A nurse receives report from the laboratory on a client who was admitted for fever. The laboratory technician states that the client has "a shift to the left" on the white blood cell count. What action by the nurse is most important?
a. Document findings and continue monitoring.
b. Notify the provider and request antibiotics.
c. Place the client in protective isolation.
d. Tell the client this signifies inflammation.
ANS: B
A shift to the left indicates an increase in immature neutrophils and is often seen in infections, especially those caused by bacteria. The nurse should notify the provider and request antibiotics. Documentation and teaching need to be done, but the nurse needs to do more. The client does not need protective isolation.
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