A nurse is evaluating the laboratory report for a client who has severe diarrhea and a fever. Which of the following laboratory findings should the nurse identify as an indication that the client has a parasitic infection rather than a bacterial infection?
Decreased neutrophil count
Elevated eosinophil count
Increased hemoglobin level
Elevated platelet count
The Correct Answer is B
Choice A reason: A decreased neutrophil count is not typically associated with parasitic infections. Neutrophils are a type of white blood cell that responds to bacterial infections, so a decrease might be seen in viral infections or certain inflammatory conditions, but not specifically indicative of a parasitic infection.
Choice B reason: An elevated eosinophil count is often associated with parasitic infections, especially those involving tissue invasion. Eosinophils are white blood cells that play a crucial role in the immune response against parasitic infections. Normal eosinophil counts range from 0 to 500 cells per microliter of blood.
Choice C reason: An increased hemoglobin level is generally not related to the presence of a parasitic infection. Hemoglobin levels can be affected by various conditions, but they do not serve as a specific indicator for parasitic infections.
Choice D reason: An elevated platelet count can occur in various conditions, including inflammatory states and infections, but it is not a specific marker for parasitic infections. Platelets are components of blood that help with clotting and would not be used to differentiate between bacterial and parasitic infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Keeping the client NPO (nothing by mouth) is not directly related to preventing a thyroid crisis. While it may be necessary in some situations, such as preoperative care, it does not address the hyperthyroid state.
Choice B reason: Observing the client for signs of hypocalcemia is important, especially after thyroid surgery, as hypocalcemia can occur due to accidental removal or damage to the parathyroid glands. However, it is not a preventive measure for a thyroid crisis.
Choice C reason: Providing a quiet, low stimulus environment can help reduce stress and agitation, which are potential triggers for a thyroid crisis. Stress can exacerbate hyperthyroid symptoms and precipitate a crisis.
Choice D reason: Aspirin is contraindicated in clients with hyperthyroidism as it can increase thyroid hormone levels by displacing them from their binding proteins. This can potentially worsen the condition and lead to a crisis.
Correct Answer is B
Explanation
Choice A reason: Pain is a common postoperative symptom and should be managed appropriately. However, it is not typically considered a priority over other complications that can have more immediate and severe consequences.
Choice B reason: Hemorrhage is a significant risk after TURP and can be life-threatening. It is considered a priority because active bleeding can lead to shock and requires immediate intervention.
Choice C reason: Infection is a potential complication after any surgery, including TURP. While important to monitor for, it is generally not as immediately life-threatening as hemorrhage.
Choice D reason: Urinary retention can occur after TURP, but it is often anticipated and managed with the placement of a urinary catheter. It is a concern but not the highest priority immediately following surgery.
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