Nokea
The nurse will prepare the adult patient who will be undergoing bone marrow sampling by explaining the sample will be obtained from which site?
- A. Sternum
- B. Posterior superior iliac crest
- C. Posterior iliac crest
- D. Femur
Correct Answer: C
Rationale: The preferred site for bone marrow aspiration puncture in adults is the posterior iliac crest.
You may also like to solve these questions
The nurse is reading the results of a white blood cell count differential. Which abnormal reading indicates a severe allergic reaction?
- A. Increased basophil count
- B. Increased lymphocyte count
- C. Increased monocyte count
- D. Increased neutrophil count
Correct Answer: A
Rationale: An increased basophil count may indicate a severe allergic reaction.
The nurse examines the complete blood count (CBC) to assess which level?
- A. hematocrit.
- B. red cell count.
- C. differential white blood cell count.
- D. plasma level.
- E. blood type.
- F. hemoglobin.
Correct Answer: A,B,C,F
Rationale: The CBC gives information relative to RBC, WBC, hematocrit, hemoglobin, erythrocyte indexes, WBC differential, and examination of the peripheral blood cells.
Because older adults suffer from conditions such as colonic diverticula, hiatal hernia, and ulcerations that can cause occult bleeding, the nurse should assess for symptoms of which blood disorder?
- A. leukemia.
- B. iron-deficiency anemia.
- C. sickle cell anemia.
- D. polycythemia.
Correct Answer: B
Rationale: Blood loss is a major cause of iron-deficiency in adults. The major sources of chronic blood loss are from the GI and genitourinary systems.
Which mandatory practice is the most effective and significant nursing practice to prevent the spread of infection for a patient with agranulocytosis?
- A. Strict and frequent hand washing by all people having contact with the patient
- B. Placement of patients in private rooms with high-efficiency particulate air (HEPA) filtration
- C. Administration of combinations of prophylactic antibiotics
- D. Creation of a 'sterile' environment for the patient with the use of laminar airflow rooms
Correct Answer: A
Rationale: Meticulous hand washing by medical and nursing personnel and strict asepsis are mandatory.
Which patient statement from a 15-year-old girl with thrombocytopenia would require more assessment to report to the charge nurse?
- A. I think these red spots on my skin are going away.'
- B. I am so bored lying in bed I could scream.'
- C. I can't tell if the corticosteroids are helping.'
- D. I started my menstrual period this morning.'
Correct Answer: D
Rationale: Menstrual losses may be severe with a low platelet count. The nurse should assess the amount of bleeding to report to the charge nurse.