Certified Pediatric Hematology Oncology Nurse (CPHON) Practice Exam 2025 – Comprehensive All-in-One Resource for Exam Excellence!

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Which of the following is a treatment approach for managing bone marrow failure?

Therapeutic phlebotomy

Bone marrow transplant

Bone marrow transplant is a critical treatment approach for managing bone marrow failure because it directly addresses the underlying issue of a dysfunctional or failing marrow. In conditions such as aplastic anemia, certain leukemias, or myelodysplastic syndromes, the bone marrow is unable to produce adequate blood cells, leading to severe deficiencies in red blood cells, white blood cells, and platelets. A bone marrow transplant involves replacing the unhealthy bone marrow with healthy donor marrow, which can restore the ability to produce blood cells effectively.

This method not only enhances blood cell production but also has the potential to provide a long-term cure by reestablishing normal hematopoiesis. It is particularly valuable in cases where other treatments have not been successful or when the failure is severe and has led to life-threatening complications.

In contrast, therapeutic phlebotomy is primarily used for conditions such as polycythemia vera where excess red blood cell mass needs to be reduced, blood transfusions provide temporary relief from anemia but do not correct the underlying marrow dysfunction, and oral iron supplements are relevant only in cases of iron deficiency anemia, not in broader scenarios of bone marrow failure. Therefore, the bone marrow transplant stands out as the appropriate and most effective treatment for managing skeletal marrow failure

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Blood transfusions

Oral iron supplements

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