The nurse is reviewing the following laboratory results and determines that which of the following requires immediate intervention?
• WBC 14,600 mm3
• Monocyte count 6:%
• Wound culture showing no growth
• Sedimentation rate female patient 9 mm/hr
WBC 14, 600 mm3
Rationale: A WBC of 14, 600 mm3 is well above the normal WBC range (4,000–10,000 mm3), and the client's health care provider should be notified immediately. All of the other lab results are within acceptable ranges.
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Which methods should be used to stop steroid therapy? (Select all that apply.)
a. Therapy is stopped immediately. b. The medication is tapered gradually. c. After shorter courses, the dosage may be reduced by 50% each day. d. The dosage may be reduced at consistent intervals. e. Therapy is stopped once symptoms are improved.
As a nurse manager, you have been asked to be part of a design team for health services that have vertical integration. In planning for these services, your team will design a proposal that will:
a. Cluster like services together, such as outpatient clinics for the care of children with various developmental and medical needs. b. Plan for the smooth transition of patients from the emergency services department to other units in the hospital. c. Ensure that funding follows the patient from acute care to long-term care services. d. Bring together acute care, ambulatory, home care, and palliative care services for the management of patients diagnosed with cancer.
What side effect commonly occurs with corticosteroid (prednisone) therapy?
a. Alopecia b. Anorexia c. Nausea and vomiting d. Susceptibility to infection
Which precaution is most important to teach a patient who is prescribed any antidepressant drug?
a. "Avoid drinking grapefruit juice while taking this drug." b. "Avoid drinking alcoholic beverages while taking this drug." c. "Be sure to wear sunscreen and a hat when going outdoors." d. "Drink at least 3 L of fluid every day while taking this drug."