Which laboratory value is indicative of a "shift to the left"?

1. Increase in total white blood cell count
2. Increase in absolute neutrophils count (ANC)
3. Increase in platelets
4. Increase in erythrocytes


Increase in total white blood cell count

Rationale: A "shift to the left" phenomenon represents an increase in the total white blood cell count. The bone marrow is stimulated to release a large number of relatively immature cells and juvenile cells as a compensatory mechanism to combat severe infection. An increase in absolute neutrophils, platelets, and erythrocytes is not indicative of a "shift to the left.".

Nursing

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The type of arthritis that is caused by increased uric acid levels is

A) gout. B) rheumatoid arthritis. C) osteoarthritis. D) osteoporosis.

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