When caring for a patient with acute leukemia, the nurse should monitor which of the following laboratory results to assess the risk for infection:
A) Creatinine levels
B) Hepatic function tests
C) Electrolyte levels
D) WBC count
Ans: D
Feedback: To monitor the risk of infection, the nurse should check the WBC count to assess the risk for infection.
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A critically ill patient has an intravenous line inserted into the left subclavian vein. After the procedure, what nursing intervention is used to detect the most serious complication of this procedure?
A) Connection of ordered intravenous fluids B) Compatibility evaluation for fluids infused C) Use of a semipermeable plastic site dressing D) Auscultation of bilateral breath sounds
Which of the following statements about comfort care is accurate?
a. Withholding and withdrawing life-sustaining treatment are distinctly different in the eyes of the legal community. b. Each procedure should be evaluated for its effect on the patient's comfort before being implemented. c. Only the patient can determine what constitutes comfort care for him or her. d. Withdrawing life-sustaining treatments is considered euthanasia in most states.
The nurse is performing an assessment on a 4-hour old newborn. Findings include temperature 36.2° C (97.2° F), heart rate 162 beats/minute, respiratory rate 62 breaths/minute with 20-second pauses. The nurse's first action should be to:
a. Notify the health care provider. b. Recheck vital signs in 1 hour. c. Document findings as normal. d. Return the newborn to the mother's room for rooming-in.
What is the classic symptom of malabsorption syndrome?
a. Unintentional weight loss b. Decreased libido c. Bloating with flatus d. Chronic diarrhea