Prep U Ch 11,12,13
A nurse is treating a client with aplastic anemia. Due to the replacement of normal bone marrow with malignant cells, the nurse teaches the client to prevent scratches, scrapes, and cuts. What root cause likely underlies the client's increased risk for hemorrhage?
-Thrombocytopenia
A client with a diagnosis of secondary hypertension has begun to experience signs and symptoms that are consistent with decreased cardiac output. Which of the following determinants of cardiac output is hypertension most likely to affect directly?
. Afterload
A client with a history of heart failure has been referred for an echocardiogram. Results of this diagnostic test reveal the following findings: heart rate 80 beats/minute; end-diastolic volume 120 mL; and end-systolic volume 60 mL. What is this client's ejection fraction?
50%
The nurse is reviewing the client's laboratory report. Select the report that represents a normal value for leukocytes.
6500 cells/mL
A patient diagnosed with systemic lupus erythematosus (SLE) has been experiencing a low neutrophil count. How would this type of neutropenia be classified?
Acquired, autoimmune secondary neutropenia
A client with a diagnosis of hemophilia A has been admitted with bilateral knee pain. The nurse should anticipate performing what intervention during the client's treatment?
Administration of factor VIII and implementation of fall prevention measures
A patient comes to the clinic with a runny nose and scratchy throat. The nurse is evaluating the white blood cell count, which shows an elevated number of white blood cells and an increased percentage of eosinophils. Which of the following is the most likely cause of the symptoms?
Allergic reaction
Which of the following types of white blood cells are related to the connective tissue mast cells and respond in allergic and hypersensitivity reactions?
Basophils
When talking about the various types of granulocytes, which granule contains heparin, an anticoagulant?
Basophils.
Definitive diagnosis of multiple myeloma includes the triad of bone marrow plasmacytosis, lytic bone lesions, and what?
Bence-Jones proteins in the urine Diagnosis of multiple myeloma is based on clinical manifestations, blood tests, and bone marrow examination. The classic triad of bone marrow plasmacytosis (more than 10% plasma cells), lytic bone lesions, and either the serum M-protein spike or the presence of Bence-Jones proteins in the urine is definitive for a diagnosis of multiple myeloma. Oligoclonal bands are indicative of multiple sclerosis, and BCR-ABL fusion protein is found in CML.
The nurse reviews the lab results of a client who has a thrombocyte count of 60 ×103/µL (60 ×109/L). The client is at risk for:
Bleeding
A client is newly diagnosed with impaired platelet function, thrombocytopathia. Which of the following questions is most appropriate for the nurse to ask in order to determine the possible cause of this problem?
"Have you been taking aspirin or any nonsteroidal anti-inflammatory drugs (NSAIDs)?" Explanation: The use of aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) is the most common cause of impaired platelet function. Aspirin produces irreversible acetylation of platelet cyclooxygenase activity and consequently the synthesis of TXA2, which is required for platelet aggregation. In contrast to the effects of aspirin, the inhibition of cyclooxygenase by other NSAIDs is reversible and lasts only for the duration of drug action.
Which of the following teaching points would be most appropriate with a client who has a recent diagnosis of Von Willebrand disease?
"Make sure that you avoid taking aspirin."
A pregnant woman contacts her physician because she has developed sudden, severe pain and swelling in her left lower leg. The physician explains to her that her past medical includes an inherited defect in factor V Leiden, which predisposes her to the development of which of the following?
Excessive clotting
A client has been diagnosed with inherited hypercoagulability. Select the most likely cause.
Factor V gene mutation
A client with hemophilia Type A comes to the emergency department with severe pain and swelling in the right knee. The nurse anticipates the administration of which of the following to reduce musculoskeletal damage?
Factor VIII replacement therapy Factor VIII replacement therapy administered at home has reduced the typical musculoskeletal damage. It is initiated when bleeding occurs or as prophylaxis with repeated bleeding episodes for clients with Hemophilia A.
Non-Hodgkin lymphoma is a form of lymphoma that is associated with the presence of an abnormal cell called a Reed-Sternberg cell.
False
During science class, a student asks, What is the difference between plasma and serum in the blood? The nurse responds that the primary difference between plasma and serum is that plasma contains:
Fibrinogen. The major difference between plasma and serum is the presence of fibrinogen in the plasma from an anticoagulated centrifuged whole blood specimen. When blood is removed from the body for testing, it clots within 30 to 60 minutes. The clot contains the blood's cellular components enmeshed in a insoluble fibrin network (formed by the polymerization of soluble plasma protein fibrinogen. The remaining fluid portion is the yellow liquid serum. This serum no longer contains fibrinogen because the fibrinogen originally present in uncoagulated blood was used up in the formation of the blood clot. Heparin, WBC and Hydrogen ions are incorrect.
The nurse's plan of care for a client with multiple myeloma should include interventions to prevent which of the following?
Fractures
The nurse is caring for a postsurgical client who is recovering from knee replacement surgery secondary to rheumatoid arthritis. When planning the client's care, the nurse should include what action?
Frequent assessment for signs of thrombosis or hemorrhage.
The nurse caring for a client in the early stage of multiple myeloma would anticipate the client to complain of which symptom?
Bone pain
A client is ordered the recumbent granulocyte CSF filgrastim. The nurse evaluates the effectiveness by monitoring which of the following?
CBC/diff
Which of the following statements about calcium channel-blocking (CCB) drugs is accurate?
CCB drugs work on β-adrenergic receptors to close the channels, so vasodilation occurs.
Which clients would be at risk for developing nonthrombocytopenic purpura? Select all that apply.
Child adopted from India and displaying malaise, lethargy and petechiae all over body. 55 year old patient diagnosed with Cushing disease displaying bruises, weight gain with a buffalo hump and moon face.
A client's laboratory report shows the presence of the Philadelphia chromosome. Which diagnosis should the nurse suspect the client has developed?
Chronic myelogenous leukemia (CML)
The nurse working on a cancer unit is assessing clients for neutropenia. Which client has the greatest risk?
Client receiving IV chemotherapy The client at greatest risk is the client receiving chemotherapy. Clients with almost any malignancy who receive chemotherapy with or without radiation therapy and also biotherapy are at risk for developing chemotherapy-induced neutropenia.
The nurse is planning a prevention program for infectious mononucleosis. The best target audience for the program is which of the following?
College students living in a dorm
Thrombocytosis is used to describe elevations in the platelet count above 1,000,000/μL. It is either a primary or a secondary thrombocytosis. Secondary thrombocytosis can occur as a reactive process due to what?
Crohn disease
Following a hypertensive crisis, a client's family asks, "Why are the client's eyes so bloodshot?" The nurse responds that high arterial pressure:
Damages more fragile blood vessels like those in the eyes to the point of rupture
The nurse is caring for a client who has a low levels of T lymphocytes. The nurse plans care for a client with which of the following?
Decreased immune response
A nurse is caring for a newborn that has developed a low platelet count. Which of the following could be the cause?
Decreased thrombopoietin (TPO)
A nurse is caring for a client receiving heparin therapy who has developed heparin-induced thrombocytopenia. Which of the nursing interventions does the nurse anticipate?
Discontinuation of heparin therapy
A patient has been placed on Bactrim as treatment for community-acquired methicillin-resistant <ital>Staphylococcus aureus MRSA for 10 days. After taking the medication for 8 day, the patient comes to the doctor's office complaining of multiple nosebleeds over the past day. Laboratory work shows a platelet count of 80,000/μL. The nurse practitioner suspects which of the following conditions?
Drug-induced thrombocytopenia
A lymph node biopsy pathology report notes the presence of Reed-Sternberg cells on a patient suspected of having a lymphoma. The nurse interprets the report as indicating which of the following?
Hodgkin's lymphoma
The nurse assessing a client diagnosed with multiple myeloma should assess for which clinical manifestation associated with this diagnosis?
Hypercalcemia The main sites involved in multiple myeloma are the bones and bone marrow. In addition to the abnormal proliferation of marrow plasma cells, there is proliferation and activation of osteoclasts, which lead to bone resorption and destruction. This increased bone resorption predisposes the individual to pathologic fractures and hypercalcemia.The other options are not generally associated with multiple myeloma.
Which of the following clients experiencing an abnormally low neutrophil count (neutropenia) could have developed this as a side effect to his or her medical regimen? A client with:
Hyperthyroidism being treated with propylthiouracil to maintain normal metabolic rate
A client with acute leukemia has developed gout. The nurse is aware that this results from:
Hyperuricemia
A client with leukemia is receiving rasburicase (Elitek) prophylactically prior to receiving chemotherapy. The nurse teaches the client that the medication is given to prevent which complication?
Hyperuricemia Rasburicase (Elitek) is given to patients to prevent renal complications secondary to uric acid crystallization that occurs in hyperuricemia.
The pathologic effects of the thalassemias are primarily due to which of the following pathophysiologic processes?
Impaired hemoglobin synthesis
A patient is admitted to the emergency department with a diagnosis of polycythemia. The nurse plans to assess for symptoms related to which of the following problems?
Increased blood viscosity
A client has been admitted for immune thrombocytopenic purpura. The client has not responded to corticosteroid treatment. The priority nursing intervention for this client would include which of the following treatment measures?
Insert an intravenous catheter, so immune globulin can be administered in a timely manner.
A 44 year-old male hospital client with a diagnosis of end-stage acquired immunodeficiency syndrome (AIDS) has been placed on neutropenic precautions that limit his interaction with visitors, staff and other clients. What is the underlying rationale for these precautions?
Insufficient levels of neutrophils make him particularly susceptible to infections.
Which cytokines support the proliferation of stem cells in the human body?
Interleukins, interferons, and tumor necrosis factor
A 69-year-old client who is obese and has a diagnosis of angina pectoris has been prescribed clopidogrel (Plavix) by his primary care provider. The client asks, "Why do I need this medication? It won't help my chest pain." The best response would be this medication:
Prevents the blood cells from forming a clot in your heart vessels
When looking at a granulocyte under a microscope, the anatomy student would describe it as:
Shaped like a sphere with multi-lobar nuclei.
A client's history and physical documents the presence of an indolent lymphoma. The nurse plans care for which of the following types of lymphoma?
Slow-growing An indolent lymphoma is one that is slow-growing; therefore the nurse plans care for a slow-growing lymphoma.
A client who lives with angina pectoris has taken a sublingual dose of nitroglycerin to treat the chest pain he experiences while mowing his lawn. This drug facilitates release of nitric oxide, which will have what physiologic effect?
Smooth muscle relaxation of vessels
Which of the following factors differentiates chronic leukemias from acute leukemias?
The leukemic cells are more fully differentiated than in acute leukemias
Select the first stage of hemostasis.
Vessel spasm
A client with an apparent clotting disorder is admitted to hospital. His health record reveals that he has been treated for complications of chronic alcoholism for the past 10 years. The nurse should suspect what cause of his clotting disorder?
Vitamin K deficiency
A nurse is reviewing the laboratory data for a hospitalized client. The nurse would be most concerned about which finding?
White blood cell (WBC) count of 2800/µL
Which of the following clients is most susceptible to experiencing the effects of inadequate erythropoiesis? A client:
Who has developed renal failure as a result of long-standing hypertension?
A client has been experiencing anemia and thrombocytopenia. Subsequent diagnostic testing has revealed the presence of immature granulocyte types and the Philadelphia chromosome. This client is likely to experience:
a prolonged chronic phase of leukemia.
The nursing caring for a 62-year-old client with diffuse large B-cell lymphoma plans care based on the knowledge that this client's lymphoma is:
aggressive.
A 10-month-old infant has begun to take his first steps and his mother has brought him for assessment because of swelling in his ankles and knees. The mother also states that he was eager to walk but has now regressed and cries when she tries to encourage it. The clinician should:
assess the child for signs and symptoms of hemophilia A.
A client has an impaired platelet function that may have developed from inheritance, drugs, disease, or extracorporeal circulation. The health care provider would document this as:
c) thrombocytopathia -Thrombocytopathia: results from inherited disorders of adhesion and or acquired defects such as drugs, disease process, or extracorporeal circulation.
Polycythemia develops in clients with lung disease as a result of:
chronic hypoxia
The nurse evaluating a client's blood work notes that the client's white blood cells are 9000. The nurse should:
continue to monitor the client's blood work results. Normal white blood cell counts range between 5,000 and 10,000. This client's white cell count is within the normal range so the nurse should continue to monitor the client's blood work versus contact the physician. There is no indication for packed red blood cells at this time.
A nurse on an oncology floor is treating a client who is anemic following chemotherapy. The drugs being administered are designed to increase the number of red blood cells in circulation. These drugs are likely agonists of
cytokines.
Which of the following has been identified as having a negative effect on platelet function? Select all that apply.
diabetes mellitus smoking
A 20-year-old client has presented for care because she has a cervical lymph node on the right side of her neck that is firm and enlarged, and has been so for several weeks. Palpation of the node is painless. The nurse should document this assessment finding and anticipate:
facilitating the client's lymph node biopsy.
Which type of macrophages are found in the liver?
Kupffer cells
A client's bone marrow study report reveals the findings of blast cells in the bone marrow. What does the nurse interpret this as indicating?
Leukemia
The pediatrician knows that the most common cause of cancer in children is which of the following
Leukemia
Which of the following abnormal blood work results is most closely associated with a diagnosis of multiple myeloma?
Low glomerular filtration rate and high calcium levels
Sue is fatigued, and some blood tests are done. Her results include Hct 40%; Hgb 8g/dL; WBC 8000; and platelets 175,000. The nurse should interpret Sue's blood work as indicative of:
Low hemoglobin/anemia
The nurse is conducting patient education for a client who is scheduled to undergo diagnostic testing for non-Hodgkin's lymphoma (NHL). The nurse includes information on which of the following?
Lymph node biopsy
When collecting a client's history the client states that he is receiving treatment to maintain remission from leukemia. What does the nurse document that the client is receiving?
Maintenance therapy
The physician reviews a client's lab results and notes that the neutrophil count is 900/uL. This is known as which of the following?
Neutropenia
Which of the following is the most common leukocyte in normal blood?
Neutrophilic granulocyte
A nurse sends a blood sample to the lab for analysis. Assuming the sample is normal, the nurse anticipates which of the following white blood cells (WBCs) will account for the highest percentage?
Neutrophils
When a white blood cell with differential count reveals an acute infection, which statement is correct regarding the client's neutrophils?
Neutrophils are the first white blood cell to elevate in an acute infection.
Which statement accurately describes a component of the hematopoietic system?
Neutrophils are the most prevalent white blood cell.
Following an injury resulting in a small cut from a knife, the first cells to go to the area of the cut would be the:
Neutrophils.
A nurse orienting to the surgical suite is studying medications that affect platelet function and notes that the most common medications are which of the following?
Nonsteroidal anti-inflammatory drugs (NSAIDs) and aspirin
The school nurse has several children with hemophilia A. After recess, one hemophilia student comes to the school nurse complaining of pain in their knee from falling on the playground. The nurse notes there is swelling in the knee and pain on palpation. The nurse should:
Notify parents to pick up child and possibly administer Factor VIII.
A 16-year-old girl has been brought to her primary care provider by her mother due to the daughter's recent malaise and lethargy. Which of the following assessments should the clinician perform in an effort to confirm or rule out infectious mononucleosis?
Palpating the client's lymph nodes
A nurse is reviewing a client's complete blood count (CBC) which indicates thrombocytopenia. Based on this result which action should the nurse include in the plan of care?
Place the client on bleeding precautions.
Which intervention will likely be prescribed for thrombotic thrombocytopenic purpura (TTP)?
Plasmapheresis
A client who is being treated for small cell lung cancer has been placed in protective isolation due to neutropenia. The most likely cause of this client's neutropenia is:
the effects of chemotherapy on white blood cell development.
Disseminated intravascular coagulation (DIC) is a condition that results in simultaneous clotting and bleeding.
true
Idiopathic thrombocytopenic purpura (ITP) is an autoimmune disorder that affects the normal function and formation of platelets.
true
The rate of blood flow through a vessel is affected by pressure, resistance, and vessel radius.
true
The venous side of circulation contains a larger portion of the blood volume than the arterial side
true
White blood cells (granulocytes, monocytes, and lymphocytes) are formed in the bone marrow.
true
Many different proteins, enzymes, and hormones are involved in maintaining hemostasis. Which protein is required for platelet adhesion?
von Willebrand factor Platelet adhesion requires a protein molecule called von Willebrand factor. This factor is produced by the endothelial cells of blood vessels and circulates in the blood as a carrier protein for coagulation factor VIII. The release of growth factors results in the proliferation and growth of vascular endothelial cells, smooth muscle cells, and fibroblasts and is important in vessel repair. Ionized calcium contributes to vasoconstriction. Platelet factor 4 is a heparin-binding chemokine.
Which person should the charge nurse assign as a roommate for a client diagnosed with aplastic anemia?
A client in traction with a broken femur
The nurse evaluating a client's bloodwork determines that a client has an increased risk for infection based on which of the following lab results?
Absolute neutrophil count of 800/uL
Upon admission assessment, the nurse hears a murmur located at the fifth intercostal space, midclavicular line. The client asks, "What does that mean?" The nurse will base her answer on which of the following physiologic principles?
"You have a heart valve that is diseased."
A 9-year-old child has been home from summer camp for 2 weeks and complains of sore throat, low-grade fever, and enlarged cervical lymph nodes. After testing, it is determined the child has Epstein-Barr virus (EBV)-associated infectious mononucleosis. The parent asks the nurse how the child acquired this type of infection. Which of the following is the nurse's best response?
"The infection is acquired primarily through contact with infected oral secretions."
The nurse is preparing to administer rasburicase to a client undergoing chemotherapy. How should the nurse explain the purpose of this medication to the client?
"This drug helps reduce uric acid levels and protect your kidneys." Tumor lysis syndrome can lead to hyperuricemia due to necrosis of malignant cells during chemotherapy. Aggressive prophylactic hydration and administration of rasburicase reduces uric acid levels and help prevent uric acid-related acute kidney injury. It is not bladder-protective, does not alter phosphate levels, and is not an antiemetic.
A medical student is familiarizing herself with recent overnight admissions to an acute medical unit of a university hospital. Which of the following patients would the student recognize as least likely to have a diagnosis of antiphospholipid syndrome in his or her medical history?
A 21-year-old male with a diagnosis of cellulitis and suspected endocarditis secondary to intravenous drug use. Explanation: Stroke, transient ischemic attacks, deep vein thrombosis, and pulmonary emboli are all common manifestation of the hypercoagulability associated with antiphospholipid syndrome. Cellulitis, endocarditis, and other infectious processes would be less likely to correlate with antiphospholipid syndrome.
In which of the following patients would diagnostic investigations be least likely to reveal increased thrombopoietin production?
A 21-year-old woman awaiting bone marrow transplant for myelogenous leukemia.
In which of the following individuals would a clinician most suspect multiple myeloma as a diagnosis?
A 40 year-old man who has had 3 broken bones over the past 6 months and whose serum calcium and creatinine levels are elevated.
The pathologist notes that the client has Reed-Sternberg cells. He knows that these cells are a diagnostic hallmark for which of the following disorders?
Hodgkin lymphoma
The nurse is reviewing the laboratory results of a newborn. The infant has anemia, thrombocytopenia, and granulocytopenia (pancytopenia). Based on these results, the nurse anticipates the diagnosis of which type of anemia?
Aplastic anemia
The cloning of the genes for most of the hematopoietic growth factors has been accomplished. The recombinant proteins that are produced are used in a wide range of clinical problems. What diseases have these proteins been used to fight?
Aplastic anemia and the anemia of kidney failure The genes for most hematopoietic growth factors have been cloned, and their recombinant proteins have been generated for use in a wide range of clinical problems. They are used to treat bone marrow failure caused by chemotherapy or aplastic anemia, the anemia of kidney failure and cancer, hematopoietic neoplasms, infectious diseases such as AIDS, and congenital and myeloproliferative disorders. Autoimmune disorders, Parkinson disease, and Huntington disease are not anemic disorders, so the recombinant proteins have not been used in the treatment of these diseases.
Which of the following statements most accurately conveys an aspect of lymphatic system activity?
B and T lymphocyte development begins in the bone marrow and ends in the peripheral lymphoid structures.
A client is admitted to the hospital with a diagnosis of deep vein thrombosis and started on intravenous heparin therapy. Seven days later, the client's lab values identify a rapid decrease in platelets. The health care provider recognizes this as:
Drug-induced thrombocytopenia Drug-associated thrombocytopenia presents with a rapid fall in the platelet count within 2 to 3 days of resuming a drug or 7 or more days after initiating a drug for the first time. The platelet count rises rapidly after the drug is discontinued. Heparin is one of the drugs that can cause this problem. Immune thrombocytopenic purpura (ITP) is an autoimmune disorder that results in platelet antibody formation and excess destruction of platelets. Thrombotic thrombocytopenic purpura (TTP) and hemolytic-uremic syndrome (HUS) are thrombotic microangiopathies.
A nurse is evaluating laboratory results of a patient diagnosed with a parasitic infection. The tests reveal a large group of cells that are membrane bound with granules in their cytoplasm that are aiding in the destruction of the parasite. Which of the following cells is the nurse evaluating?
Eosinophil
Endemic Burkitt lymphoma occurs in regions of Africa where what other infections are common?
Epstein-Barr and malaria Endemic Burkitt lymphoma is the most common childhood cancer (peak age 3 to 7 years) in central Africa, often beginning in the jaw. It occurs in regions of Africa where both EBV and malaria infections are common. Neither herpes zoster nor streptococcal infections are associated with endemic Burkitt lymphoma.
Which colony-stimulating factor (CSF) is given to clients with end-stage renal disease to help with chronic anemia?
Erythropoietin (EPO)
A patient being treated for polymyalgia rheumatica (PMR) comes to the clinic for a follow-up visit. The current erythrocyte sedimentation rate (ESR) rate has decreased from 60 mm/hour to 30 mm/hour and the patient is afebrile, denies any headaches, and reports a decrease in joint pain and fatigue. Based on these findings, the nurse anticipates which of the following changes to the treatment plan
Gradually decrease the current dosage of prednisone and repeat ESR in 2 weeks. The ESR is a screening test for monitoring the fluctuations in the clinical course of a disease such as PMR. Symptoms of this inflammatory disorder include fatigue, fever, pain, and headache, which are all a result of the systemic effects of cytokine release. An individual who is diagnosed with PMR will have an initial ESR drawn. If the ESR is >60, the person is diagnosed with a severe PMR. Generally, the person is prescribed prednisone, and then at follow-up visits, the dose of prednisone will be gradually decreased depending on the ESR and the person's symptoms.
A patient who has received chemotherapy has a steadily decreasing white blood cell count. The nurse anticipates administering which of the following to increase the neutrophil count?
Granulocyte colony-stimulating factor why? Administration of granulocyte colony-stimulating factor promotes the proliferation of all neutrophils.
Which of the following clients likely faces the highest risk of an acquired hypocoagulation disorder and vitamin K deficiency? A client who:
Has a diagnosis of liver failure secondary to alcohol abuse
Which of the following assessment and laboratory findings would be most closely associated with acute leukemia?
High blast cell counts and fever.
A client is preparing to undergo a bone marrow biopsy to verify a diagnosis of acute leukemia. Which information should the nurse report to the healthcare provider prior to the procedure? Select all that apply.
History of hemophilia Low platelet count as indicated on morning lab work
A school nurse is working with a 16-year-old client recovering from mononucleosis. Which activities should the nurse recommend the teenager avoid while recovering? Select all that apply.
Hockey, football
A client arrives complaining of fevers, chills, and night sweats. Upon assessment, the health care provider palpates an enlarged supraclavicular lymph node and suspects the client may have developed which disease?
Hodgkin lymphoma
Chronic lymphocytic leukemia (CLL) commonly causes hypogammaglobulinemia. This makes clients with CLL more susceptible to infection. What are the most common infectious organisms that attack clients with CLL?
Staphylococcus aureus
A 6-year-old child is having a stem cell transplant using umbilical cord blood. What benefit does the nurse understand that this type of transplant will have for the child?
This type of transplant creates less risk of graft-versus host disease
Which is the reason why bed rest and analgesics are expected treatments for infectious mononucleosis?
To relieve fever, headache, and sore throat
Hyperbilirubinemia is an increased level of serum bilirubin and very often causes cyanosis in the neonate.
false
In neutropenia, all of the cell lines are affected, resulting in anemia, thrombocytopenia, and agranulocytosis.
false
Platelets are also known as leukocytes.
false
Sickle cell disease is a chronic disorder that results from changes in the size, rather than the shape, of red blood cells.
false
Thalassemias are inherited disorders of platelet synthesis that cause severe bruising and bleeding.
false
The left side of the heart pumps blood to the lungs
false
The lifespan of white blood cells is relatively long, so constant renewal is not necessary to maintain normal blood levels.
false
The nurse notes that the client has a decreased neutrophil count. The nurse recognizes that the client is at risk for which of the following?
infection
In persons with a bleeding disorder caused by vascular defects, platelet counts and INR results will most often reveal:
normal values
A mother has brought her 2-week-old infant to the emergency department due to the baby's persistent and increasing jaundice. Blood testing reveals that the infant's unconjugated bilirubin level is 28 mg/dL, and assessment does not reveal neurologic deficits. The infant's weight is normal, and the mother claims to have had no significant difficulty feeding the infant. The most likely treatment for this infant will be:
phototherapy
