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A nurse is reviewing the CBC findings for a female client who is receiving combination chemotherapy for breast cancer. Which of the following findings should the nurse report to the provider?

A.

WBC 1500/mm3

B.

RBC 5 million/mm3

C.

Platelets 155,000/mm3

D.

Hemoglobin 12 g/dL

Answer and Explanation

The Correct Answer is A

A. A WBC count of 1500/mm3 is significantly low (normal range is 4500-11000/mm3) and indicates neutropenia, placing the client at high risk for infection. This finding should be reported to the provider immediately.
B. An RBC count of 5 million/mm3 is within the normal range for females (4.2-5.4 million/mm3) and does not indicate an immediate concern in the context of chemotherapy.
C. Platelet count of 155,000/mm3 is on the lower end of the normal range (150,000-450,000/mm3) but does not pose an immediate risk compared to neutropenia.
D. A hemoglobin level of 12 g/dL is within the normal range for females (12-16 g/dL) and does not require urgent reporting.
 


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Related Questions

Correct Answer is C

Explanation

A. Handrails in the bathroom are a safety feature designed to prevent falls, which is beneficial for clients with decreased vision and other mobility issues.

B. Using a microwave for cooking is generally safe and convenient, especially for clients with decreased vision, as it reduces the need for handling hot pots and pans.

C. Scatter rugs can be a significant safety risk as they may cause tripping hazards, particularly for individuals with vision problems who may not see them clearly.

D. Electrical cords placed along the walls are less of a risk compared to scatter rugs. While they should be properly managed to avoid tripping hazards, they do not pose as immediate a risk as scattered rugs.

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

Explanation

The client’s elevated ammonia level (250 mcg/dL, with a normal range of 10 to 80 mcg/dL) is indicative of hepatic encephalopathy, a condition often seen in patients with cirrhosis. Elevated ammonia levels result from liver dysfunction, leading to a decreased ability to detoxify ammonia. This elevated level contributes to the client's decreased level of consciousness, slurred speech, and impaired concentration.

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