The nurse is concerned about a client's ability to withstand exposure to pathogens. What blood component should the nurse monitor?

White blood cells

Platelets

Red blood cells

Hematocrit

Answer and Explanation

The Correct Answer is A

A. White blood cells (WBCs): The nurse should monitor the client's white blood cell count to assess their ability to withstand exposure to pathogens. WBCs are integral to the body's immune response, as they play a crucial role in defending against infections. An elevated or decreased WBC count can indicate an underlying infection or immune dysfunction, helping the nurse identify potential risks to the client's health. Regular monitoring of WBC levels allows for timely intervention and assessment of the client's immune status.

B. Platelets: Platelets are primarily responsible for blood clotting and are not directly involved in the body's immune response to pathogens. While they are important for hemostasis and preventing excessive bleeding, monitoring platelet count is not directly indicative of a client's ability to withstand exposure to pathogens.

C. Red blood cells: Red blood cells (RBCs) are responsible for transporting oxygen throughout the body and are not directly involved in the immune response to pathogens. Monitoring red blood cell count, hemoglobin, and hematocrit levels is important for assessing oxygen-carrying capacity and detecting conditions such as anemia, but it does not provide specific information about the client's ability to combat infections.

D. Hematocrit: Hematocrit measures the proportion of red blood cells in the blood and is used to assess blood volume and oxygen-carrying capacity. While changes in hematocrit levels may indirectly indicate certain health conditions, such as dehydration or polycythemia, it does not directly reflect the client's immune status or ability to withstand exposure to pathogens.

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Correct Answer is ["A","C","E"]

Explanation

A. Support both the client and the family: Nurses have an obligation to support both the client and their family when confronted with an ethical dilemma. This support may involve providing information, facilitating communication, and ensuring that the client's and family's concerns are addressed appropriately.

B. Inform the family and client of nurse's personal beliefs: While nurses may have personal beliefs, it is not ethically appropriate to impose these beliefs on clients or their families. Nurses should maintain professional boundaries and provide care that respects the client's autonomy and values without imposing their own beliefs.

C. Carry out the hospital's policies: Nurses are expected to adhere to the policies and procedures of the healthcare facility where they work. However, if a policy conflicts with ethical principles or legal obligations, nurses should advocate for changes to the policy or escalate the issue through appropriate channels.

D. Refer the issue to the physician since this is not a nurse's responsibility: Nurses have a professional responsibility to address ethical issues within their scope of practice. While collaboration with other healthcare team members, including physicians, is important, nurses should not automatically defer ethical issues to physicians without attempting to address them within their own capacity.

E. Maximize the client's well-being: One of the primary obligations of nurses in ethical dilemmas is to maximize the client's well-being. This includes advocating for the client's rights, providing compassionate care, and promoting the client's best interests while respecting their autonomy and preferences.

A. Lubricating B. Irritating C. Dilating D. Softening

Correct Answer is B

Explanation

A. Lubricating: A lubricating enema typically refers to an enema solution that contains a lubricant, such as mineral oil, to help soften feces and facilitate their passage from the rectum. Lubricating enemas are used to alleviate constipation by easing the passage of stool. However, soapsuds enemas do not primarily function as lubricating enemas.

B. Irritating: This is the correct option. Soapsuds enemas contain soap or detergent mixed with water, and their primary action is to irritate the intestinal mucosa. The irritation stimulates peristalsis, which promotes bowel evacuation. Soapsuds enemas are often used to relieve constipation by inducing bowel movements through irritation of the intestinal lining.

C. Dilating: Dilating refers to widening or enlarging a structure. While enemas, including soapsuds enemas, may contribute to the relaxation and dilation of the rectum and lower bowel, the primary action of a soapsuds enema is to stimulate bowel evacuation through irritation rather than dilation.

D. Softening: Softening enemas typically involve the introduction of a solution, such as a mineral oil-based solution, to soften feces and facilitate their passage from the rectum. While softening enemas help alleviate constipation by softening stool consistency, soapsuds enemas do not primarily function as softening enemas. Their main action is to stimulate bowel evacuation through irritation.

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The nurse is concerned about a client's ability to withstand exposure to pathogens. What blood component should the nurse monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","C","E"]

Explanation

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Correct Answer is B

Explanation

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