The nurse is providing care for a pediatric client who is diagnosed with a Wilms tumor. Which laboratory test result should the nurse monitor prior to administering the prescribed chemotherapy dose?
1. Hemoglobin
2. Red blood cell count
3. Platelets
4. Absolute neutrophil count (ANC)
4
Explanation:
1. Hemoglobin indicates oxygen-carrying capacity, not immune response.
2. Red blood cell count has no correlation with immune function.
3. Platelets are associated with clotting, not immune function.
4. The absolute neutrophil count uses both the segmented (mature) and bands (immature) neutrophils as a measure of the body's infection-fighting capability.
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A child is in the pediatric intensive care unit with disseminated intravascular coagulation (DIC). What laboratory findings correlate with this condition? (Select all that apply.)
A. Decreased PTT B. Increased D-dimer C. Increased fibrinogen D. Low platelet count E. Normal white blood cell count
Which of the following nursing interventions is involved in ensuring that the client does not suffer any injury due to significant regulation in blood pressure (BP)?
A) Monitor the client's BP every hour. B) Monitor the client's positioning when sleeping. C) Monitor postural changes in BP. D) Assess the client's surroundings.
Nurses on one unit have started a Journal Club with a 56% participation rate of staff nurses involved during the past 10 months
The organization's annual Research Day is coming up in 4 months and the organizers have asked the Journal Club members to be involved. Only one nurse is willing to represent the group and decides the most effective way to share the Club's vision and effectively represent the group is to ask each member to: A. Develop a PowerPoint slide depicting one of the articles the club has discussed and the representative will create a group poster presentation to be displayed at Re-search Day. B. Write an abstract of some researchable clinical problem that the representative will present to the Research Day commit-tee for funding possibilities. C. Prepare a two-page paper explaining why the Club will not participate in Research Day planning so that the representative can tell the committee their reasons for not wanting to be involved. D. Attend an extra Journal Club meeting so that the representative can have the Re-search Day committee members present their rationale for mandating that the Journal Club be involved.
During a change of shift reporting, a nurse has to substitute for a healthcare provider to
care for a client. Which process would be most effective for the nurse's change-of-shift reporting? A) Use the clinical care path as her guide B) Record any failure in achieving short-term goals C) Prepare a written summary for the oncoming nurse D) Report on specific nursing diagnosis