A nurse is collecting data from a client who has diabetes mellitus and reports foot pain. The nurse should evaluate the client for which of the following alterations as indications that the client has an infection? (Select all that apply.)
Bradycardia
An increase in platelets
An increase in RBCs
An increase in neutrophils
Localized edema
Correct Answer : D,E
A. Bradycardia is not typically a sign of infection. Infections usually lead to tachycardia (increased heart rate) rather than bradycardia.
B. An increase in platelets An increase in the platelet count can reflect malignancies, not infection.
C. An increase in RBCs is not typically associated with infection. Infection generally does not increase the number of red blood cells but may lead to changes in white blood cell counts.
D. An increase in neutrophils is a common response to bacterial infection. Neutrophils are white blood cells that increase in number to fight off infections.
E. Localized edema is often present in areas of infection due to inflammation and fluid accumulation in response to infection and tissue damage.
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Related Questions
Correct Answer is B
Explanation
A. Discuss the risks of the procedure with the client — It is the physician's responsibility to discuss the risks of the procedure with the client. The nurse's role is to ensure that the client has understood the information provided by the physician, but not to directly explain the risks.
B. Confirm that the client is competent to sign for the procedure — The nurse is responsible for ensuring that the client is mentally competent to give informed consent. This includes verifying that the client understands the procedure and its potential risks.
C. Explain alternatives to the procedure to the client — The physician should explain alternatives to the procedure, not the nurse. The nurse's role is to ensure that the client comprehends the information provided.
D. Inform the client about what will occur during the procedure — It is the physician’s responsibility to inform the client about what will occur during the procedure, including the purpose, process, and potential risks. The nurse should ensure the client understands the information provided.
Correct Answer is A
Explanation
A. Dehydration is a common and serious complication of vomiting. Vomiting can lead to significant fluid loss, resulting in dehydration, electrolyte imbalances, and even hypovolemic shock if not managed properly.
B. Urinary frequency is not a direct complication of vomiting. It may occur due to other conditions or medications, but it is not typically associated with vomiting.
C. Peripheral edema is typically related to fluid retention, not fluid loss. It is more commonly seen in conditions like heart failure or renal disease, not from vomiting.
D. Diarrhea is not directly linked to vomiting. Vomiting typically involves the upper GI tract, while diarrhea affects the lower GI tract. These are separate issues, though they can both lead to fluid and electrolyte imbalances.
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