QuestionsAnswers - Questions&Answers 1.thenurseisreviewingthelabor...

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NCLEXPN–HematologywithRationale Questions&Answers 1.thenurseisreviewingthelaboratoryresultsofaclientreceivingchemother- apy.Thenursepreparestoinitiateneutropenicprecautionswhenthenurse noteswhichlaboratoryresult?

• ableedingtimeof3minutes
• anammonialevelof20mcg/dL
• aplateletcountof200,000cells/mm^3
• awhitebloodcellcountof2000cells/mm^3

Answer:D)awhitebloodcellcountof2000cells/mm^3

rationale:

thenormalWBCcountis5000to10,000cells/mm^3.WhentheWBCcountdrops, NCLEX PN - Hematology Questions.pdffile:///C:/Users/HP/Desktop/New%20folder/NCLEX%20PN%20-%20...

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neutropenicprecautionsneedtobeimplemented.Thisincludesprotectiveisolation measurestoprotecttheclientfrominfection.Bleedingprecautionsneedtobeinitiatedwhentheplateletcountdrops.Bleeding precautionsincludeavoidingalltraumasuchasrectaltemperaturesorinjections.Thenormalplateletcountis150,000to450,000cells/mm^3.Thenormalbleedingtimeis1to6minutes,dependingonlaboratorymethodused.Thenormalammoniavalueis10to80mcg/Dl 2.Aclienthasexperiencedseveralepisodesofsicklecellcrisis.Whichrein- forcedinstructionshouldbeincludedintheclient'steachingplantoprevent recurrence?

• vigorousexerciseisencouragedtomaintaincardiovascularfunction
• icedliquidswillcombatdehydrationandshouldbeconsumedregularly
• wearshoesandsockswhenwalkingoutsidetopreventdamagetothefeet
• topreventopioidtolerance,avoidtakingpainmedicationatthebeginningof NCLEX PN - Hematology Questions.pdffile:///C:/Users/HP/Desktop/New%20folder/NCLEX%20PN%20-%20...

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