In reviewing the burned client's laboratory report of white blood cell count with differential, all the following results are listed. Which laboratory finding indicates the possibility of sep-sis?
A. The total white blood cell count is 9000/mm3.
B. The lymphocytes outnumber the basophils.
C. The "bands" outnumber the "segs."
D. The monocyte count is 1,800/mm3.
C
Normally, the mature segmented neutrophils ("segs") are the major population of circulating leukocytes, constituting 55% to 70% of the total white blood count. Fewer than 3% to 5% of the circulating 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. Such a shift indicates severe infection or sepsis, in which the client's immune system cannot keep pace with the infectious process.
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The nurse administers a medication to the patient and then realizes that the medication had been discontinued. The error is immediately reported to the physician. The nurse is complying with the standards of professional performance known as:
a. Ethics. b. Socialization. c. Altruism. d. Autonomy.
Which principle should be followed by psychiatric inpatient staff when addressing a behavioral
crisis? a. Resolve it with the least restrictive intervention possible. b. Individual client rights are superseded by the rights of the majority. c. Swift intervention is preferable to planned, structured intervention in nearly all instances of dyscontrol. d. Allow the client the opportunity to regain control without intervention when safety of other clients is not compromised.
A client is receiving carbidopa/levodopa (Sinemet). When assessing this client for possible adverse reactions, which of the following might the nurse note? Select all that apply
A) Choreiform movements B) Hyperglycemia C) Hypotension D) Dry mouth E) Anorexia
A client who demonstrates manic behavior becomes demanding and active. Which is the most appropriate nursing intervention for this client?
A) Maintaining a supportive, structured environment and setting limits as necessary in a firm but nonthreatening manner B) Warning the client that he or she may be restrained if these behaviors do not subside C) Helping to lessen the client's feelings of guilt and rejection D) Broadening the client's interpersonal contact with other clients and staff members