When caring for a client receiving an immunosuppressant agent, the nurse should report which of the following values?
a. leukocyte count of 15,000 cells/mm3 c. neutrophil count 450 cells/mm3
b. leukocyte count of 1,300 cells/mm3 d. neutrophil count over 500 cells/mm3
ANS: A, B, C
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Correct a., b., and c. These are values that must be reported.
Incorrect d. Neutrophil counts over 500 cells/mm3 is considered within defined limits.
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The nurse is assisting a patient in planning to return to work after an extensive illness. The patient's need for self-fulfillment fits in which level of Maslow's Hierarchy of basic needs?
A) Physiologic B) Safety and security C) Love and belonging D) Self-actualization
The nurse is implementing a standing order. This type of order is:
a. written for one client only. b. a nursing order written on the client care plan. c. a standardized intervention written and signed by a physician to be used in designated situations. d. an order that stands alone and needs no follow-up.
An example of a functional heart murmur is one that is caused by:
a. anemia. b. a ventricular septal defect. c. an atrial septal defect. d. mitral valve prolapse.
What nursing consideration is most important in the care of a child on a mechanical ventilator?
a. Humidification is not necessary. b. Respiratory assessment is done by the ventilator. c. Positioning the child for comfort and optimum ventilation is necessary. d. Support and reassurance are not as important because the child is unconscious.