Chapter 10 Gero (EXAM 1) questions n
answers graded A+
The nurse is reviewing the postsurgical laboratory values of an older adult client. The client's
erythrocyte sedimentation rate (ESR) is slightly elevated. How does the nurse initially respond to
this data?
a. asking if the client has been previously diagnosed with any chronic inflammatory diseases
b. recognizing that slight elevation is normal for many older adults
c. notifying the client's health care provider immediately
d. requesting that the laboratory rerun the test
b. recognizing that slight elevation is normal for many older adults
An older client in a long-term care facility is receiving an annual physical examination and is
ordered laboratory tests that include a complete blood count, serum electrolytes, and thyroid
tests. When the client's son questions why these tests are being ordered by saying, "Dad is 85
why are you bothering him all he wants to do is sleep?" The nurses response is based on what
understanding?
a. the healthcare provider ordering the tests needs to explain the rationale to the son
b. when conducted annually, all of the tests are helpful in promoting maximum health for older
adults in the long term care setting
c. the tests are useful, but only if clinically indicated
d. the complete blood count and serum electrolytes are useful screening tests, but the
usefulness of the thyroid test should be questioned
b. when conducted annually, all of the tests are helpful in promoting maximum health for older
adults in the long term care setting
, When asked by an older adult client, "what is the difference between my normal lab values and
the ones for a 55 year old?" the nurse responds based on which understanding?
a. age-adjusted ranges for older adults for all the common lab findings, similar to those for
infants and children
b. no age-adjusted ranges for older adults due to large variations within the age-group and the
increasing number of factors that influence the results
c. age-adjusted ranges only for the over 85 age group, there are no expected changes in the 65
to 84 year old age group
d. age-adjusted ranges only for the hematological tests, which are due mostly to changes in the
bone marrow
b. no age-adjusted ranges for older adults due to large variations within the age-group and the
increasing number of factors that influence the results
an older resident of a long-term care facility diagnosed with dementia has in the last 48 hours
become more confused than usual and while usually requiring help with toileting has been
incontinent of urine. The client's health care provider orders a complete blood count and serum
electrolytes. When the laboratory tests are all within normal limits, what actions will the nurse
initially take?
a. assuring the family that the changes in the resident's functioning is a result of advancing
dementia
b. suggesting that the resident be placed on broad-spectrum antibiotics to prevent infections
c. speaking with the health care provider regarding the possibility of obtaining a urine culture
d. changing the plan of care to include bladder training and implement a 24 hour calorie count
c. speaking with the health care provider regarding the possibility of obtaining a urine culture
answers graded A+
The nurse is reviewing the postsurgical laboratory values of an older adult client. The client's
erythrocyte sedimentation rate (ESR) is slightly elevated. How does the nurse initially respond to
this data?
a. asking if the client has been previously diagnosed with any chronic inflammatory diseases
b. recognizing that slight elevation is normal for many older adults
c. notifying the client's health care provider immediately
d. requesting that the laboratory rerun the test
b. recognizing that slight elevation is normal for many older adults
An older client in a long-term care facility is receiving an annual physical examination and is
ordered laboratory tests that include a complete blood count, serum electrolytes, and thyroid
tests. When the client's son questions why these tests are being ordered by saying, "Dad is 85
why are you bothering him all he wants to do is sleep?" The nurses response is based on what
understanding?
a. the healthcare provider ordering the tests needs to explain the rationale to the son
b. when conducted annually, all of the tests are helpful in promoting maximum health for older
adults in the long term care setting
c. the tests are useful, but only if clinically indicated
d. the complete blood count and serum electrolytes are useful screening tests, but the
usefulness of the thyroid test should be questioned
b. when conducted annually, all of the tests are helpful in promoting maximum health for older
adults in the long term care setting
, When asked by an older adult client, "what is the difference between my normal lab values and
the ones for a 55 year old?" the nurse responds based on which understanding?
a. age-adjusted ranges for older adults for all the common lab findings, similar to those for
infants and children
b. no age-adjusted ranges for older adults due to large variations within the age-group and the
increasing number of factors that influence the results
c. age-adjusted ranges only for the over 85 age group, there are no expected changes in the 65
to 84 year old age group
d. age-adjusted ranges only for the hematological tests, which are due mostly to changes in the
bone marrow
b. no age-adjusted ranges for older adults due to large variations within the age-group and the
increasing number of factors that influence the results
an older resident of a long-term care facility diagnosed with dementia has in the last 48 hours
become more confused than usual and while usually requiring help with toileting has been
incontinent of urine. The client's health care provider orders a complete blood count and serum
electrolytes. When the laboratory tests are all within normal limits, what actions will the nurse
initially take?
a. assuring the family that the changes in the resident's functioning is a result of advancing
dementia
b. suggesting that the resident be placed on broad-spectrum antibiotics to prevent infections
c. speaking with the health care provider regarding the possibility of obtaining a urine culture
d. changing the plan of care to include bladder training and implement a 24 hour calorie count
c. speaking with the health care provider regarding the possibility of obtaining a urine culture
