A nurse is reinforcing teaching about laboratory testing with a client.
Which of the following findings should the nurse include as an indicator of infection?
Increased erythrocyte sedimentation rate
Decreased platelets
Increased iron level
Decreased hemoglobin
The Correct Answer is A
Explanation
A. Increased erythrocyte sedimentation rate
A. Increased erythrocyte sedimentation rate (ESR) is a non-specific marker of inflammation in the body. In the presence of an infection, the ESR tends to rise due to increased levels of acute-phase reactants, such as fibrinogen and globulins. However, it is important to note that an increased ESR alone does not diagnose a specific infection but rather indicates the presence of inflammation or infection.
Decreased platelets in (option B) should not be included because they are not typically associated with infection. Low platelet levels (thrombocytopenia) may occur due to various reasons, such as certain medications, immune disorders, or bone marrow problems, but they are not directly linked to infections.
Increased iron level in (option C) should not be included because it is not a typical finding in an active infection. In fact, during an infection, iron levels tend to decrease in response to the body's efforts to withhold iron from pathogens, as most microorganisms require iron for their growth and survival.
Decreased haemoglobin in (option D) should not be included because it is not directly indicative of an infection. A decrease in hemoglobin levels may be associated with conditions such as anaemia, blood loss, or certain chronic diseases, but it is not a specific marker for infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. I have to take this medication on an empty stomach: Pantoprazole, a proton pump inhibitor (PPI), should be taken on an empty stomach, typically 30 minutes before a meal, for optimal absorption and effectiveness in reducing stomach acid.
B. I will need to remain upright for 1 hour after taking the medication: While remaining upright after meals is recommended for individuals with GERD to prevent reflux, this is not a specific instruction related to pantoprazole. The primary concern for pantoprazole is taking it before meals.
C. I should expect to have diarrhea while taking this medication: Diarrhea is not a common side effect of pantoprazole. The most common side effects include headache, nausea, or gastrointestinal disturbances, but diarrhea is not typically expected.
D. I can take antacids at the same time as this medication: Antacids should generally not be taken at the same time as pantoprazole. Taking antacids can interfere with the absorption of pantoprazole and reduce its effectiveness. It's usually advised to space them out by at least 2 hours.
Correct Answer is C
Explanation
Informed consent is a legal and ethical requirement for certain medical procedures. It involves providing the client with clear and comprehensive information about the procedure, including its risks, benefits, alternatives, and expected outcomes. The client must understand the information provided and voluntarily give their consent before the procedure can be performed.
Placement of a central venous catheter is an invasive procedure that carries risks and potential complications, making it necessary to obtain informed consent from the client.
Wound irrigation with an antibiotic solution is a standard nursing intervention for wound care and does not usually involve invasive procedures. Informed consent is not typically required for this procedure.
The administration of an iron injection using the Z-track technique is a standard nursing procedure. While it involves an injection, it is not typically considered an invasive procedure that would require informed consent.
Insertion of a nasogastric tube is a common procedure that involves passing a tube through the nose and into the stomach for various purposes, such as feeding, decompression, or medication administration. While it is an invasive procedure, it is often performed in emergency or critical care situations where the client's immediate well-being takes precedence. Informed consent may not be feasible or necessary in these situations, depending on the context and urgency.
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