Older CH21
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Questions and Answers

An older patient's erythrocyte sedimentation rate(ESR) is 60 mm/hr. What health problem should the nurse suspect is occurring in this patient?

  • Diabetes
  • Heart failure
  • Diverticulitis
  • Temporal arteritis (correct)
  • An older patient is being evaluated for osteoporosis. Which laboratory finding should the nurse anticipate being found in this patient?

  • Increased calcium
  • Increased alkaline phosphatase (correct)
  • Decreased white blood cell count
  • Increased alanine aminotransferase(ALT)
  • A patient is being evaluated for a myocardial infarction(MI) What laboratory value is least likely to be affected by this health problem?

  • Serum protein (correct)
  • Creatinine kinase(CK) II
  • Alanine aminotransferase(ALT)
  • Aspartate aminotransferase(AST)
  • A nursing home resident has a 4-mm area of induration after receiving the intradermal tuberculin solution. What should the nurse anticipate being planned for this patient?

    <p>Repeated test in 1 to 2 weeks</p> Signup and view all the answers

    An older patient with renal failure has a change in serum phosphate level. What should the nurse explain as being the reason for the altered phosphorus level?

    <p>&quot;The kidneys regulate phosphate excretion to maintain a balance with serum calcium&quot;</p> Signup and view all the answers

    The nurse notes that an older patient's glomerular filtration rate(GFR) is declining. Which serum laboratory value should the nurse review for alterations

    <p>Serum creatinine</p> Signup and view all the answers

    An older patient has a low hemoglobin level. What should the nurse expect to assess in this patient?

    <p>Fatigue</p> Signup and view all the answers

    The pharmacy has converted all oral pills to liquid form for an older patient who is no longer able to swallow pills. What change would have been made to this patient's digoxin?

    <p>Decreased</p> Signup and view all the answers

    An older patient is currently taking furosemide and digoxin. Which laboratory value should be of concern to the nurse

    <p>Potassium level 2.5 mEq/L</p> Signup and view all the answers

    An older patient takes phenytoin for seizure activity. isoniazid for tuberculosis, aspirin for arthritis, and Tagamet for ulcers. What should the nurse expect to assess in 1 month?

    <p>Abnormal increase in serum phenytoin levels</p> Signup and view all the answers

    An older patient is diagnosed with low vitamin B12 and folic acid levels. Which medication could be causing this alteration in the patient's values?

    <p>Metformin</p> Signup and view all the answers

    An older patient has a blood glucose level of 64 mg/dL. Which medication could be causing this low blood glucose level?

    <p>Beta blocker</p> Signup and view all the answers

    The nurse needs to collect a random urine specimen from an older patient. How many mL of urine should the nurse collect

    <p>10 mL</p> Signup and view all the answers

    An older patient is having a serum transferrin level drawn. What will this laboratory value assess?

    <p>Protein stores</p> Signup and view all the answers

    The nurse notes that an older patient has a low platelet count. Which medication should the nurse suspect is causing this laboratory value? Select all the apply

    <p>Penicillin</p> Signup and view all the answers

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