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Multiple Choice
A nurse is preparing a 7-year-old girl for a bone marrow aspiration. Which site is most appropriate for the procedure?
A
Radial artery
B
Femoral vein
C
Sternum
D
Posterior iliac crest
Verified step by step guidance
1
Understand the purpose of a bone marrow aspiration: This procedure is performed to collect a sample of bone marrow for diagnostic purposes, such as evaluating blood disorders or cancers. The site chosen must provide safe access to the marrow while minimizing risks to the patient.
Consider anatomical factors: In children, the posterior iliac crest is the preferred site for bone marrow aspiration because it provides a large, flat surface area with abundant marrow and is relatively easy to access. It also avoids critical structures like major blood vessels and organs.
Evaluate alternative sites: The radial artery and femoral vein are not appropriate for bone marrow aspiration because they are blood vessels, not bone marrow sites. The sternum, while used in adults, is generally avoided in children due to the risk of injury to underlying structures and the smaller size of the bone.
Understand the developmental anatomy of a 7-year-old: At this age, the posterior iliac crest is well-developed and provides a safe and effective site for the procedure. The bone is thick enough to allow for aspiration without risking damage to surrounding tissues.
Confirm the correct site: Based on anatomical and safety considerations, the posterior iliac crest is the most appropriate site for a bone marrow aspiration in a 7-year-old girl.