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A nurse is reinforcing teaching with a client who is to have a bone marrow aspiration and biopsy. The nurse should tell the client that, in addition to the iliac crest, a common site for this procedure is which of the following?

A.

Hip

B.

Cervical spine

C.

Sternum

D.

Humerus

Answer and Explanation

The Correct Answer is C

A. Hip: While “hip” can sometimes colloquially refer to the iliac crest, it is not commonly used to describe the specific site for aspiration outside of the iliac crest.

B. Cervical spine: The cervical spine is not a site used for bone marrow aspiration due to its inaccessibility and proximity to critical structures.

C. Sternum: The sternum is a common site for bone marrow aspiration in adults as it provides direct access to the marrow.

D. Humerus: The humerus is generally not used for bone marrow aspirations as it does not provide as accessible or large an area for aspiration.


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Related Questions

Correct Answer is D

Explanation

A. Hematocrit 35% (F 37%–47%; M 42%–52%): Although the hematocrit is slightly low, it is not as concerning as a low platelet count, which poses an immediate risk for bleeding.

B. Bone pain: Bone pain is common in leukemia due to bone marrow expansion, but it does not take priority over the risk of bleeding from thrombocytopenia.

C. Weight loss: Weight loss may be a symptom of leukemia, but it is not immediately life-threatening and does not take priority over a low platelet count that increases bleeding risk.

D. Platelet count 125,000/mm³ (150,000–400,000): A low platelet count is concerning in leukemia patients because it increases the risk of bleeding. Monitoring for and preventing bleeding is a high priority due to thrombocytopenia associated with leukemia.

Correct Answer is ["1610"]

Explanation

Solution:

  1. Convert ounces to milliliters (1 oz = 30 mL):
    • Coffee: 8 oz × 30 mL = 240 mL
    • Juice: 3 oz × 30 mL = 90 mL
    • Soda: 12 oz × 30 mL = 360 mL
  2. Calculate water intake:
    • Initial pitcher: 800 mL
    • Remaining: 200 mL
    • Water intake = 800 mL - 200 mL = 600 mL
  3. Calculate IV fluids intake:
    • IV rate: 40 mL/hr
    • Time: 8 hours
    • IV fluids = 40 mL/hr × 8 hrs = 320 mL
  4. Total intake:
    • 240 mL (coffee) + 90 mL (juice) + 360 mL (soda) + 600 mL (water) + 320 mL (IV) = 1610 mL

Answer: 1610 mL

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