The nurse is preparing to assist with a lumbar puncture for a pediatric client who is diagnosed with cancer. Which statements should the nurse include in the teaching session for the client and family? Select all that apply
1. "This procedure assesses the bone marrow."
2. "This procedure assesses cerebrospinal fluid."
3. "This procedure confirms the diagnosis of acute lympoblastic leukemia."
4. "The procedure determines if malignant cells are affecting the nervous system."
5. "This procedure assesses cellular components of the blood."
2, 4
Explanation:
1. A bone marrow aspiration, not a lumbar puncture, is used to assess bone marrow.
2. A lumbar puncture is used to assess cerebrospinal fluid.
3. A bone marrow aspiration, not a lumbar puncture, is used to confirm the diagnosis of acute lymphoblastic leukemia.
4. A lumbar puncture is used to assess if malignant cells are affecting the central nervous system.
5. A complete blood count with differential, not a lumbar puncture, is used to assess the cellular components of the blood.
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