The nurse reviews the client's test results.

Exhibits

For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.

A. Increased iron level: Iron levels typically decrease during infection due to the body's inflammatory response. The liver sequesters iron to limit bacterial growth, leading to lower serum iron levels. An increased iron level is not an indicator of infection and may instead be associated with conditions such as hemochromatosis or excessive iron supplementation.
B. Increased erythrocyte sedimentation rate: The erythrocyte sedimentation rate (ESR) is a nonspecific marker of inflammation and infection. When an infection occurs, inflammatory proteins cause red blood cells to clump together and settle faster, leading to an increased ESR. A high ESR can indicate an ongoing infection, autoimmune disorder, or chronic inflammatory condition.
C. Decreased platelets: Platelets, or thrombocytes, are involved in blood clotting and do not serve as a primary indicator of infection. While severe infections, such as sepsis, can lead to thrombocytopenia (low platelets) due to disseminated intravascular coagulation (DIC), this is not a common finding in routine infections.
D. Decreased hemoglobin: Hemoglobin levels reflect the oxygen-carrying capacity of red blood cells and are not directly linked to infection. While chronic infections and inflammatory conditions can contribute to anemia of chronic disease, an acute infection typically does not cause a sudden drop in hemoglobin.

A. Open curtains between clients in semiprivate rooms. Keeping curtains closed between clients helps reduce noise, light, and distractions, promoting a more restful environment. Open curtains can increase disturbances and compromise privacy.
B. Wear shoes with rubber soles. Rubber-soled shoes help minimize noise from footsteps, reducing disruptions to clients' sleep. Hard-soled shoes can create unnecessary noise, contributing to environmental stressors in an acute care setting.
C. Conduct change-of-shift report near the clients' rooms. Shift reports should be conducted away from client rooms to limit noise exposure. Conversations near sleeping clients can be disruptive, reducing sleep quality and contributing to stress.
D. Turn on overhead lights briefly when checking IV lines. Bright overhead lighting can disturb clients' sleep. Using a flashlight or dim bedside lighting is a better approach to minimize disruptions while ensuring safe IV checks.