A nurse is caring for a client with who is experiencing leukocytosis. When providing care to this client, which action by the nurse is the most appropriate?
A) Instruct the client on the use of an electric razor and soft toothbrush.
B) Assess for bleeding and bruising.
C) Assess for source of infection.
D) Place the patient in reverse isolation precautions.
Answer: C
A client with leukocytosis has a white blood cell (WBC) count that is elevated above normal (>10,000 mm3) which is an indication of infection. The appropriate action by the nurse is to assess the client for a source of the infection. Instructing the client on the use of an electric razor and soft toothbrush and assessing for bleeding and bruising would be appropriate actions for a client with decreased platelet levels, or thrombocytopenia. Placing the client in reverse isolation precautions would be appropriate for the client with neutropenia, a decrease in the number of neutrophils.
You might also like to view...
The LPN/LVN utilizes the teaching plan in many care settings, and knows that a successful plan includes: Standard Text: Select all that apply
1. Client centered activities 2. Client assessment 3. Method of implementation 4. Termination activities 5. Develop nursing goals based on desired outcomes
___________________________ is a pervasive and sustained emotion that may have a major influence on a person's perception of the world
Fill in the blank(s) with correct word
Sodium is a necessary nutrient and the major extracellular cation in the body. What is one of its functions?
A) Cardiac stability C) Immune system functioning B) Muscular stability D) Nerve impulse transmission
Collection of a midstream urine sample from an infant requires that the nurse:
A. Apply a sterile plastic collection bag to the perineum B. Wring out diapers and collect the urine in a specimen container C. Hold the infant over a sterile basin when voiding has started D. Catheterize the infant and collect the urine using sterile procedure