A nurse is caring for a client who has a WBC count of 20,000/mm3. Which of the following WBC abnormalities labels this finding?
Left Shift
Leukocytosis
Neutropenia
Leukopenia
The Correct Answer is B
A. Left Shift: This term refers to an increased number of immature neutrophils (bands) and is typically seen in bacterial infections but does not solely describe the high WBC count.
B. Leukocytosis: This term refers to an elevated WBC count above the normal range (typically >11,000/mm³) and may indicate infection, inflammation, or other conditions.
C. Neutropenia: Neutropenia refers to a decrease in neutrophils, not an elevated WBC count.
D. Leukopenia: Leukopenia is a decrease in WBC count, opposite of leukocytosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Antigen-antibody complexes: These are involved in Type III hypersensitivity reactions, not in Hashimoto thyroiditis.
B. Autoantibodies: Hashimoto thyroiditis is an autoimmune disorder where autoantibodies target thyroid peroxidase (TPO) and thyroglobulin, leading to inflammation and destruction of thyroid cells.
C. Viral infection: Although some autoimmune conditions may have viral triggers, Hashimoto's is not directly caused by a viral infection.
D. Bacterial infection: Bacterial infections do not cause Hashimoto thyroiditis.
Correct Answer is A
Explanation
A. Stop the transfusion: The immediate priority is to halt the infusion to prevent further exposure to the offending blood product.
B. Call the blood bank to report the reaction: This is done after the transfusion is stopped and the patient is stabilized.
C. Administer oxygen: Oxygen administration may be required if the patient shows signs of respiratory distress but is not the immediate first action.
D. Call the physician: Notifying the physician is important but only after stopping the transfusion and assessing the client.
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