An adolescent female client with acute leukemia reports that she is experiencing an unusually heavy menstrual ﬂow. Which laboratory data should the practical nurse (PN) review in response to this statement?

White blood cell count.

Platelet count.

Blood cultures.

Thyroid hormone levels.

Answer and Explanation

The Correct Answer is B

Acute leukemia can cause thrombocytopenia, which is a decrease in the number of platelets in the blood. Platelets are essential for blood clotting, and a low platelet count can result in heavy menstrual bleeding. Therefore, reviewing the client's platelet count is the priority in response to the client's statement. The other laboratory data may also be important to assess, but platelet count is the most relevant in this situation.

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Correct Answer is B

Explanation

Repeated visits to multiple emergency departments for various injuries or complaints can be a red ﬂag for possible child abuse. The other options may indicate other issues or concerns, but they do not provide as much reason to suspect child abuse as the history of repeated visits to diﬀerent emergency departments. It is important for healthcare providers to remain vigilant for signs of child abuse and to report any suspicions to the appropriate authorities.

A. The child likes to wiggle the fingers on the hand of the aﬀected side. B. The child's radial pulse volume on the aﬀected arm is difficult to palpate. C. An accurate respiratory rate cannot be measured because of the child's crying. D. The parents of the child are requesting that the child receive an analgesic.

Correct Answer is B

Explanation

This could indicate reduced blood ﬂow to the aﬀected arm, which may be a sign of compartment syndrome. Compartment syndrome is a serious condition that requires immediate intervention by a registered nurse (RN). The other options may also require intervention, but they are not as urgent as the situation described in option B.

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An adolescent female client with acute leukemia reports that she is experiencing an unusually heavy menstrual ﬂow. Which laboratory data should the practical nurse (PN) review in response to this statement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 4-year-old girl is brought to the emergency room with a fractured arm. Which information should be a basis for the practical nurse (PN) to suspect child abuse?

Correct Answer is B

Explanation

The practical nurse (PN) is monitoring a 5-year-old following a fracture of the ulna. For which situation should the PN seek immediate intervention by the registered nurse (RN)?

Correct Answer is B

Explanation

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