Which of the following laboratory findings, would be identified by the nurse as the greatest risk for a cancer client scheduled for implantable port?
A) White blood cell count 10,800/mm3
B) Hemoglobin 10 g/dL
C) Hematocrit 36.0%
D) Platelet count 98,000/mm3
D
Feedback:
Although the WBC, HGB, and HCT are all slightly outside the normal range, the platelet count is very low and places the client at risk for bleeding. This is especially a concern with a surgical procedure.
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What action is most important for the nurse to take to prevent infectious skin disorders?
a. Use isolation precautions. b. Wash hands frequently. c. Use antibacterial soap. d. Sterilize all contaminated objects.
A woman has just given birth to an infant whose 1-minute Apgar score was 9. Meconium-stained amniotic fluid was noted upon rupture of the membranes. What action by the nurse is most appropriate?
A. Apply oxygen at 0.5 L/minute via face mask. B. Assess and document the infant's 5-minute Apgar score. C. Transfer the neonate to the intensive care unit. D. Vigorously suction the infant's trachea.
A client is diagnosed with medication-induced hypoaldosteronism. The nurse will assess the client's medication history for which drug use?
Standard Text: Select all that apply. 1. Beta blockers 2. NSAIDs 3. Calcium channel blockers 4. Angiotensin-converting enzyme inhibitors 5. Nitrites
Which step is essential when removing a client's hearing aid?
1. Assist the client with removal when necessary. 2. Instruct the client to remove the aid in the sunroom. 3. Leave the aid in place when bathing. 4. Send the aid home with the family.