A nurse is caring for a preschooler.
Which of the following findings should the nurse report to the healthcare provider immediately? (Select all that apply)
Platelet count.
Emesis.
Absolute neutrophil count.
Loss of appetite.
The Correct Answer is C
An abnormal absolute neutrophil count in a preschooler should be reported to the healthcare provider immediately. Neutrophils are a type of white blood cell that play a key role in the body’s immune response. An abnormal count could indicate an infection, inflammation, or other serious health conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Constipation is a potential side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.
Choice B rationale
Weight gain of 5 lb in 1 month could be a side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.
Choice C rationale
Insomnia is a potential side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.
Choice D rationale
Muscle stiffness could be a sign of a serious side effect of aripiprazole known as extrapyramidal symptoms. This could include conditions such as dystonia, akathisia, and Parkinsonism. If a patient experiences muscle stiffness while taking aripiprazole, the healthcare provider should be notified.
Correct Answer is ["B","D","E"]
Explanation
Choice A rationale
Standing directly in front of a patient who has a history of anger and aggression can be perceived as threatening and may escalate the situation.
Choice B rationale
Knowing the layout of the facility can help the nurse to plan for safe exits or to put barriers between themselves and the patient if needed.
Choice C rationale
Bringing security for all patient interactions can escalate the situation and should only be done if there is a clear threat to safety.
Choice D rationale
Providing immediate verbal feedback for escalating behavior can help to de-escalate the situation and reassure the patient.
Choice E rationale
Avoiding wearing necklaces during patient care can reduce the risk of injury to the nurse.
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