The health care provider's progress note for a patient states that the complete blood count (CBC) shows a "shift to the left." Which assessment finding will the nurse expect?
a. Cool extremities
b. Pallor and weakness
c. Elevated temperature
d. Low oxygen saturation
ANS: C
The term shift to the left indicates that the number of immature polymorphonuclear neutrophils (bands) is elevated and that finding is a sign of infection. There is no indication that the patient is at risk for hypoxemia, pallor/weakness, or cool extremities.
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A nurse is caring for a 4-year-old girl. The mother says that the girl is afraid of cats and dogs and does not like to go to the playground anymore because she wants to avoid the dogs that are often being walked at the park
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Which is true concerning proprietary agencies?
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The nurse provides fluid replacement for a patient with burns on 35% of his body. It has been 12 hours since the burns occurred. His blood pressure is 85/60 mm Hg, pulse 124 beats/minute, and urine output 25 mL during the past hour
What orders should the nurse expect to receive from the physician? A) Maintain IV fluids at the present rate, and continue to reassess vital signs and urine output hourly. B) Increase the IV rate, and continue to reassess vital signs and urine output hourly. C) Decrease the IV rate, and continue to reassess vital signs and urine output hourly. D) Administer a vasoconstrictor, and reassess vital signs and urine output hourly.