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. Prednisone is a corticosteroid commonly used to reduce inflammation and manage asthma exacerbations. Its use is appropriate for controlling severe symptoms.
B. Montelukast is a leukotriene receptor antagonist used for long-term control of asthma. It helps to prevent asthma symptoms and is appropriate for ongoing management.
C. Propranolol is a non-selective beta-blocker that can exacerbate asthma by blocking beta-2 receptors in the lungs, leading to bronchoconstriction. It is contraindicated in asthma patients and requires clarification.
D. Theophylline is a bronchodilator used for asthma management. It is appropriate for helping to relax and open the airways.
Correct Answer is D
Explanation
A. Applying restraints should be a last resort and only if less restrictive measures have failed. It is also essential to follow legal and ethical guidelines regarding the use of restraints.
B. Calling the family to stay with the client may provide temporary comfort but does not directly address safety concerns or the underlying cause of restlessness and confusion.
C. Sedating the client might not be appropriate without first assessing the cause of the restlessness and confusion. Medications should be used cautiously and based on a thorough evaluation.
D. Moving the client closer to the nurses' station allows for more frequent monitoring and quick intervention if needed, addressing the immediate safety concern of restlessness and confusion. This measure helps ensure the client’s safety while further assessment and intervention are being planned.
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