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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Immunoglobulin M (IgM) is primarily involved in the initial immune response and is not specific for allergic reactions. It does not indicate allergy sensitivity.

B. Immunoglobulin E (IgE) is associated with allergic reactions and is elevated in response to allergens. A positive result on the RAST test reflects elevated IgE levels, indicating an allergy.

C. Immunoglobulin G (IgG) is associated with long-term immunity and is not specifically indicative of allergic reactions. It does not reflect immediate hypersensitivity responses.

D. Immunoglobulin A (IgA) is involved in mucosal immunity and does not typically indicate allergies. It is not the relevant marker for a positive RAST test result.

A. Chvostek's sign B. Kernig's sign C. Babinski's sign D. Brudzinski's sign

Correct Answer is A

Explanation

A. Chvostek's sign is a test for tetany, which is associated with hypocalcemia. The tingling sensation reported by the client is indicative of low calcium levels, and Chvostek's sign involves tapping the facial nerve to see if it triggers facial twitching, which is a sign of hypocalcemia.

B. Kernig's sign is used to assess for meningitis and is not related to hypocalcemia. It involves checking for resistance or pain when extending the leg while the hip is flexed.

C. Babinski's sign is used to assess for neurological conditions and is not related to hypocalcemia. It involves stroking the sole of the foot to check for abnormal reflex responses.

D. Brudzinski's sign is used to assess for meningitis and involves checking for involuntary flexion of the knees and hips when the neck is flexed. It is not related to the symptoms of hypocalcemia.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Explanation

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