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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Acute glomerulonephritis is a type of kidney disease that can develop after an infection such as strep throat. A sore throat is a common symptom of strep throat and could have been the sign that motivated the parents to seek medical care for their child.
Hematuria (A) is the presence of blood in the urine and can be a symptom of acute glomerulonephritis, but it is not the most likely sign that originally motivated the parents to seek medical care. Weight loss (B) and polydipsia (C), which is excessive thirst, are not typically associated with acute glomerulonephritis or strep throat.
Correct Answer is A
Explanation
If the practical nurse (PN) is caring for a client who delivered 6 hours ago and assessment findings reveal a boggy uterus that is displaced above and to the right of the umbilicus, the PN should encourage the client to void. A full bladder can displace the uterus and prevent it from contracting properly, leading to a boggy uterus. Encouraging the client to void can help empty the bladder and allow the uterus to contract and return to its normal position. The other actions listed may also be appropriate in some situations, but encouraging voiding is the most appropriate action in this situation.
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