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Practice Question

While caring for a client with a full thickness burn covering 40% of the body surface area (BSA), the nurse observes purulent drainage at the wound. Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?

Answer Choices:

Correct Answer:

Neutrophil count.

Rationale:

🧫 A neutrophil count is critical to evaluate when a client with a full-thickness burn presents with purulent wound drainage, as it reflects the body's immune response to infection.

🧫 Since these clients are immunocompromised, the neutrophil count provides valuable insight into their current inflammatory or infectious status.

🧫 Neutropenia may indicate a reduced ability to fight infection, while elevated neutrophils may confirm an active infection requiring antimicrobial therapy.

🧫 This value directly correlates with clinical signs of wound infection and must be reviewed before escalating the case to the healthcare provider.

Want to practice more questions like this?

This question is from HESI RN EXIT (IX) which contains 100 questions.

More Practice Questions
The nurse is providing teaching to a client with type 2 diabetes mellitus about important points for disease and symptom management. Which response by the client indicates understanding?

Answer Choices:

A. Soak feet daily in hot water no longer than 10 minutes.
B. Include no more than 1-2 alcoholic beverages in diet per day
C. Remember exercise will not affect blood glucose levels.
D. Keep any wounds covered with an antibiotic ointment.
When the nurse attempts to teach self-administration of insulin injections to a client who is newly diagnosed with type 1 diabetes mellitus (DM), the client tells the nurse in a loud voice to leave the room. Which action should the nurse take?

Answer Choices:

A. Leave the client's room and return later in the day.
B. Refer client to the social worker for support therapy
C. Encourage client to implement relaxation techniques.
D. Explain that insulin is a life-saving drug for the client
The nurse is caring for a 3-year-old client who is two hours postoperative from a cardiac catheterization via the right femoral artery. Which assessment finding is an indication of arterial obstruction?

Answer Choices:

A. The pressure dressing at right femoral area is moist and oozing blood.
B. Pulse distal to the femoral artery is weaker on left foot than right foot
C. Right foot is cool to the touch and appears pale and blanched.
D. Blood pressure trend is downward and pulse is rapid and irregular
After a scheduled downtime, the computer documentation system fails to restart. Which action should the nurse take first?

Answer Choices:

A. Notify information services department of the situation.
B. Print electronic medical record (EMR) from backup server.
C. Wait for notification that the system has been rebooted.
D. Identify information as late entry in the record.
From Exam
HESI RN EXIT (IX)

100 Questions

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Question Details
  • Category: RN - Nursing Exam(s)
  • Subcategory: Exit Exams
  • Domain: HESI Exit - RN
  • Answer Choices: 4
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