The nurse reviews the laboratory results of a client and finds that the white blood cell (WBC) count is 1500/mm3 . What is the priority action of the nurse?

a. Have the client wear a mask at all times.
b. Obtain a urine sample for culture and sen-sitivity.
c. Administer two units of fresh-frozen plasma.
d. Institute reverse isolation precautions.


D
A white cell count of 1500/mm3 indicates that the client is severely neutropenic and does not have sufficient protection against invasion by bacteria and other organisms. Reverse isolation should be initiated for his or her protection. A urine sample is not needed because the client is not being evaluated for infection with a low WBC, but would be with a high one. Fresh-frozen plasma will not increase the client's WBC count. In reverse isolation, the client does not need to wear a mask.

Nursing

You might also like to view...

An abnormal condition in which the heart contracts regularly but at a rate greater than 100 beats per minute is known as ___________________

ANS:

Nursing

The patient with asthma is prescribed a leukotriene modifier drug, montelukast (Singulair). The nurse points out that the major advantage of this drug is it:

a. has no GI side effects. b. provides bronchodilation and an-ti-inflammatory effects. c. controls acute asthma episodes. d. can be substituted for all other asthma re-medies.

Nursing

Which characteristics are MOST often used to describe individuals with histrionic personality disorder?

a. marked reactivity, impulsive behavior, anger with those closest to them, and a sense of emptiness b. overestimation of abilities, inflated self-esteem, sense of superiority, and lack of empathy c. constantly seeking attention; excessively emotional, dramatic, and shallow d. manipulative, lying, violent, using others, charming, irritable, and bullying

Nursing

A patient is seen in the outpatient clinic for follow-up of a nutritional deficiency. In planning for the patient's dietary intake, the nurse includes a complete protein. Which one of the following is an example of a complete protein?

a. Cheese b. Oats c. Legumes d. Vegetables

Nursing