A client admitted to a medical - surgical unit has a CBC with differential drawn. Lab results show a WBC count of 4000, with neutrophil segments at 5% and neutrophil bands at 5%. Based on these values what would the nurse do? Calculate the absolute neutrophil count
Place the client on bleeding precautions.
Place the client in a private room.
Document findings in the client's chart
Collect blood cultures and start antibiotics.
The Correct Answer is B
A. Bleeding precautions are not required as the issue pertains to neutropenia, not thrombocytopenia.
B. Placing the client in a private room is appropriate as the ANC calculation (WBC × [% neutrophils]) indicates severe neutropenia, increasing the risk of infection.
C. Simply documenting findings does not address the client’s increased infection risk.
D. Blood cultures and antibiotics may be needed later but require additional signs of infection to proceed.
Nursing Test Bank
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Related Questions
Correct Answer is D
Explanation
A. Testicular torsion: While testicular torsion is an emergency and can cause pain and damage, it is not directly linked to testicular cancer risk.
B. Sexually transmitted infections: Although STIs can affect reproductive health, they are not a known significant risk factor for testicular cancer.
C. Testicular trauma: Testicular trauma may cause injury but is not a major risk factor for testicular cancer.
D. Undescended testicles: This is the correct answer. Undescended testicles, or cryptorchidism, is a well-established risk factor for testicular cancer, as it increases the likelihood of developing the condition.
Correct Answer is D
Explanation
A. Bilateral peripheral edema can occur after heart catheterization but is not as immediately life-threatening as cardiac tamponade.
B. A heart rate of 59 beats/min may be concerning, but bradycardia alone is not as immediately urgent as signs of cardiac tamponade.
C. A temperature of 96°F is low, but this is more of a concern for hypothermia or post-procedural effects and is not as urgent as muffled heart sounds indicating tamponade.
D. Muffled heart sounds can indicate cardiac tamponade, a medical emergency. Immediate intervention is required to relieve the pressure on the heart, which may involve pericardiocentesis to drain the fluid or blood.
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