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Multiple-choice question: Which of the following laboratory values could indicate that a child has leukemia? A. WBCs \(32,000 / \mathrm{mm}^3\) B. Platelets \(300,000 / \mathrm{mm}^3\) C. Hemoglobin \(15 \mathrm{~g} / \mathrm{dL}\) D. Blood \(\mathrm{pH}\) of \(7.35\)

Short Answer

Expert verified
A. WBCs \(32,000 / \mathrm{mm}^3\)

Step by step solution

01

Analyze the normal ranges

First, we need to know the normal blood count ranges: WBCs: \(4,500 - 11,000 / \mathrm{mm}^3\), Platelets: \(150,000 - 450,000 / \mathrm{mm}^3\), Hemoglobin: \(13.5 - 17.5 \mathrm{~g} / \mathrm{dL}\) for males and \(12.0 - 15.5 \mathrm{~g} / \mathrm{dL}\) for females, and the normal pH of blood is approximately \(7.35 - 7.45\).
02

Compare given values to normal ranges

Compare the given lab values to normal ranges. The WBC count is significantly high (\(32,000 / \mathrm{mm}^3\) compared to the normal range (\(4,500 - 11,000 / \mathrm{mm}^3\)). The count of platelets and hemoglobin as well as the blood pH given are within the normal range.
03

Identify the abnormal value

The abnormally high WBC count, which is a key indicator of leukemia, identifies the correct option, which is option A. The rest of the values are within the normal range and don't specifically indicate leukemia.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

NCLEX-RN Exam Preparation
Preparing for the NCLEX-RN exam requires a deep understanding of various medical conditions, including blood disorders such as leukemia. One crucial aspect of preparation is becoming adept at interpreting laboratory values, an area frequently tested on the exam. When studying for the section on hematology, it's essential to focus on the normal and abnormal ranges of key blood components. For example, a question on the NCLEX-RN might ask you to identify lab values indicative of leukemia, as in the given exercise.

Developing a systematic approach to questions can be incredibly helpful. This might involve memorizing normal lab ranges, understanding their clinical significance, and then applying that knowledge to the test questions—practicing with sample questions and reviewing detailed rationales for each answer choice could greatly enhance your test-taking strategy.
Unfolding Case Study Review
The use of unfolding case studies is a dynamic teaching strategy in nursing education meant to enhance critical thinking and decision-making skills. An unfolding case study presents information over time, mimicking real-world clinical situations. When addressing lab value interpretation in case studies, it helps to contextualize the data within a patient’s overall health picture. Nursing students are often tasked with looking at lab results, like a high WBC count, and connecting it to potential diagnoses in a step-by-step manner. This educational method helps students to build clinical reasoning skills that are essential for identifying conditions such as leukemia in a real healthcare setting.
Laboratory Values Interpretation
Proper interpretation of laboratory values is fundamental in diagnosing and managing patient care. For nurses, understanding what constitutes normal and abnormal lab values is crucial in identifying serious health conditions. Leukemia, a type of cancer that impacts blood and bone marrow, can often be suggested by an elevated WBC count, which is a common measure in a complete blood count (CBC) panel. Recognizing outliers in lab results, such as a WBC count of 32,000/mm³, is a key diagnostic tool and clearly stands out when compared to the normal range of 4,500 - 11,000/mm³. Other lab values like platelets, hemoglobin, and blood pH are also clinically significant but may not be altered in leukemia.
White Blood Cell (WBC) Count
One’s WBC count is a pivotal part of the CBC, offering critical information about an individual's immune system status. In the context of leukemia, a high WBC count could be indicative of the body producing an excessive number of abnormal white blood cells. This can suppress or crowd out the production of normal blood cells, leading to various complications. However, an elevated WBC count can also signify other conditions such as infection or inflammation. Therefore, understanding how to interpret this value, in conjunction with other symptoms and laboratory results, is essential within nursing practice to avoid misdiagnosis.
Nursing Education
Nursing education aims to equip students with the knowledge and skills to provide high-quality care. This includes the interpretation of complex lab data, a skill that is honed through both theoretical knowledge and practical application. Ensuring that new nurses understand the implications of abnormal lab values like an elevated WBC count is key. This topic could be taught through various methods, including lectures, hands-on labs, simulation exercises, and case studies. By linking lab values to clinical scenarios, nurse educators can help students make the essential connection between textbook knowledge and patient care.

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