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    ATI LPN Comprehensive Predictor 2023 Proctored Exam

    A nurse is reinforcing teaching about laboratory testing with a client. Which of the following findings should the nurse include as an indicator of infection?

    Explanation & Rationale

    A. Increased iron level: Iron levels typically decrease during infection due to the body's inflammatory response. The liver sequesters iron to limit bacterial growth, leading to lower serum iron levels. An increased iron level is not an indicator of infection and may instead be associated with conditions such as hemochromatosis or excessive iron supplementation. B. Increased erythrocyte sedimentation rate: The erythrocyte sedimentation rate (ESR) is a nonspecific marker of inflammation and infection. When an infection occurs, inflammatory proteins cause red blood cells to clump together and settle faster, leading to an increased ESR. A high ESR can indicate an ongoing infection, autoimmune disorder, or chronic inflammatory condition. C. Decreased platelets: Platelets, or thrombocytes, are involved in blood clotting and do not serve as a primary indicator of infection. While severe infections, such as sepsis, can lead to thrombocytopenia (low platelets) due to disseminated intravascular coagulation (DIC), this is not a common finding in routine infections. D. Decreased hemoglobin: Hemoglobin levels reflect the oxygen-carrying capacity of red blood cells and are not directly linked to infection. While chronic infections and inflammatory conditions can contribute to anemia of chronic disease, an acute infection typically does not cause a sudden drop in hemoglobin.

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