The client's white blood count with differential indicates a total count of 10,000 cells /mm3 . Which of the follow differential counts or percentages should the nurse report to the physi-cian?

A. Eosinophils 200/mm3
B. Monocytes 2000/mm3
C. Segmented neutrophils 6000/mm3
D. Lymphocytes 2100/mm3


B
The normal monocyte population in peripheral blood should be not greater than 5%. A monocyte count of 2000 in 10,000 white blood cells represents 20% of the total and indicates a significant increase.

Nursing

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A client is diagnosed with pelvic inflammatory disease (PID). When explaining this condition to the client, the nurse would describe this as a condition that affects:

A) uterus, fallopian tubes, and ovaries C) vagina, Bartholin and Skene's glands B) cervix, vagina, and uterus D) perineum, cervix, and labia

Nursing

The nurse is caring for a 55-year-old patient receiving metoprolol (Lopressor). What statement by the patient would lead the nurse to believe that he needs additional instruction?

A) "If I have side effects from the medication, I will contact my physician before I stop taking it." B) "I can take over-the-counter (OTC) cold medication while on metoprolol." C) "I will take the medication on an empty stomach." D) "I will report a weight gain of 2 pounds or more in 1 week."

Nursing

The nurse notes that the patient's chest tube pulled out by 5.1 cm (2 inches) during turning and repositioning. Which should be the initial action by the nurse?

a. Instruct the nursing assistive personnel (NAP) to apply pressure for 5 minutes. b. Replace the water-seal drainage system with a sterile waterless unit quickly. c. Hold a towel firmly over the site and send for petrolatum gauze. d. Push the tube into place and apply an oc-clusive sterile dressing.

Nursing

The nurse is conducting an admission assessment for a patient diagnosed with terminal cancer. Which question is appropriate when collecting information on the current health history?

1) "Do you have advance directives?" 2) "Who has the Medical Power of Attorney?" 3) "Do you have any young children?" 4) "What is the list of current medications that you are prescribed?"

Nursing