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 A

Explanation

A. Limiting the number of health care workers entering the room helps reduce the risk of infection for immunosuppressed clients, who have weakened immune systems and are more susceptible to infections.
B. For clients with immunosuppression, monitoring the temperature more frequently (e.g., every 4 hours) is important to promptly identify signs of infection.
C. Providing fresh fruit might introduce potential sources of infection; it is safer to provide well-cooked or processed fruits.
D. Inserting an indwelling catheter may increase the risk of infection, and it is generally better to use less invasive methods unless absolutely necessary.

A. Decrease in the urinary output from 50 mL to 30 mL per hour. B. Increase in the heart rate from 88 to 110/min. C. Decrease in the respiratory rate from 20 to 16/min. D. Increase in the temperature from 37.5° C (99.5° F) to 38.6° C (101.5° F).

Correct Answer is B

Explanation

A. A decrease in urinary output can be a sign of decreased blood volume but is less immediate than changes in heart rate.
B. An increase in the heart rate is a common compensatory response to hypovolemia as the body attempts to maintain adequate perfusion to vital organs.
C. A decrease in the respiratory rate is not typically associated with hypovolemic shock; rather, respiratory rate may increase due to compensatory mechanisms.
D. An increase in temperature is not a specific indicator of hypovolemic shock; it could be related to infection or inflammation rather than immediate hypovolemia.

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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 A

Explanation

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Correct Answer is B

Explanation

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