A nurse is reviewing the laboratory report of a client who is receiving treatment for a high fever and a viral infection. Which of the following findings should the nurse expect?
Elevated T-cell count
A "left shift" increase in immature neutrophils
Elevated hemoglobin level
A decreased leukocyte count
The Correct Answer is B
A. T-cell counts may fluctuate during viral infections but are not the primary laboratory change expected in acute bacterial response.
B. A “left shift” indicates an increased number of immature neutrophils (bands), which is a typical response to infection and inflammation, especially bacterial infections.
C. Hemoglobin levels are not directly affected by acute viral infections or fever.
D. Leukocyte count usually increases (leukocytosis) rather than decreases in response to infection.
Nursing Test Bank
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Related Questions
Correct Answer is C
Explanation
A. Decreased urinary output is more often associated with dehydration or kidney disease, not a direct early manifestation of hyperglycemia.
B. Cracked, dry, and flaky skin may occur with aging or other conditions, but it is not a specific indicator of poorly managed hyperglycemia.
C. Poor wound healing is a common manifestation of chronic hyperglycemia due to impaired circulation and decreased immune response in clients with diabetes.
D. A random blood glucose of 126 mg/dL is slightly elevated but does not alone indicate poorly managed hyperglycemia; fasting glucose and trends are more informative.
Correct Answer is B
Explanation
A. Calcium levels are not typically affected by NG tube drainage.
B. Large-volume NG tube drainage results in loss of gastric secretions, which are rich in potassium, placing the client at risk for hypokalemia.
C. Magnesium levels are not commonly affected by gastric fluid loss.
D. Hemoglobin is not directly affected by NG tube drainage unless significant blood loss occurs.
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