A hospitalized patient’s lab work is as follows: WBC 2000, bands 14.8%, and segmented neutrophils 5. The healthcare professional calculates the patient’s absolute neutrophil count (ANC). What action does the professional take next?
a. Implements protocols to prevent life-threatening infections
b. Encourages the patient to limit any visitors for the present time
c. Does nothing; this is a normal ANC for the white cell count
d. Holds the patient’s medications until the ANC returns to normal
Ans: a. Implements protocols to prevent life-threatening infections
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The nurse is leading a discussion group with parents of adolescents. One parent comments, "My son can't do anything without checking with his friends first. My opinion doesn't count anymore."
What knowledge in regard to this behavior would the nurse formulate as a response? a. It is unusual for adolescent boys. b. It is often more apparent in boys than girls. c. It is a normal phenomenon during adolescence. d. It is suggestive of feelings of low self-worth.
Which of these steps is correct when a nurse is instilling two medications into a client's enteral tube?
a. Clamp the tube, attach the syringe, add both medications, release the clamp, and flush with 30 cc water. b. Attach the syringe, pour 30 cc of one medication, open the clamp, rinse with 5 cc water, pour remaining medication into the tube, and flush with 30 to 50 cc water. c. Attach the syringe, pour both medications into the tube, open the clamp, and flush with 30 to 50 cc water. d. Aspirate gastric contents, attach the syringe, pour each medication sequentially into the tube, and flush with 100 cc water
The nurse is teaching the parents of a 9-year-old girl about the socialization that is occurring in their child through school contacts. Which of the following information would the nurse include in her teaching plan?
A) Teachers are the most influential people in the development of the school-age child's social network. B) Continuous peer relationships provide the most important social interaction for school-age children. C) Parents should establish norms and standards that signify acceptance or rejection. D) A characteristic of school-age children is their formation of groups with no rules and values involved.
To best identify a risk for injury in an older adult patient, the nurse assesses for
a. decreased muscle mass in the legs. b. history of falls. c. hyperextension of the spine. d. decreased bone density.