A nurse is reviewing the laboratory results of an adolescent female client and notes a WBC count of 16,000/mm² with increased immature neutrophils (bands) and normal monocytes. Which of the following is the appropriate analysis of the results?
An acute infectious process.
A resolving inflammatory process.
Allergic reaction.
Neutropenia.
The Correct Answer is A
Choice A rationale:
An increased WBC count with increased bands (immature neutrophils) indicates an acute infectious process. Normal range for WBC is 4,500-11,000/mm².
Choice B rationale:
A resolving inflammatory process would typically show a decreasing WBC count.
Choice C rationale:
An allergic reaction would typically show an increase in eosinophils, not neutrophils.
Choice D rationale:
Neutropenia is a decrease in neutrophils, not an increase.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Inspecting the mouth for signs of inhalation injuries is the priority action. Inhalation injuries can lead to airway obstruction and respiratory failure, which are life-threatening conditions.
Choice B rationale:
Administering intravenous pain medication is important, but it is not the priority. Pain management is necessary but secondary to life-threatening conditions.
Choice C rationale:
Inserting an indwelling urinary catheter is done to monitor renal function and fluid balance, but it is not the priority action in this case.
Choice D rationale:
Drawing blood for a complete blood cell (CBC) count is done to assess the client’s overall health status, but it is not the priority action.
Correct Answer is C
Explanation
The correct answer is Choice C: "I will make a list of my favorite beverages."
Choice A rationale: Stating that they will put beverages in large containers to give the appearance of drinking a lot demonstrates a lack of understanding of fluid restriction guidelines. It focuses on the appearance rather than the actual fluid intake limitation. This statement does not reflect an understanding of the need to limit fluids in acute kidney disease.
Choice B rationale: Consuming most fluids during the evening is not recommended for clients with acute kidney disease as it may lead to discomfort, nighttime urination, and fluid overload. This statement does not demonstrate an understanding of the importance of spreading fluid intake throughout the day.
Choice C rationale: Making a list of favorite beverages indicates the client's understanding of fluid restrictions. This approach can help the client prioritize their preferred beverages while staying within their prescribed fluid allowance. It shows that the client is aware of the need to be selective in their fluid intake.
Choice D rationale: Although avoiding ice cream is an appropriate action due to its contribution to fluid intake, this statement alone does not necessarily indicate a comprehensive understanding of fluid restrictions. The client must also be aware of the importance of monitoring all sources of fluid intake, including other foods and beverages.
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