A client is admitted with a severe allergic response to a bee sting. Which lab would the nurse expect to be the most elevated on the white blood count (WBC) differential?

monocytes

lymphocytes

neutrophils

eosinophils

Answer and Explanation

The Correct Answer is D

A.   Monocytes are a type of white blood cell involved in immune response and are not typically the most elevated in allergic reactions.
B.   Lymphocytes may increase in response to infection or immune stimulation but are not specifically associated with allergic reactions.

C.   Neutrophils are the most abundant type of white blood cell and are primarily involved in bacterial infections, not allergic responses.
D.   Eosinophils are a type of white blood cell that increases significantly during allergic reactions, making them the most likely to be elevated in response to a severe allergic response like anaphylaxis.

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Correct Answer is B

Explanation

A. The illness stage is the time when the symptoms are most severe and specific to the disease.
B. The prodromal stage is characterized by non-specific symptoms such as malaise, fever, and fatigue, which precede the onset of specific symptoms. The client who reports a severe sore throat, pain when swallowing, and swollen lymph nodes is experiencing the prodromal stage of infection. These are some of the common signs and symptoms of a viral or bacterial infection of the throat, such as strep throat or pharyngitis.
C. The incubation stage occurs after exposure to the infectious agent but before symptoms appear.

D. The convalescence stage is the period of recovery and resolution of symptoms following an infection.

A. as an allergic response B. as an inflammatory response C. as a viral infection D. as a bacterial infection

Correct Answer is C

Explanation

A. Allergic responses typically involve an increase in eosinophils rather than lymphocytes.
B. While an inflammatory response may involve an increase in lymphocytes, the presentation of clear nasal drainage and cough with bilateral rales suggests a respiratory infection rather than a generalized inflammatory process.
C. Elevated lymphocytes are often indicative of a viral infection, as the body mounts an immune response to fight off the viral invader.
D. Bacterial infections typically involve an increase in neutrophils rather than lymphocytes, although lymphocytosis may occur in some bacterial infections as part of the immune response.

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A client is admitted with a severe allergic response to a bee sting. Which lab would the nurse expect to be the most elevated on the white blood count (WBC) differential?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports a severe sore throat, pain when swallowing, and swollen lymph nodes. The client is experiencing which of the following stages of infection?

Correct Answer is B

Explanation

A client is admitted with cough, congestion, bilateral rales, and clear nasal drainage. In reviewing the differential WBC the nurse notes the lymphocytes are elevated. How should the nurse interpret the elevated lymphocytes?

Correct Answer is C

Explanation

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