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

Answer and Explanation

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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Correct Answer is D

Explanation

A. While standard precautions should be followed, the use of sterile gloves for routine care related to pertussis is not necessary.
B. Placing a surgical mask on the client during transportation may help prevent the spread of respiratory droplets but is not a comprehensive infection control measure.
C. Wearing a gown for all client cares is unnecessary and may not be practical.
D. Wearing a mask when providing care within 10 feet of the client helps reduce the risk of droplet transmission of pertussis.

A. as an allergic response B. as an inflammatory response C. as a viral infection D. as a bacterial infection

Correct Answer is C

Explanation

A. Allergic responses typically involve an increase in eosinophils rather than lymphocytes.
B. While an inflammatory response may involve an increase in lymphocytes, the presentation of clear nasal drainage and cough with bilateral rales suggests a respiratory infection rather than a generalized inflammatory process.
C. Elevated lymphocytes are often indicative of a viral infection, as the body mounts an immune response to fight off the viral invader.
D. Bacterial infections typically involve an increase in neutrophils rather than lymphocytes, although lymphocytosis may occur in some bacterial infections as part of the immune response.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who is being admitted to the facility with a suspected diagnosis of pertussis. Which of the following interventions should the nurse include?

Correct Answer is D

Explanation

A client is admitted with cough, congestion, bilateral rales, and clear nasal drainage. In reviewing the differential WBC the nurse notes the lymphocytes are elevated. How should the nurse interpret the elevated lymphocytes?

Correct Answer is C

Explanation

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