Author Question: If the patient's white blood cell (WBC) count is 25,000/mm3 on her second postpartum day, the nurse ... (Read 77 times)

Cooldude101 · **on:** Jun 27, 2018

If the patient's white blood cell (WBC) count is 25,000/mm3 on her second postpartum day, the nurse should

a. Tell the physician immediately.
b. Have the laboratory draw blood for reanalysis.
c. Recognize that this is an acceptable range at this point postpartum.
d. Begin antibiotic therapy immediately.

Question 2

The nurse explains to the parents of a child with a severe burn that wearing an elastic pressure garment (Jobst stocking) during the rehabilitative stage can help with the prevention of which problem?

1. Poor circulation
2. Hypertrophic scarring
3. Pain control
4. Formation of thrombus in the burn area

sultansheikh · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Feedback
A Since this is a normal finding there is no reason to alert the physician.
B There is no need for reassessment since it is expected for the WBCs to be
elevated.
C Marked leucocytosis occurs with WBC counts increasing to as high as
30,000/mm3 during labor and the immediate postpartum period. The WBC falls
to normal within 6 days postpartum.
D Antibiotics are not needed because the elevated WBCs are due to stress of labor
and not an infectious process.

Answer to Question 2

2
Rationale:
1. During the rehabilitation stage, Jobst or pressure garments are used to reduce development of hypertrophic scarring and contractures.
2. During the rehabilitation stage, Jobst or pressure garments are used to reduce development of hypertrophic scarring and contractures.
3. During the rehabilitation stage, Jobst or pressure garments are used to reduce development of hypertrophic scarring and contractures.
4. During the rehabilitation stage, Jobst or pressure garments are used to reduce development of hypertrophic scarring and contractures.