A female patient is in intensive care recovering from a severe illness and has these laboratory results: total white blood cells 2,000 cells/mm3, neutrophils 40%, lymphocytes 35%, monocytes 11%, eosinophils 4%, basophils 0%, red blood cell count 4
2 ? 106 cells/mm3, hemoglobin 11.7 g/dL, hematocrit 38%, serum sodium 140 mEq/L, serum potassium 4.0 mEq/L. Based on the laboratory results, what is the highest-priority nursing action?
A) Monitor cardiac rhythm closely.
B) Measure intake and output carefully.
C) Institute protective isolation.
D) Obtain an order for antibiotic therapy.
C
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Two nurses are discussing appropriate care of culturally diverse populations and a nurse has made the point that the United States is diverse but anglicized. Why is the United States considered to be anglicized?
A) Because English financial institutions have the most economic influence in the United States B) Because political relations between Britain and the United States have been traditionally cooperative C) Because United States culture evolved primarily from the early English settlers D) Because English is the official language of government at all levels
After teaching a class about the endocrine system, the instructor determines that the students need additional instruction when they identify which of the following as an endocrine gland?
A) Pancreas B) Adrenal gland C) Testes D) Kidneys
Which of the following is a disadvantage of standardized care plans?
1. They may be implemented without being individualized. 2. They reduce the amount of writing required. 3. They must be updated when change of health status occurs. 4. They can be initiated shortly after admission.
A nurse is assessing the community for potential settings of drug experiences. Which of the fol-lowing describes what the nurse would most likely identify?
a. A back alley or abandoned building where people are using crack b. An area at the local high school where students are known to smoke cigarettes c. The individuals using the drug, including that individual's expectations d. The physical, social, and cultural environ-ment within which the use occurs