The nurse is reviewing the differential on a client who had a complete blood count and notes the neutrophils are within normal ranges if they are:
1500-8000
0-100
1000-4800
6-500
The Correct Answer is A
A. 1500-8000: Normal absolute neutrophil count (ANC) is 1,500 to 8,000 cells/mm³. This range indicates a normal immune response.
B. 0-100: Extremely low and indicative of severe neutropenia.
C. 1000-4800: Lower end of normal but does not cover the full normal range.
D. 6-500: Much lower than normal, indicating severe neutropenia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Distribution: Distribution refers to the movement of the drug from the bloodstream to tissues and organs. Poor circulation can impair drug distribution, leading to reduced effectiveness or toxic accumulation.
B. Excretion: Excretion is the elimination of drugs, primarily through the kidneys. While circulation plays a role, excretion is more directly affected by renal function.
C. Metabolism: Metabolism occurs primarily in the liver and is not the primary concern in a client with poor circulation.
D. Absorption: Absorption refers to how the drug enters the bloodstream, which is more dependent on the GI tract (oral meds) or injection site (IV, IM meds) rather than circulation.
Correct Answer is B
Explanation
A. "Alcohol is metabolized in the kidneys." Alcohol is primarily metabolized in the liver, not the kidneys.
B. "Alcohol can increase the chances of nephrotoxicity." Chronic alcohol use can damage the kidneys and increase the risk of nephrotoxicity, especially when combined with nephrotoxic drugs (e.g., NSAIDs, aminoglycosides).
C. "Alcohol can decrease the chance of medication side effects." Alcohol can actually enhance medication side effects, such as sedation with CNS depressants or liver damage with acetaminophen.
D. "Medication can be metabolized faster when alcohol is consumed regularly." Chronic alcohol use induces liver enzymes, potentially altering metabolism, but it does not necessarily speed up drug metabolism for all medications.
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