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.
Nurse-patient interaction; nonveral communication
A nurse adjusts the rate of a client’s IV.
Providing patient education
Increasing access to care for teen mothers is important because they have a higher rate of pregnancy ...
The nurse conveys attentive listening through a posture of involvement
Testing the client’s ability to feel vibrations, the knee