A nurse is caring for a client with who is experiencing ...

[stevenposner]

A nurse is caring for a client with who is experiencing leukocytosis. When providing care to this client, which action by the nurse is the most appropriate?
 
  A) Instruct the client on the use of an electric razor and soft toothbrush.
  B) Assess for bleeding and bruising.
  C) Assess for source of infection.
  D) Place the patient in reverse isolation precautions.

Question 2

A nurse is assessing a client who recently returned from a camping trip. The client is experiencing edema in the right foot. When assessing the foot, the nurse notes a sore and suspects cellulitis.
 
  Which further data will the nurse assess to support the suspicion?
  A) BUN and creatinine
  B) Breath sounds
  C) Blood cultures
  D) Redness, pain, and drainage at the site

[djpooyouma]

Answer to Question 1

Answer: C

A client with leukocytosis has a white blood cell (WBC) count that is elevated above normal (>10,000 mm3) which is an indication of infection. The appropriate action by the nurse is to assess the client for a source of the infection. Instructing the client on the use of an electric razor and soft toothbrush and assessing for bleeding and bruising would be appropriate actions for a client with decreased platelet levels, or thrombocytopenia. Placing the client in reverse isolation precautions would be appropriate for the client with neutropenia, a decrease in the number of neutrophils.

Answer to Question 2

Answer: D

Classic signs of cellulitis are swelling, pain, redness, and possibly drainage at the site. BUN, creatinine, and blood cultures are ordered by the physician and are not nursing assessments. Breath sounds are not indicated at present, as the infection is in the foot. Blood cultures are ordered by the physician and are not nursing assessments.

[stevenposner]

Thank you

[djpooyouma]

Happy to help you