Which of the following patients has an absolute neutrophil count that is critically low and that the standard of care would recommend they be placed on neutropenic precautions?
A)
A patient on long-term steroids for rheumatoid arthritis with WBC of 7000
B)
A 37-year-old patient with leukemia being treated with chemotherapy with ANC of 400
C)
A 65-year-old prostate cancer patient receiving radiation therapy with neutrophil count of 2000
D)
A 75-year-old renal failure patient receiving Epogen for anemia with hemoglobin level of 9.7.
Ans:
B
Feedback:
Neutrophils constitute the majority of blood leukocytes and play a critical role in host defense mechanisms against infections. The ANC is supposed to be 1000/ µL, and if the ANC is less than 500 cells/mm3, the person is generally put on neutropenic precautions in the hospital to protect him or her from the environment. A patient on long-term steroids for rheumatoid arthritis with WBC of 7000 has a normal WBC count; a prostate cancer patient receiving radiation therapy with neutrophil count of 2000 has a normal neutrophil count; a renal failure patient receiving Epogen for anemia with hemoglobin level of 9.7 is associated with RBCs and not neutrophils.
You might also like to view...
A client recovering from bone flap removal is scheduled for further surgery. The nurse should anticipate which surgery for this client?
1. Burr hole 2. Craniotomy 3. Cranioplasty 4. Craniectomy
A client on antiretroviral drug therapy is discussing with the nurse that sometimes he "forgets to take his meds for a few days." What should the nurse inform the client can occur when the medications are not taken as prescribed?
A) The funding for the medications will cease if the client is not taking the meds correctly. B) The client is risking the development of drug resistance and drug failure. C) The client will have to take the drugs intravenously to ensure compliance. D) The client will have to take higher doses of the antiviral medications.
Public health nurses serve their communities in a variety of ways. Which is an example of primary prevention for a community?
A) Implementation of a psychiatric home health care program B) Further development of a partial hospitalization program C) Money-management counseling for couples with compulsions to spend D) Intervening with a high-risk population to decrease incidence of conduct disorder
Which of the following can be caused by a fracture that disrupts or transects the epiphyseal growth plate of a child?
a. gigantism b. dwarfism c. increased risk of a fat emboli or bleeding into the tissues d. limb length discrepancy or a halt in height attainment