagulant and could worsen bleeding; it is contraindicated in GI bleeding cases.

B. Vitamin D is essential for bone health but does not directly treat anemia.

C. Iron supplements are commonly prescribed for anemia due to GI bleeding because chronic blood loss leads to iron deficiency. Iron supplementation helps replenish iron stores necessary for RBC production.

D. Zidovudine is an antiretroviral medication used for HIV treatment and is unrelated to anemia from GI bleeding.

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A client with suspected aplastic anemia is scheduled for a bone marrow aspiration. What would be the best nursing action in the care of this client after a bone marrow aspiration from the left posterior iliac crest?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient with aplastic anemia. Which of the following would not be appropriate to include in the care plan?

Correct Answer is B

Explanation

A nurse is assessing a client diagnosed with anemia related to gastrointestinal (61) bleeding. Which prescription would the nurse expect at discharge?

Correct Answer is C

Explanation

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