This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A nurse evaluates the following data in a client's chart: Admission Note Laboratory Results ... (Read 31 times)

lidoalex

  • Hero Member
  • *****
  • Posts: 538
on: Jun 25, 2018
A nurse evaluates the following data in a client's chart:
 
  Admission Note
  Laboratory Results
  Wound Care Note
  66-year-old male with a health history of a cerebral vascular accident and left-side paralysis
  White blood cell count: 8000/mm3
  Prealbumin: 15.2 mg/dL
  Albumin: 4.2 mg/dL
  Lymphocyte count: 2000/mm3
  Sacral ulcer - 4 cm  2 cm  1.5 cm
  Based on this information, which action should the nurse take?
  a.
  Perform a neuromuscular assessment.
  b.
  Request a dietary consult.
  c.
  Initiate Contact Precautions.
  d.
  Assess the client's vital signs.

Question 2

A nurse assesses a client who has a lesion on the skin that is suspicious for skin cancer, as shown below:
 
  Which diagnostic test should the nurse anticipate being ordered for this client?
  a.
  Punch skin biopsy
  b.
  Viral cultures
  c.
  Wood's lamp examination
  d.
  Diascopy


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

brittrenee

  • Sr. Member
  • ****
  • Posts: 321
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: B
The white blood cell count is not directly related to nutritional status. Albumin, prealbumin, and lymphocyte counts all give information related to nutritional status. The prealbumin count is a more specific indicator of nutritional status than is the albumin count. The albumin and lymphocyte counts given are normal, but the prealbumin count is low. This puts the client at risk for inadequate wound healing, so the nurse should request a dietary consult. The other interventions do not address the information provided.

Answer to Question 2

ANS: A
This lesion is suspicious for skin cancer and a biopsy is needed. A viral culture would not be appropriate. A Wood's lamp examination is used to determine if skin lesions have characteristic color changes. Diascopy eliminates erythema, making skin lesions easier to examine.


lidoalex

  • Member
  • Posts: 538
Reply 2 on: Jun 25, 2018
Great answer, keep it coming :)

raili21

  • Member
  • Posts: 324
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

Warfarin was developed as a consequence of the study of a strange bleeding disorder that suddenly occurred in cattle on the northern prairies of the United States in the early 1900s.

Did you know?

Cutaneous mucormycosis is a rare fungal infection that has been fatal in at least 29% of cases, and in as many as 83% of cases, depending on the patient's health prior to infection. It has occurred often after natural disasters such as tornados, and early treatment is essential.

Did you know?

Symptoms of kidney problems include a loss of appetite, back pain (which may be sudden and intense), chills, abdominal pain, fluid retention, nausea, the urge to urinate, vomiting, and fever.

Did you know?

Intradermal injections are somewhat difficult to correctly administer because the skin layers are so thin that it is easy to accidentally punch through to the deeper subcutaneous layer.

Did you know?

About 80% of major fungal systemic infections are due to Candida albicans. Another form, Candida peritonitis, occurs most often in postoperative patients. A rare disease, Candida meningitis, may follow leukemia, kidney transplant, other immunosuppressed factors, or when suffering from Candida septicemia.

Model of a longitudinal study in which 983 students were surveyed in 1984 and then again in 1985, 19 Model of a longitudinal study in which 983 students were surveyed in 1984 and then again in 1985, 19
Air-Temperature Data Air-Temperature Data
Inflammation associated with a new tattoo. Note the redness and swelling. Inflammation associated with a new tattoo. Note the redness and swelling.
Testing client’s ability to identify dull sensation Testing client’s ability to identify dull sensation
Testing patellar reflex, client in a sitting position Testing patellar reflex, client in a sitting position
Client positioned and draped Client positioned and draped
Video: Neural regulation of blood pressure - baroreceptor and chemoreceptor reflexes

For a complete list of videos, visit our video library