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?

WBC 1500/mm3

RBC 5 million/mm3

Platelets 155,000/mm3

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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Correct Answer is A

Explanation

A. Airway obstruction is the priority because burns to the head, neck, and chest can compromise the airway due to swelling, soot, and edema. Immediate assessment and intervention are critical to ensure the airway remains patent and to prevent respiratory distress.

B. While infection is a significant risk in burn patients, addressing airway concerns takes precedence to prevent immediate life-threatening complications.

C. Paralytic ileus is a concern in burn patients but is less immediate compared to the risk of airway obstruction.

D. Fluid imbalance is crucial in burn management, but ensuring a clear airway is the immediate priority to prevent severe complications such as asphyxia.

A. Lower right quadrant B. Upper right quadrant C. Upper left quadrant D. Lower left quadrant

Correct Answer is D

Explanation

A. Lower right quadrant pain is often associated with appendicitis or other conditions, not typically diverticular disease.
B. Upper right quadrant pain is usually related to liver, gallbladder, or duodenal issues.
C. Upper left quadrant pain is more common with conditions like gastritis or pancreatic disorders.
D. Lower left quadrant pain is characteristic of diverticular disease, particularly diverticulitis, where inflammation occurs in the sigmoid colon.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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