A nurse is reviewing the medical record of a client who has pneumonia. Which of the following serum laboratory values should the nurse expect?
WBC count 15,000/mm
Hematocrit 25%
Sodium 130 mg/dl
BUN 8 mg/Dl
The Correct Answer is A
Choice A rationale: An elevated white blood cell (WBC) count of 15,000/mm³ is a common finding in pneumonia, indicating an infection and the body's immune response.
Choice B rationale: Hematocrit is not typically affected by pneumonia unless there are complications such as dehydration.
Choice C rationale: Sodium levels may be within the normal range and are not directly associated with pneumonia.
Choice D rationale: Blood urea nitrogen (BUN) levels may be within the normal range and are not directly associated with pneumonia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Hang the drainage bag below the client's abdomen, to allow gravity to drain the fluid out of the peritoneal cavity.
Choice B rationale: Placing the client in high-Fowler's position is inappropriate since the client should be placed in a supine or semi-Fowler's position, to facilitate the inflow and outflow of the dialysate (the fluid that is used to wash the peritoneum).
Choice C rationale: The dialysate should be warmed before administration, to prevent hypothermia and abdominal cramps.
Choice D rationale: A sterile technique should be used to access the catheter, to prevent infection and peritonitis.
Correct Answer is B
Explanation
Choice A rationale: A 21-gauge needle is too small for blood administration and can cause hemolysis.
Choice B rationale: This is because the Y tubing allows the nurse to flush the blood tubing with normal saline before and after the transfusion, and to stop the transfusion quickly if a reaction occurs.
Choice C rationale: The client's first set of vital signs should be obtained before initiating the transfusion and then every 15 minutes for the first hour.
Choice D rationale: Administering the unit of packed RBCs over 1 hr is too rapid and may lead to adverse reactions. Packed RBCs are usually administered over 2 to 4 hours.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today