A nurse is reviewing the white blood cell count with differential for a client receiving chemothe-rapy for cancer. Which finding alerts the nurse to the possibility of sepsis?
a. Total white blood cell count is 9000/mm3.
b. Lymphocytes outnumber basophils.
c. "Bands" outnumber "segs."
d. Monocyte count is 1800/mm3.
C
Normally, mature segmented neutrophils ("segs") are the major population of circulating leuko-cytes, constituting 55% to 70% of the total white blood cell count. Less than 3% to 5% of circu-lating white blood cells should be the less mature band neutrophils. A left shift occurs when the bone marrow releases more immature neutrophils than mature neutrophils. This condition indi-cates severe infection with possible sepsis and must be explored further.
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Maggie is a new UAP. She has been working the 7 p.m. to 7 a.m. shift on a busy telemetry unit for 3 months. She is perpetually late to work. The other UAPs on the unit are complaining about the situation
Of the following responses, which demonstrates the best example of assertive communication? A) "You are always late; what are you going to do about this situation?" B) "Being late is unacceptable; you need to change this behavior" C) "I noticed that you often arrive late; I think we need to discuss how this affects your performance" D) "Lateness creates a situation that leads to a negative day; I think it is time to work out a plan to eliminate this problem"
A 64-year-old requests an injection of flu vaccine because her 90-year-old mother died last year from the flu. What is the influenza-related respiratory complication that could have contributed to the mother's death?
A) Complications of COPD B) Complications related to asthma C) Inability to clear mucus from the lungs D) Lack of obvious symptoms leading to complications
During an assessment the nurse determines that an older patient dying from a terminal illness is experiencing common fears. What fears did this nurse assess in the patient? Standard Text: Select all that apply
1. Dying alone 2. Loss of consciousness 3. Loss of bladder control 4. Leaving loved ones behind 5. Becoming a burden to others
Infants and children require ________ doses of medication than adults.
Fill in the blank(s) with the appropriate word(s).