The nurse receives a report that a client's laboratory results show a left shift or an increase in circulating band neutrophils. What is the nurse's best action?
a. Keep the client on bedrest.
b. Prepare the client for surgery.
c. Increase the client's oxygen flow rate.
d. Assess the client's vital signs.
D
A left shift indicates that the client cannot produce a sufficient number of mature neutrophils. One condition that can cause this to happen is sepsis. Assessing vital signs, including tempera-ture, can assist the nurse in planning the next action. There would be no reason to keep the client on bedrest, to prepare the client for surgery, or to increase the client's oxygen at this point. The most appropriate action is assessing for a problem.
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