A 64-year-old African American male visits his primary care physician with complaints of bone pain, fatigue, nausea, loss of appetite, and constipation. The patient has a history of good health and exercises regularly. However, his recent symptoms have started to interfere with his active lifestyle. After a physical examination, his physician orders laboratory analysis to identify what might be causing his symptoms. Based on the CBC results and your knowledge of the cellular components of the immune system, what is an immunological concern for this patient?  A). This patient is at increased risk for bruising and bleeding because of his low platelet count. B). The patient’s fatigue is caused by the lack of red blood cells (anemia). C). This patient is at risk for infection because of his low white blood cell count.

Basic Clinical Laboratory Techniques 6E
6th Edition
ISBN:9781133893943
Author:ESTRIDGE
Publisher:ESTRIDGE
Chapter2: Basic Hematology
Section2.9: White Blood Cell Differential Count
Problem 10RQ
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A 64-year-old African American male visits his primary care physician with complaints of bone pain, fatigue, nausea, loss of appetite, and constipation. The patient has a history of good health and exercises regularly. However, his recent symptoms have started to interfere with his active lifestyle. After a physical examination, his physician orders laboratory analysis to identify what might be causing his symptoms.

Based on the CBC results and your knowledge of the cellular components of the immune system, what is an immunological concern for this patient? 

A). This patient is at increased risk for bruising and bleeding because of his low platelet count.

B). The patient’s fatigue is caused by the lack of red blood cells (anemia).

C). This patient is at risk for infection because of his low white blood cell count.

3.1 x 10³/UL
2.3 × 10⁹/L
9.2 g/dL
27%
74 x 10⁹/L
Neutrophils
64%
Lymphocytes 32%
Monocytes 3%
Eosinophils 1%
WBC
RBC
Hgb
Hct
Plt
Reference Range
4.8-10.8 x 10³/uL
4.7-6.1 x 10⁹/L
14-18 g/dL
42%-52%
150-450 × 10%/L
60%-70%
20%-30%
5%-10%
0%-5%
Basophils
0
Absolute neutrophils
2.0
Absolute lymphocytes 1.0
Absolute monocytes 0.1
Absolute eosinophils
0.03
Absolute basophils
Total protein
0
17.3 g/dL
Reference Range
0%-2%
1.4-6.5 × 10³/uL
1.2-3.4 x 10³/uL
0.1-0.6 x 10³/uL
0-0.5 x 10³/uL
0-0.2 x 10³/UL
6.4-8.3 g/dL
Transcribed Image Text:3.1 x 10³/UL 2.3 × 10⁹/L 9.2 g/dL 27% 74 x 10⁹/L Neutrophils 64% Lymphocytes 32% Monocytes 3% Eosinophils 1% WBC RBC Hgb Hct Plt Reference Range 4.8-10.8 x 10³/uL 4.7-6.1 x 10⁹/L 14-18 g/dL 42%-52% 150-450 × 10%/L 60%-70% 20%-30% 5%-10% 0%-5% Basophils 0 Absolute neutrophils 2.0 Absolute lymphocytes 1.0 Absolute monocytes 0.1 Absolute eosinophils 0.03 Absolute basophils Total protein 0 17.3 g/dL Reference Range 0%-2% 1.4-6.5 × 10³/uL 1.2-3.4 x 10³/uL 0.1-0.6 x 10³/uL 0-0.5 x 10³/uL 0-0.2 x 10³/UL 6.4-8.3 g/dL
Expert Solution
Step 1

Proper diagnosis would be helpful for the nurse to identify the patient problem and to plan the care as accordingly. This can be done through history collection, physical examination and through laboratory investigations. 

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