A patient's laboratory values indicate a "shift to the left." The nurse would anticipate further testing for which possible conditions? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Bone marrow disease
2. Undetected infection
3. Presence of foreign cells in the bone marrow
4. Immune system insufficiencies
5. Expected response to immunosuppressive therapies
1,2,4,5
Rationale 1: A "shift to the left" may be indicative of bone marrow disease.
Rationale 2: A "shift to the left" is a compensatory mechanism to combat infection.
Rationale 3: A "shift to the left" is not indicative of foreign cells in the marrow.
Rationale 4: A "shift to the left" may be indicative of immune system insufficiencies caused by bone marrow disease.
Rationale 5: A "shift to the left" may occur as a result of immunosuppressive therapies such as chemotherapy.
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