Question

While changing a client's dressing with a leg ulcer, the practical nurse (PN) observes a red, tender, and swollen wound at the site of the lesion. Before repor evaluate which of the client's laboratory values?

A. Neutrophil count
B. Hematocrit
C. Serum potassium and sodium levels
D. Blood pH level

Answer 1

The practical nurse should evaluate the client's Neutrophil count when a red, tender, and swollen wound is observed, as it is a key indicator of an inflammatory response to infection. The correct option is A.

Step-by-step explanation:

When observing a red, tender, and swollen wound at the site of a leg ulcer, the practical nurse (PN) should prioritize evaluating the client's Neutrophil count among the laboratory values provided. This is because the observed symptoms suggest a possible infection, and an increased neutrophil count is indicative of an inflammatory response to infection.

Several clinical focus scenarios emphasize the importance of white blood cell count, particularly neutrophils, in the context of infection. For instance, the blood work ordered for observing symptoms of necrotizing fasciitis includes a white blood cell count to check for neutrophilia.

Similarly, the presence of leukocytosis in a patient suffering from burns is an expected finding due to infection or inflammation. In another instance, an increased white blood cell count, especially neutrophils, is noted in a systemic infection. Hence, A is the correct option.