The nurse examines the patient's complete blood count with differential analysis and notices that the patient's neutrophils are elevated, but the lymphocytes are lower than normal
The drop in lymphocyte count in the differential is most likely due to: a. the increase in neutrophil count.
b. a new viral infection.
c. a decreased number of "bands."
d. the lack of immature neutrophils.
A
The differential count measures the percentage of each type of white blood cell (WBC) present in the venous blood sample, the total adding up to 100%. If the percentage of one type of WBC goes up (neutrophil count), the percentage of the remaining WBCs must go down as a result of the mathematical function of the differential. An elevation in the neutrophil count usually indicates a bacterial infection. "Bands" are immature neutrophils. The phrase "a shift to the left" refers to an increased number of "bands," or band neutrophils, compared with mature neutrophils on a complete blood count (CBC) report. This finding generally indicates an acute bacterial infectious process (not viral) that draws on the WBC reserves in the bone marrow and causes less mature forms to be released.
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The activity room is severely damaged while the nurse is addressing an emergency on the inpatient unit. Which communication by the nurse to the entire milieu would be the most therapeutic when the destruction is first discovered?
a. "This room is off-limits for 2 weeks. I am struggling with this intolerable behavior and sorely disappointed in everyone involved.". b. "This behavior is representative of a real problem with the unit's milieu. Let's discuss it as you all help put the room back in its original order.". c. "People must be really angry. Everyone who was involved must help undo the damage immediately and then discuss the reasons for the behavior.". d. "It seems that there is a great deal of negative feelings in this group today. We need to share feelings regarding the problem while we all clean up the room.".
Which of the following patients is at greatest risk of sensory overload?
A) A 17-year-old on bedrest after a surgical procedure B) A 55-year-old, newly diagnosed with diabetes, in a private room in a hospital C) An 88-year-old on a ventilator in an intensive care unit D) An 8-year-old in isolation in a private room in a hospital
An older patient is concerned about remembering to take prescribed medications. What strategies should the nurse recommend to this patient? Standard Text: Select all that apply
1. Rely on habit to take the medication. 2. Use an assistive device such as a pillbox. 3. Suggest a family member provide the medication. 4. Discuss moving to an assisted living facility for safety. 5. Discuss reducing the number of medications with the physician.
A researcher may use which strategy to reduce the potential for measurement error when evaluating obesity in study subjects?
a. Measure weight, abdominal girth, and BMI on all subjects b. Train multiple data collectors to take measurements c. Use scales in several different clinical settings to obtain data d. Utilize a single measure, such as BMI, applied to all subjects