The client's blood has a platelet count of 300,000 mm3 (300 x 109/L). What should the nurse do when she receives this laboratory result?

Correct Answer: B

Rationale: Platelet count of 300,000 mm3 is normal (150,000-450,000), requiring documentation only. Increased or decreased notifications, or meds , are unnecessary. Nurses, per NCLEX, document normal labs accurately, making B correct.

Correct Answer: B

Rationale: Chronic pain is defined by its persistence, typically lasting longer than six months, often outlasting the initial injury or illness that caused it. Unlike acute pain, it doesn't serve a protective function and can significantly impact a person's quality of life, including physical, emotional, and social well-being. Choice A is incorrect because quick resolution is a trait of acute pain, not chronic. Choice C is wrong as chronic pain affects more than just physical healthit often leads to psychological distress, like depression or anxiety, and social isolation. Choice D is misleading because chronic pain isn't always sharp; it can be dull, aching, or variable in intensity. Choice B correctly identifies the key characteristic of chronic painits duration exceeding six monthsmaking it a critical focus for long-term management in nursing care.

Correct Answer: B

Rationale: Fatigue is most associated with persistent exhaustion, a deep, unrelenting tiredness that doesn't fully resolve with rest and often accompanies chronic conditions, stress, or sleep deficits. This distinguishes it from temporary tiredness, impacting physical and mental functioning. Choice A, increased alertness, is the opposite of fatigue, which clouds awareness and slows responses. Choice C, improved concentration, doesn't fitfatigue often causes brain fog,' impairing focus and memory. Choice D, elevated mood, is unlikely, as fatigue frequently correlates with irritability or low mood due to its draining effects. Choice B, persistent exhaustion, is the hallmark symptom, making it the most accurate answer. Nurses recognize this as a key indicator when assessing patients, guiding interventions like energy conservation techniques or addressing underlying causes, such as anemia or depression, to improve overall well-being.

Correct Answer: B

Rationale: Chronic widespread pain is a typical feature of fibromyalgia, affecting multiple body regions bilaterally, persisting for months, and often accompanied by tenderness and fatigue. This distinguishes it from localized or transient pain conditions. Choice A, localized pain only, is incorrectfibromyalgia's hallmark is its diffuse nature, not confined to one area like arthritis might be. Choice C, brief episodes of discomfort, doesn't fit; fibromyalgia pain is chronic, not episodic or short-lived. Choice D, complete relief with rest, is misleadingrest may help, but fibromyalgia pain persists, worsened by stress or poor sleep. Choice B is accurate, reflecting the condition's core diagnostic criterion, guiding nurses to focus on widespread pain management, stress reduction, and patient education to mitigate its pervasive impact.

Correct Answer: C

Rationale: The nurse most relies on the client's self-report to assess pain level, as pain is subjectiveonly the client can describe its intensity, location, and quality (e.g., via a 0-10 scale). This gold-standard method respects individual perception, guiding precise care. Choice A, previous medical record, offers context (e.g., chronic conditions) but can't capture current pain, which varies. Choice B, facial expression, helps in nonverbal clients (e.g., grimacing), but it's secondaryself-report trumps observation when possible. Choice D, nurse's past experience, informs judgment but isn't client-specific; assuming pain based on others risks error. Choice C is correct, aligning with nursing's patient-centered ethosself-report ensures accuracy, empowering clients to communicate their experience, which nurses validate and act upon with tailored interventions like medication or positioning.