A nurse is concerned about a client's ability to withstand exposure to pathogens. Which blood component should the nurse monitor?

Platelets

Hemoglobin

Neutrophils

Erythrocytes

Answer and Explanation

The Correct Answer is C

A.   Platelets are involved in blood clotting and are not directly related to the body's ability to withstand exposure to pathogens.
B.   Hemoglobin carries oxygen in the blood and is not directly related to the body's immune response to pathogens.
C.   Neutrophils are a type of white blood cell that plays a key role in the body's immune response to pathogens, including phagocytosis.
D.   Erythrocytes, or red blood cells, carry oxygen in the blood and are not directly involved in the body's immune response to pathogens.

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Correct Answer is B

Explanation

A. The reservoir is the source of infectious agents, not the method by which they enter the body.
B. Meticulous sterile technique during wound care procedures helps prevent microorganisms from entering the body, thereby controlling the portal of entry for potential pathogens.
C. Characteristics of the organism refer to factors such as virulence and pathogenicity, which influence the organism's ability to cause infection but are not directly controlled by sterile technique during wound care.

D. The portal of exit is the route by which infectious agents leave the reservoir, such as through respiratory secretions or bodily fluids, and is not directly controlled by sterile technique during wound care.

A. Client reports no pain B. Oral temperature of 98.9 degrees F C. Decreased level of consciousness D. WBCs are 15,000 E. Scab forming on incision line F. Crackles in bilateral lung bases G. Incision is red and warm to touch

Correct Answer is ["C","D","F","G"]

Explanation

A. The absence of pain does not necessarily indicate the absence of infection.

B. An oral temperature of 98.9 degrees F is within the normal range and does not indicate infection.
C. Decreased level of consciousness can be a sign of systemic infection, especially if accompanied by other symptoms.
D. An elevated white blood cell count (WBC) is indicative of an inflammatory response, which can occur in infection.
E. A scab forming on the incision line is a normal part of wound healing and does not necessarily indicate infection.
F. Crackles in bilateral lung bases may indicate a possible infection.

G. Redness and warmth at the incision site are signs of inflammation and can indicate infection.

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A nurse is concerned about a client's ability to withstand exposure to pathogens. Which blood component should the nurse monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse who uses meticulous sterile technique when performing wound care procedures is attempting to control which link in the chain of infection?

Correct Answer is B

Explanation

A nurse is completing a head-to-toe assessment on a client who is 3 days post-operative from a right mastectomy. Which of the following should the nurse recognize as a sign of possible infection? Select all that apply.

Correct Answer is ["C","D","F","G"]

Explanation

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