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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale:
Obtaining a sputum culture helps identify the causative organism and guide treatment.
Choice B rationale:
Positioning the head of bed at 10 degrees is not beneficial for pneumonia patients.
Choice C rationale:
Coughing and deep breathing every 8 hours is not frequent enough for pneumonia patients.
Choice D rationale:
Encouraging fluid intake of 1500 mL/day is not sufficient for pneumonia patients.

A. Obtain a prescription for an indwelling urinary catheter. B. Offer the client the bedpan every 2 hr. C. Cleanse the perineum from back to front. D. Encourage fluid intake at and between meals.

Correct Answer is D

Explanation

Choice A rationale:
Indwelling urinary catheters can actually increase the risk of UTIs.
Choice B rationale:
Offering the bedpan every 2 hours may not be necessary or practical for all patients.
Choice C rationale:
Cleaning the perineum from back to front can introduce bacteria to the urinary tract, increasing UTI risk.
Choice D rationale:
Adequate hydration can help flush bacteria out of the urinary tract, reducing UTI risk.

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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?

Nursing Test Bank

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