Question

A 5-year-old preschooler suspected of having leukemia is admitted to the hospital for diagnosis and treatment. The physician orders a bone marrow aspiration. Place the interventions below in ascending chronological order according to their importance. Use all options.

1. Act out the procedure using a doll and biopsy kit.
2. Assure the child that the pain will go away.
3. Check the biopsy site for hemorrhage and infection.
4. Discuss the procedure with his parents.
5. Explain the discomforts that he'll feel.

Answer 1

The correct chronological order of interventions for a bone marrow aspiration in a pediatric patient are: discussing the procedure with the parents, explaining the potential discomforts to the child, using dolls to act out the procedure, reassuring the child about pain management, and finally, checking the procedure site for possible complications such as hemorrhage and infection.

Step-by-step explanation:

To assist a 5-year-old preschooler suspected of having leukemia with the process of diagnosis and treatment involving a bone marrow aspiration, a specific series of interventions must be carried out. Below is the correct chronological order of these interventions according to their importance:

1. Discuss the procedure with his parents. It’s imperative to ensure that the parents are fully informed about the purpose, process, and risks involved in the bone marrow biopsy.
2. Explain the discomforts that he'll feel. Providing age-appropriate information to the child about the sensations they might experience during the procedure can help prepare them mentally.
3. Act out the procedure using a doll and biopsy kit. This play therapy helps the child understand the procedure in a non-threatening way, which can reduce anxiety.
4. Assure the child that the pain will go away. It is important to comfort the child and provide reassurance that any discomfort experienced will be temporary.
5. Check the biopsy site for hemorrhage and infection. Post-procedure, monitoring the site is crucial for early detection and management of any complications.

Bone marrow sampling and transplants are used to treat conditions like leukemia, where abnormal cell division results in an increased number of defective blood cells affecting patient health. In management, a bone marrow transplant may be necessary, and finding a compatible donor is essential to prevent tissue rejection. The procedure itself, historically performed by inserting a needle near the iliac crest, is known to be painful, necessitating thorough preparation and aftercare in pediatric patients.