The white blood cell count of a person after 1 day of antibiotic therapy is 14000/nm3. The nurse will respond to this report. (A) Report the physician (B) The next dose of the antibiotic is increased (C) Initiate reverse isolation protection (D) Run the next scheduled antibiotic dose early.
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- What's the advantage of a blood smear compared to a complete blood count? a) It serves as an additional quality control b) To obtain a clear image of the blood cell morphology c) Blood smears are obtained more quickly than complete blood count d) It helps identify viral infectionsWhile caring for a patient with a central venous catheter, the LPN should prioritize which action to reduce the risk of infection? A) Encouraging the patient to perform deep breathing exercises B) Changing the dressing over the catheter site using aseptic technique C) Administering pain medication as prescribed D) Monitoring the patient's daily fluid intakeWhat is the primary purpose of administering anticoagulant therapy to a patient following surgery? a) To increase blood clot formation b) To prevent the formation of blood clots c) To promote bleeding at the surgical site d) To reduce blood pressure
- A patient has received a double dose of heparin during surgery and is bleeding through the incision site. While the surgeons are -orking to stop the bleeding at the incision site, the nurse -ill prepare to take -hat action at this time? a )Give IV vitamin K as an antidoteb )Give IV protamine sulfate as an antidotec) Call the blood bank for an immediate platelet transfusiond )Obtain an order for packed red blood cells23. A good blood smear should: a) Have feathered edges b) Occupies 2/3 Slide c) Fingerprint shape d) Not Contain clotted blood e) All the above 24. If a technician collects 1 ml blood in 2.5 ml light blue tube: a) Reject the sample and cancel the test b) No problem, this is normal ratio c) Have the sample re-taken d) Consult your supervisor e) Report to physician 25. Thin blood smear remedy action is: a) Increase the angle of the spreader and bigger drop of blood b) Decrease the angle of spreader and bigger drop of blood c) Increase the angle of spreader and smaller drop of blood d) Decrease the angle of spreader and smaller drop of blood 26. The centrifuge used in hematocrit test is: a) Centrifuge b) Cytospin c) Microcentirfuge d) Microhematocrit 27. The sediment observed in stained blood smear caused by: a) Overstraining b) More Haematoxylin in the mixture c) Smear was not fixed d) Using non- filtered stain e) Using old stain 28. Anticoagulant present in Lavender tube is a) Sodium…a) What is the coagulation cascade? Why is it important? b) Explain the steps of the foreign body response to an implant with a schematic. c) What can be done to minimize the foreign body response?
- Which of the following is not suitable for the Dynamic structure of Triage a) Triage is variable, not static b) Re-evaluation after the first triage c) It is done taking into account the possibilities at hand. d) For triage, it is necessary to wait for news from the emergency command centerYour differential WBC count, in addition to your WBC count, provides your doctor with useful information to determine if you are sick, and how to treat you. How would your doctor interpret the following information? (a) Patient X, WBC count of 80,000 wbc/mm3? (b) Patient Y, WBC count of 2,000 wbc/mm3? (c) Patient Z, WBC = 753,000 wbc/mm3. What is the general term for this?Why is the Center for Biologics Evaluation and Research (CBER) notified in the case of a transfusion-related fatality? Question 9 options: a) To recall all banked units b) To determine if appropriate corrective action has been taken to prevent recurrence c) To report all reagent lot numbers used in typing deceased patient d) To disclose the name of the deceased
- When calculating creatinine clearance using the MDRD equation (eGFR), which of the following factors are considered? Question 18 options: A) verification that the patient has been fasting B) identification of ethnicity C) body mass D) time of day of blood collection E) physical workout schedule of the patientA patient is starting -arfarin (Coumadin) therapy as part of treatment for atrial fibrillation. The nurse -ill follo- -hich principles of -arfarin therapy? (Select all that apply.) a )Teach proper subcutaneous administrationb )Administer the oral dose at the same time every dayc) Assess carefully for excessive bruising or unusual bleedingd )Monitor laboratory results for a target INR of 2 to 3e )Monitor laboratory results for a therapeutic aPTT value of 1.5 to 2.5 times the control valueMelinda was working the day shift in the hematology laboratory. The laboratory’s protocol called for three levels of blood cell controls to be run at the following times: 1) at the beginning of the shift, 2) within each run of patient samples during the day and 3) any times reagents were changed. The mean for the low (abnormal) control for the red blood cell count was given as 2.00 x 10^12/L, the standard deviation was 0.15, and the confidence limit (acceptable control range) was 2.00 x 10^12/L +/- 2sd (or +/- 0.3). The first morning low control result was 2.10 (x 10^12/L). In five subsequent runs, the low control results were 2.16, 2.19, 2.20, 2.22 and 2.25. 1. Do these values represent a shift, a trend, or neither? 2. Should Melinda be concerned about these values? Explain. 3. Does Melinda need to take any action?