The nurse is alarmed by a complete blood count that shows a large "shift to the left." The nurse assesses this to mean that the cell level count of:
1. neutrophils has dropped by 10%.
2. basophils has increased by 25%.
3. neutrophils has increased by 60%.
4. neutrophils has increased by 60%.
4
A "shift to the left" indicates a sharp rise in the neutrophils (white blood cells) to around 60%. The outpouring of these cells from the marrow indicates a very serious and perhaps overpowering infection. Many of the cells are young and will not be able to keep up their work of immunity for as long as more mature cells would maintain immunity.
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During examination of the abdomen, the nurse identifies an area of pain to light palpation in the right lower quadrant. What is the most appropriate next action?
A) Deep palpation of the area B) Administer pain medication C) Assess for rebound tenderness D) Auscultate for vascular sounds
An older woman has left-sided paralysis from a thrombus formation in the cerebral vasculature
Rank the nursing goals of this woman's plan of care in order of importance, starting with the most important goal. (Select all that apply.) A. Instruct her to call for help before moving. B. Maintain her blood pressure below 120/80 mm Hg. C. Reinforce occupational therapy for feeding. D. Use range-of-motion exercises to prevent contractures.
A Filipino American client is discussing concerns related to osteoporosis with the nurse educator
When considering the information to be presented, the nurse is aware that which of the following traditional characteristics may pose problems for this client's plan of care and will need to be incorporated into the information provided? 1. Potential for lactose intolerance 2. Pork is a primary source of protein 3. Heavy use of salt and vinegar 4. Chicken is a primary source of protein
A 2-year-old with Down's syndrome presents to the clinic with a chief complaint of unsteady walking. The physical therapist wants to use orthotics to help with ambulation. The main uses of assistive aids in neuromuscular conditions are:
1. To prevent deformity and improve function. 2. To stop mobility and use a stroller. 3. To cover their feet and keep them warm. 4. To relax muscles in a child with ligament laxity.