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.
The nurse applies a pulse oximeter sensor on the client’s finger.
Providing patient education
Building competency in patient centered care
Building a Client Base
The nurse begins the general survey
Emergency Care