In reviewing a patient’s complete blood count (CBC) results, the nurse notes a "shift to the left." What is the significance of these results?
There is an elevated number of immature thrombocytes.
There is an elevated number of immature neutrophils (bands),
There is an elevated number of mature neutrophils (segs)
There is an elevated number of mature erythrocytes
The Correct Answer is B
A. There is an elevated number of immature thrombocytes - Thrombocytes are platelets, and a shift to the left does not refer to these.
B. There is an elevated number of immature neutrophils (bands) - A "shift to the left" typically refers to an increase in immature neutrophils, also known as bands, in the blood. This often indicates an acute infection or inflammation as the body is producing and releasing more neutrophils to fight an infection.
C. There is an elevated number of mature neutrophils (segs) - An elevated number of mature neutrophils (segmented neutrophils) does not indicate a shift to the left. The term specifically refers to immature forms.
D. There is an elevated number of mature erythrocytes - Mature erythrocytes are red blood cells, and a shift to the left does not pertain to red blood cell counts or maturity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Pain medication administration: Pain medications, while necessary, do not directly increase the risk of dehiscence.
B. Poor nutritional state: Adequate nutrition is essential for wound healing. Malnutrition can weaken tissue strength and delay healing.
C. Wound infection: Infection can weaken the tissue at the wound site, increasing the risk of dehiscence.
D. Obesity: Excess body weight can put pressure on the wound, making it more likely to open.
E. Altered mental status: This does not directly increase the risk of wound dehiscence.
Correct Answer is A
Explanation
A. Hemolytic: Acute hemolytic transfusion reactions can occur quickly after starting a transfusion and present with symptoms such as fever, chills, headache, low back pain, tachycardia, and apprehension. It is a serious reaction caused by the destruction of transfused red blood cells.
B. Allergic: Allergic reactions to blood transfusions typically present with hives, itching, and anaphylaxis, not low back pain or tachycardia.
C. Febrile: Febrile reactions involve fever and chills but not typically headache or back pain.
D. Bacterial: Bacterial contamination of blood can cause fever and chills, but not specifically the symptoms of headache and low back pain described.
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