Type MCSA A patient is admitted for an infected leg wound The nurse notes that

Type mcsa a patient is admitted for an infected leg

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Question 22Type: MCSAA patient is admitted for an infected leg wound. The nurse notes that the patient's band count on the CBC and differential is elevated. How does the nurse interpret this information? 1. The leg wound was caused by a parasite.2. The patient could be developing sepsis.3. The patient is healing.4. The patient has lymphoma in addition to a leg wound.Correct Answer: Rationale 1: If the wound were caused by a parasite, the eosinophils would be elevated.Rationale 2: Bands are immature neutrophils that, when elevated, indicate a large bacterial infection or sepsis.Rationale 3: Elevated bands do not indicate that the patient is healing.Rationale 4: Lymphocytes are elevated in a patient diagnosed with lymphoma in addition to an infection.Global Rationale: 2
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Cognitive Level: Analyzing Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 52-7 Question 23Type: MCMAWhich assessment findings would the nurse evaluate as indicating inflammation or infection of the superficial lymph nodes?Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply. Global Rationale: Cognitive Level: Analyzing Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 52-6 Question 24 Type: MCMA
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Which lymph node assessment findings would increase the nurse’s concern that a patient has a malignancy?Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply. Global Rationale: Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 52-6
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