With which laboratory finding for a client with a urinary tract infection should the nurse notify the physician immediately?

A. Left shift in the WBC differential
B. Serum white blood cell count of 8000/mm3
C. Presence of red blood cells in the urine
D. Presence of white blood cells in the urine


A
A left shift most commonly occurs with urosepsis, a condition that has a 15% mortality rate. Left shifts rarely occur with uncomplicated cystitis.

Nursing

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During an annual physical examination, a 43-year-old patient states that she does not perform monthly breast self-examinations (BSEs). She tells the nurse that she believes that mammograms "do a much better job than I ever could to find a lump."

The nurse should explain to her that: a. BSEs may detect lumps that appear between mammograms. b. BSEs are unnecessary until the age of 50 years. c. She is correctâ€"mammography is a good replacement for BSE. d. She does not need to perform BSEs as long as a physician checks her breasts annually.

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Which of the following responsibilities do occupational health nurses (OHNs) have that are different from the responsibilities of most clinical nurses? (Select all that apply.)

a. Completing expert physical assessments and health histories b. Coordinating site disaster planning c. Evaluating resources and vendors for case management d. Knowing relevant federal, state, and local regulations e. Managing budgets f. Performing cost-benefit analysis and outcomes monitoring

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How is the cervical mucus method of contraception different from the calendar (rhythm) method? The cervical mucus method:

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Nursing

Two 3-year-olds are playing in a hospital playroom together. One is working on a puzzle while the other is stacking blocks. Which type of play are these children exhibiting?

1. Cooperative play 2. Associative play 3. Parallel play 4. Solitary play

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