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 B
Explanation
A. Impaired Physical Mobility: although possible, it is not as common as fatigue in SLE patients.
B. Fatigue: Persistent fatigue is a hallmark symptom of SLE due to inflammation, anemia, and immune system dysregulation.
C. Impaired Cognition: While cognitive issues may occur, they are not the primary concern in most patients.
D. Impaired Swallowing: This is not a typical issue associated with SLE.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}
Explanation
The client is at highest risk for developing Pneumocystis pneumonia due to their CD4 cell count.
Infection: Partially correct; while the client is at risk for various infections due to AIDS, specifying Pneumocystis pneumonia (PCP) provides a more accurate and common complication in clients with a CD4 count below 200/mm³.
Pneumocystis pneumonia: PCP is a life-threatening opportunistic infection commonly seen in clients with AIDS and a CD4 count below 200/mm³.
Hypokalemia: Potassium levels are within the normal range, making hypokalemia unlikely.
Cardiac dysrhythmias: There are no significant electrolyte imbalances or clinical findings suggesting this condition.
Impaired gas exchange: Although this may be a complication of PCP, there are currently no respiratory symptoms to support this choice.
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