A nurse is reviewing the CBC findings for a female client who is receiving combination chemotherapy for breast cancer. Which of the following findings should the nurse report to the provider?
WBC 1500/mm3
RBC 5 million/mm3
Platelets 155,000/mm3
Hemoglobin 12 g/dL
The Correct Answer is A
A. A WBC count of 1500/mm3 is significantly low (normal range is 4500-11000/mm3) and indicates neutropenia, placing the client at high risk for infection. This finding should be reported to the provider immediately.
B. An RBC count of 5 million/mm3 is within the normal range for females (4.2-5.4 million/mm3) and does not indicate an immediate concern in the context of chemotherapy.
C. Platelet count of 155,000/mm3 is on the lower end of the normal range (150,000-450,000/mm3) but does not pose an immediate risk compared to neutropenia.
D. A hemoglobin level of 12 g/dL is within the normal range for females (12-16 g/dL) and does not require urgent reporting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Laparoscopic appendectomy is a minimally invasive procedure with a lower risk of deep-vein thrombosis compared to more invasive surgeries.
B. Myringotomy is a minor ear surgery and typically does not have a significant risk of deep-vein thrombosis.
C. Hip arthroplasty is a major orthopedic surgery with a higher risk of deep-vein thrombosis due to prolonged immobility and trauma to the veins.
D. Cataract extraction is a relatively minor eye procedure with a minimal risk of deep-vein thrombosis.
Correct Answer is D
Explanation
A. Protein restriction is not universally indicated; specific dietary changes depend on the type of stones.
B. Ambulation is often encouraged to help pass stones and alleviate discomfort.
C. Applying cold compresses can be helpful for pain relief, but fluid intake is more critical for managing urolithiasis.
D. Increasing fluid intake to at least 3 L per day helps flush out stones and prevent new ones from forming.
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