The client is being admitted to the oncology unit and is being placed on neutropenic precautions. Which lab value would indicate the need for this type of precaution?
White blood cell count of 1,500 mm3
Hematocrit level at 35%
Hemoglobin of 16 g/dL
Platelet count of 150,000 per microliter
The Correct Answer is A
A. Neutropenic precautions are implemented when the white blood cell count is significantly decreased, typically below 1,000/mm3, to protect the client from potential infections due to compromised immunity.
B. Hematocrit level and hemoglobin levels are indicators of red blood cell function and oxygen-carrying capacity and are not directly related to neutropenia.
C. Hemoglobin levels are an indicator of oxygen-carrying capacity and are not directly related to neutropenia.
D. Platelet count is related to clotting function and is not directly related to neutropenia.
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Related Questions
Correct Answer is D
Explanation
A. Droplet precautions are used for diseases transmitted via respiratory droplets, such as influenza or pertussis.
B. Neutropenic precautions are implemented to protect clients with compromised immune systems from exposure to pathogens, typically in the environment.
C. Airborne precautions are used for diseases transmitted via small droplet nuclei that remain suspended in the air, such as tuberculosis or measles.
D. Contact precautions are appropriate for clients infected or colonized with multidrug-resistant organisms like VRE, requiring the use of gloves and gowns when providing care to prevent transmission.
Correct Answer is B
Explanation
A. Allowing the client to ambulate in the hall would not be an appropriate precaution for airborne precautions.
B. This is an appropriate precaution to prevent the nurse from inhaling airborne pathogens.
C. While maintaining distance may help reduce the risk of transmission, wearing appropriate personal protective equipment is essential.
D. Providing a positive air pressure room is not typically a nursing precaution but rather a facility consideration for isolation rooms.
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