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 {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

Bleeding: The client's platelet count has dropped from 160,000/mm³ to 100,000/mm³, which is below the normal range (150,000 to 400,000/mm³). Platelets are essential for blood clotting, and a low count increases the risk of bleeding. Additionally, the prolonged PT (13.5 seconds) and elevated INR (2.2) further indicate a tendency toward bleeding.

Infection: The client's WBC count remains elevated at 15,500/mm³, which can be indicative of ongoing infection or inflammation. Patients with acute leukemia often have dysfunctional white blood cells, which impairs their ability to fight infections effectively.

A. Facial flushing B. Hypotension C. Diaphoresis D. Peripheral edema

Correct Answer is D

Explanation

A. Facial flushing is not typically associated with end-stage kidney disease and waiting for transport to dialysis. It may be indicative of other conditions such as fever, allergic reactions, or hormonal changes.
B. Hypotension is not a common finding in patients with end-stage kidney disease.

These patients often experience hypertension due to fluid overload and electrolyte imbalances.
C. Diaphoresis, or excessive sweating, is not typically associated with end-stage kidney disease and waiting for transport to dialysis. It may occur in response to other factors such as fever, pain, or anxiety.

D. Peripheral edema, or swelling in the extremities, is a common finding in patients with end-stage kidney disease due to fluid retention and impaired fluid balance regulation.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record for a client who has acute leukemia Exhibits Select words from the choices to fill in each blank in the following sentence The client is at risk for developing and

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

A nurse is collecting data from a client who has end-stage kidney disease and is waiting for transport to dialysis. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

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