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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 B

Explanation

A. An urge to void despite an indwelling catheter may be a normal postoperative sensation due to bladder irritation, but it is not a clear indication of a complication.
B. Output of burgundy colored urine can indicate significant bleeding or a complication such as hemorrhage, which requires immediate attention.
C. A pulse rate of 88/min is within normal limits and does not suggest a postoperative complication.
D. An oral temperature of 38.2° C (100.76° F) is slightly elevated but not uncommon immediately after surgery; it may be monitored but does not immediately indicate a serious complication.

Correct Answer is C

Explanation

A. Although auscultating breath sounds is important, it is not the immediate priority. The client’s symptoms suggest a possible allergic reaction or anaphylaxis.
B. Elevating the head of the bed is important for comfort but is not the first action in the event of a suspected allergic reaction.
C. Stopping the infusion is the first critical step to prevent further exposure to the allergen and reduce the risk of severe reactions.
D. Calling the provider is important but should occur after ensuring the immediate safety of the client by stopping the infusion.

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