Comprehensive Nursing Pharmacology Q 238

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The nurse is monitoring the laboratory results of a male client receiving antineoplastic medications. The nurse plans to initiate bleeding precautions if which laboratory is value is noted?

  

     A. White blood cell count of 6,000/mm3.

     B. Platelet count of 45,000 cells/mm3.

     C. Clotting time of 8 minutes.

     D. Hemoglobin count of 15g/dl.

    

    

Correct Answer: B. Platelet count of 45,000 cells/mm3.

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The normal value for platelets is 150,000 to 450,000 cells/mm3. When the platelet count is less than 50,000 cells/mm3, minor trauma can lead to episodes of prolonged bleeding; when less than 20,000 cells/mm3, spontaneous and uncontrolled bleeding can occur.

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Option A: Normal white blood cell count is 4,000 to 11,000/mm3.

Option C: Normal clotting time is 8-15 minutes.

Option D: Normal hgb is 13.5-17.5 g/dl.

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