A nurse is caring for a client admitted with community-acquired pneumonia. Which of the following white blood cell (WBC) counts and distributions is associated with an increased risk for septic shock?
A. Total WBC count 10,000/mm3 and neutrophil count 7000/mm3
B. Total WBC count 17,000/mm3 and neutrophil count 15,000/mm3
C. Total WBC count 3000/mm3 and neutrophil count 2000/mm3
D. Total WBC count 3000/mm3 and neutrophil count 400/mm3
D
This total white blood cell count is lower than normal (leukopenia), with a profound decrease (left shift) of mature neutrophils, greatly increasing the risk for the client to develop sepsis.
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A client had a seminoma removed via an open procedure. The following day, the client's abdomen is soft and nontender, but no bowel sounds are present. Which action by the nurse is most appropriate?
a. Encourage the client to ambulate several times a day. b. Reassess the client's abdomen in 4 hours. c. Document the finding and call the surgeon immediately. d. Give the client a laxative and encourage high-fiber food.
When caring for the hospitalised adolescent, which of the following nursing interventions may help reduce embarrassment? a. Organise for schoolwork to be continued whenable
b. Ensure the adolescent is kept informed of newsfrom home. c. Provide for personal space and minimal body exposure during care. d. Facilitate dietary preferences when appropriate.
The evening medication nurse has been noticing some small but seemingly minor inconsistencies as he passes out medications for the clients. He has discovered these events occur most commonly after one nurse
Which action may indicate a nurse is diverting meds for personal use? (Select all that apply.) A) Wasting entire doses B) Duplicate doses disappear C) Substitution of a controlled substance for a noncontrolled D) Medication from a discharge client disappears E) Medications client brought from home disappear
The nurse is assessing the face of a client with a history of Parkinson's disease. Which of the following would the nurse most likely assess?
A) Sunken face B) Drooping of one side C) Masklike expression D) Asymmetry of earlobes