A client admitted to a medical - surgical unit has a CBC with differential drawn. Lab results show a WBC count of 4000, with neutrophil segments at 5% and neutrophil bands at 5%. Based on these values what would the nurse do? Calculate the absolute neutrophil count

Place the client on bleeding precautions.

Place the client in a private room.

Document findings in the client's chart

Collect blood cultures and start antibiotics.

Answer and Explanation

The Correct Answer is B

A. Bleeding precautions are not required as the issue pertains to neutropenia, not thrombocytopenia.

B. Placing the client in a private room is appropriate as the ANC calculation (WBC × [% neutrophils]) indicates severe neutropenia, increasing the risk of infection.

C. Simply documenting findings does not address the client’s increased infection risk.

D. Blood cultures and antibiotics may be needed later but require additional signs of infection to proceed.

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Correct Answer is D

Explanation

A. Although monitoring hemodynamic parameters is important, this option does not address the immediate issue of low preload, as indicated by the low CVP and PAWP, suggesting hypovolemia.

B. Furosemide is a diuretic and would further decrease intravascular volume, which is inappropriate given the signs of hypovolemia.

C. Decreasing IV fluids would exacerbate the low preload and worsen the client's condition by reducing intravascular volume even further.

D. Administering 0.9% Normal Saline @ 150 mL/hr is the most appropriate intervention. The low CVP and PAWP indicate hypovolemia, and increasing fluid administration will help to increase the preload, thereby improving the client's hemodynamic status.

A. Nuclear medicine scan B. Magnetic resonance imaging (MRI) C. Esophagogastroduodenoscopy (EGD) D. Abdominal arteriogram

Correct Answer is C

Explanation

A. Nuclear medicine scan is less commonly used for diagnosing gastric pain and dyspepsia.

B. Magnetic resonance imaging (MRI) is not the first choice for gastrointestinal issues.

C. Esophagogastroduodenoscopy (EGD) allows direct visualization of the upper GI tract, making it the most accurate diagnostic tool.

D. Abdominal arteriogram is typically used for vascular issues, not for diagnosing dyspepsia or gastric pain.

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A client admitted to a medical - surgical unit has a CBC with differential drawn. Lab results show a WBC count of 4000, with neutrophil segments at 5% and neutrophil bands at 5%. Based on these values what would the nurse do? Calculate the absolute neutrophil count

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Correct Answer is D

Explanation

The nurse is caring for a client who has frequent gastric pain and dyspepsia. Which procedure would the nurse expect the health care provider to order to make an accurate diagnosis?

Correct Answer is C

Explanation

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