A nurse is collecting data from a client who has leukemia. Which of the following findings has the highest priority?

Platelet count 125,000/mm3

Hematocrit 35%

Weight loss

Bone pain

Answer and Explanation

The Correct Answer is A

A.   A platelet count of 125,000/mm³ is lower than normal, and poses an increased risk of bleeding requiring immediate attention.
B.   A hematocrit of 35% falls within the normal range for many individuals and does not indicate an urgent issue.
C.   Weight loss may be a concern but is not typically considered a priority over other symptoms such as bone pain.
D.   Bone pain in a client with leukemia is a common symptom of leukemia but does not require immediate attention compared to a low platelet count.

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Correct Answer is C

Explanation

A. Sinus bradycardia may not require immediate intervention if the patient is asymptomatic and stable.
B. Asymptomatic premature atrial contractions may not require immediate attention unless they are associated with significant symptoms or hemodynamic instability.
C. Dyspnea in a patient with atrial fibrillation may indicate heart failure or other complications and requires prompt assessment and intervention.
D. Sinus tachycardia may not require immediate intervention if the patient is asymptomatic and stable.

A. To prevent abnormalities from being missed B. To increase memory of the analysis steps C. To develop a routine for examining tracings D. To save time

Correct Answer is A

Explanation

A. Using a systematic method for analyzing ECG tracings helps ensure that abnormalities are not overlooked, promoting accurate interpretation and diagnosis. This approach reduces the risk of diagnostic errors and ensures thorough assessment of cardiac rhythm and conduction abnormalities.
B. While using a systematic method may aid memory, its primary purpose is to ensure thoroughness and accuracy in ECG interpretation, rather than solely enhancing memory retention.
C. Indeed, using a systematic method establishes a routine for analyzing ECG tracings, aiding in consistent and comprehensive assessment, which is crucial for detecting subtle changes and abnormalities.
D. While using a systematic method may ultimately save time by preventing errors and ensuring efficiency, its primary purpose is accuracy rather than speed. The focus is on comprehensive analysis rather than expediency.

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A nurse is collecting data from a client who has leukemia. Which of the following findings has the highest priority?

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