The patient is being seen for complaints of general malaise, fatigue, and shortness of breath. The patient states that he has felt this way since he had a cold 6 weeks earlier. The nurse should expect the provider to order:
a. lymph node biopsy.
b. differential blood count only.
c. complete blood count (CBC) with differential.
d. Bone marrow biopsy.
C
The first screening diagnostic tests performed to detect hematological or immunological dysfunction are a Complete Blood Count (CBC) with differential and a coagulation profile. The CBC evaluates the cellular components of blood. The CBC reports the total RBC count and RBC indices, hematocrit, hemoglobin, WBC count and differential, platelet count, and cell morphologies. The most invasive microscopic examinations of the bone marrow or lymph nodes are reserved for circumstances when laboratory tests are inconclusive or when an abnormality in cellular maturation is suspected (e.g., aplastic anemia, leukemia, or lymphoma). A differential laboratory test is not done without the CBC first. A bone marrow biopsy is not warranted; it would only be done if preliminary studies indicated a hematological problem.
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The laboratory reports for a client who is taking clozapine show a white blood cell count of 3000
mm3 and a granulocyte count of 1500 mm3 . The nurse should a. give the next dose as ordered. b. report the laboratory results to the physician. c. repeat the laboratory tests. d. give aspirin and force fluids.
A patient is being treated for AKI and the patient daily weights have been ordered. The nurse notes a weight gain of 3 pounds over the past 48 hours. What nursing diagnosis is suggested by this assessment finding?
A) Imbalanced nutrition: More than body requirements B) Excess fluid volume C) Sedentary lifestyle D) Adult failure to thrive
Several state nursing associations are working together in an attempt to change a constitutional law. How is constitutional law changed?
1. By amendment 2. By repeal 3. By expansion 4. By redefinition
Why was there a severe shortage of nurses at the end of WW I?
A) Notoriously poor salaries paid nurses B) Poor working conditions C) Alternate employment opportunities available for women D) Well known exploitation of nursing students