In reviewing the laboratory report of white blood cell count with differential for a client receiving chemotherapy for cancer, all of the following results are listed. Which laboratory finding should alert the nurse to the possibility of sepsis?
A. The total white blood cell count is 9000/mm3.
B. The lymphocytes outnumber the basophils.
C. The "bands" outnumber the "segs."
D. The monocyte count is 1800/mm3.
C
Normally, the mature segmented neutrophils ("segs") are the major population of circulating leukocytes, constituting 55% to 70% of the total white blood cell count. Less than 3% to 5% of the circulating white blood cells should be the less mature "band" neutrophils. A left shift occurs when the bone marrow releases more immature neutrophils than mature neutrophils. This condi-tion indicates severe infection with possible sepsis and must be explored further.
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Although a 3-month-old infant's height and weight measurements fall below the 5th percentile, the nurse is not concerned about the development of failure to thrive (FTT)
Which information about this child assisted the nurse to make this decision? A) The infant eats an appropriate amount each day. B) The child sleeps the whole night through. C) The parents socialize two nights a week. D) The child is of Asian-American descent.
The client with type 1 diabetes mellitus and peripheral arterial disease receives a bed bath. Which foot care technique should the nurse use for this client?
1. Soak feet in warm water. 2. Allow feet to stay moist. 3. Use tepid water to cleanse. 4. Cut nails in a curved shape.
John, a baby boy, is admitted to the transition nursery for a comprehensive physical, medications, and a bath prior to being transferred to the postpartum floor. Before you conduct the physical assessment, you review common skin variations of the newborn. Which of the following conditions requires further evaluation by the in-house neonatal nurse practitioner?
A. Cutis marmorata, which is a mottling of the trunk and extremities B. Harlequin pattern, a condition that causes one side of the body to appear deep red and the other side pale, with a distinct demarcation down the midline C. A grouping of café au lait spots D. Erythema toxicum, a condition that causes punctuate macular-papular rash on cheeks, truck, back, and buttocks
A.N. is concerned about visible scars. What will you tell her to calm her fears?
What will be an ideal response?