Examkin

Soru

Zorluk: KolayReduction of Risk Potential

During morning care, a practical nurse reviews the electronic health record of a client receiving chemotherapy. The latest complete blood count reveals a white blood cell (WBC) count of 1,200/mm31,200/\text{mm}^3 (1.2×109/L1.2 \times 10^9/\text{L}). What is the priority nursing action?

  1. Inform the supervising registered nurse about the abnormal blood countCevap
  2. B
    Record the laboratory values in the end-of-shift nursing notes
  3. C
    Update the formal nursing care plan to initiate neutropenic precautions
  4. D
    Ask the client about their current pain level and overall comfort

Cevap

The correct action is to immediately inform the supervising registered nurse about the abnormal blood count so that protective measures can be initiated.
The normal white blood cell (WBC) count is typically between 5,0005,000 and 10,000/mm310,000/\text{mm}^3. A count of 1,200/mm31,200/\text{mm}^3 indicates severe leukopenia, which places the client at a critical risk for infection. Within the practical nurse scope of practice, any critical laboratory value must be immediately escalated to the registered nurse or healthcare provider so that protective measures can be initiated.

Adım Adım Çözüm

1
Analyze the client's laboratory result.
The WBC count is 1,200/mm31,200/\text{mm}^3, which is significantly below the normal range of 5,0005,000 to 10,000/mm310,000/\text{mm}^3.
Identifying abnormal values is the first step in recognizing potential complications.
2
Determine the appropriate action based on the practical nurse's scope of practice.
The practical nurse must communicate critical findings to the registered nurse.
The registered nurse must assess the client and collaborate with the provider to implement necessary medical interventions, such as neutropenic precautions.

Anahtar Kavram

Escalation of Critical Laboratory Values
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Konular

Reduction of Risk Potential

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