NCLEX-PN

Category - Physiological Adaptation

The nurse is reviewing the laboratory results of a female client. The blood test reveals a white blood cell count of 3000 cells/mm3, a hematocrit of 38%, and a platelet count of 180,000 cells/µL. Which of the following actions by the nurse is most appropriate?
  1. Avoid administration of medications through the intramuscular route
  2. Maintain strict aseptic technique during urinary catheter insertion
  3. Increase the client’s fluid intake
  4. Document the findings as normal
Explanation
Answer: B - The client’s WBC count is lower than normal, increasing the risk for infections. The nurse should maintain strict aseptic technique during urinary catheter insertion. The client’s hematocrit is within the normal range, showing adequate hydration. The platelet count is within the normal range, so bleeding precautions are not necessary.
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