A child diagnosed with a Wilms tumor is prescribed chemotherapy. Which laboratory test will the nurse monitor prior to administering the chemotherapy to determine the child's infection-fighting capability?
1. Hemoglobin
2. Red-blood-cell count
3. Absolute neutrophil count (ANC)
4. Platelets
Correct Answer: 3
Rationale: The absolute neutrophil count uses both the segmented (mature) and bands (immature) neutrophils as a measure of the body's infection-fighting capability. Red-blood-cell count, hemoglobin, and platelets cannot determine infection-fighting capabilities.
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The nurse is caring for a patient who is blind. What technique should the nurse use when ambulating the patient?
a. Follow the patient with the patient's hand on the nurse's elbow. b. Precede the patient with the patient's hand on the nurse's elbow. c. Walk in front of the patient, telling the patient of any obstacles. d. Walk behind the patient with the nurse's hand on the patient's shoulder.
The student nurse learns that the most important function of inflammation and immunity is which purpose?
a. Destroying bacteria before damage occurs b. Preventing any entry of foreign material c. Providing protection against invading organisms d. Regulating the process of self-tolerance
A patient has just delivered her third child, who was stillborn and had obvious severe defects. Which statement by the nurse is most helpful?
1. "Thank goodness you have other children.". 2. "I am so happy that your other children are healthy.". 3. "These things happen. They are the will of God.". 4. "It is all right for you to cry. I will stay here with you.".
A nurse is preparing for the delivery of a newborn with a known diaphragmatic hernia defect. Which equipment does the nurse ensure is prepared at the bedside?
1. Intubation setup 2. Appropriate bag and mask 3. Sterile gauze and saline 4. Soft arm restraints