A patient has been admitted to the emergency department following a bee sting. The nurse knows that if this is a true allergic reaction the patient will present with what alteration in his laboratory values?
A) Elevated eosinophils
B) Elevated sodium
C) Increased albumin
D) Decreased glucose
Ans: A
Feedback: Higher percentages of eosinophils are considered moderate to severe eosinophilia. Moderate eosinophilia is defined as 15% to 40% eosinophils and is found in patients with allergic disorders as well as in patients with malignancy, immunodeficiencies, parasitic infections, congenital heart disease, and those receiving peritoneal dialysis. An elevated sodium is noted when gross changes in water and salt balance. An increased albumin is noted with damage to the blood-brain barrier. A decreased glucose is noted with insulin shock.
You might also like to view...
Several staff nurses are talking about liability insurance at the nurse's desk. Which statement, made by the nurses, reflects an understanding of the purpose of liability insurance?
1. "I was told that the hospital carries liability insurance on its employees, so I don't need to carry my own policy." 2. "I have not gotten insurance because doctors and hospitals get sued more than nurses." 3. "I am a good nurse, and practice safely, so I don't need liability insurance." 4. "I carry my own liability insurance because hospitals can countersue nurses."
A client is experiencing severe anxiety associated with a phobia. Which nursing actions are appropriate when providing care to the client?
Select all that apply. A) Explain why the reaction to the phobia is unrealistic. B) Make sure the client understands that she is safe. C) Teach why the phobia is imagined. D) Coach the client to deep breathe. E) Ensure a quiet and calm environment.
An older client confides feeling a loss of control over life after having a mild stroke. What would be the best action the nurse could take to support this client?
A. Explain to the client that such feelings are normal, but that he or she must have realistic expectations for rehabilitation. B. Encourage the client to perform as many tasks as possible and to participate in decision making. C. Further assess the client's mental status for other signs of denial. D. Obtain an order for physical and occupational therapy.
Nonselective beta blockers and alcohol create serious drug interactions with insulin because they:
1. Increase blood glucose levels 2. Produce unexplained diaphoresis 3. Interfere with the ability of the body to metabolize glucose 4. Mask the signs and symptoms of altered glucose levels