NUR 504 EXAM 3 QUESTIONS AND
CORRECT ANSWERS
TheA2nurseA2isA2assessingA2anA2olderA2clientA2forA2anyA2potentialA2hematologicA2healthA2p
roblem.A2WhichA2assessmentA2findingA2isA2theA2mostA2significantA2andA2wouldA2beA2report
edA2toA2theA2primaryA2healthA2careA2provider?
a.A2PoorA2skinA2turgorA2onA2bothA2forearms
b.A2MultipleA2petechiaeA2andA2largeA2bruises
c.A2Dry,A2flakyA2skinA2onA2armsA2andA2legs
d.A2DecreasedA2bodyA2hairA2distributionA2-A2Ans--ANS:A2B
TheA2presenceA2ofA2multipleA2petechiaeA2andA2largeA2bruisesA2indicateA2aA2possibleA2pro
blemA2withA2blood
clotting.A2OlderA2adultsA2typicallyA2haveA2poorA2skinA2turgorA2andA2dry,A2flakyA2skinA2dueA2
toA2decreased
bodyA2fluidA2asA2aA2resultA2ofA2aging.A2TheyA2alsoA2loseA2bodyA2hairA2orA2haveA2thinningA2
hairA2asA2aA2normal
changeA2ofA2aging.
AA2nurseA2isA2assessingA2aA2dark-
skinnedA2clientA2forA2pallor.A2WhatA2nursingA2assessmentA2isA2bestA2toA2assessA2forA2pall
orA2inA2thisA2client?
a.A2AssessA2theA2conjunctivaA2ofA2theA2eye.
b.A2HaveA2theA2patientA2openA2theA2handA2widely.
c.A2LookA2atA2theA2roofA2ofA2theA2patient'sA2mouth.
d.A2PalpateA2forA2areasA2ofA2mildA2swelling.A2-A2Ans--ANS:A2A
ToA2assessA2pallorA2inA2dark-
skinnedA2people,A2assessA2theA2conjunctivaA2ofA2theA2eyeA2orA2theA2mucous
membranes.A2LookingA2atA2theA2roofA2ofA2theA2mouthA2canA2revealA2jaundice.A2OpeningA2t
heA2handA2widelyA2is
notA2relatedA2toA2pallor,A2norA2isA2palpatingA2forA2mildA2swelling.
AA2hospitalizedA2clientA2hasA2aA2plateletA2countA2ofA258,000/mm3
(58A2×A2109/L).A2WhatA2actionA2byA2theA2nurseA2isA2mostA2appropriate?
a.A2EncourageA2high-proteinA2foods.
b.A2InstituteA2neutropenicA2precautions.
c.A2LimitA2visitorsA2toA2healthyA2adults.
d.A2PlaceA2theA2clientA2onA2safetyA2precautions.A2-A2Ans--ANS:A2D
WithA2aA2plateletA2countA2betweenA240,000A2andA280,000/mm3
(40A2andA280A2×A2109A2/
L),A2clientsA2areA2atA2riskA2ofA2prolongedA2bleedingA2evenA2afterA2minorA2trauma.A2TheA2n
urseA2wouldA2placeA2theA2clientA2onA2safetyA2orA2bleedingA2precautionsA2asA2theA2mostA2a
ppropriateA2action.A2High-
proteinA2foods,A2whileA2healthy,A2areA2notA2theA2priority.A2NeutropenicA2precautionsA2areA2
,notA2neededA2asA2theA2patient'sA2whiteA2bloodA2cellA2countA2isA2notA2low.A2LimitingA2visitor
sA2wouldA2alsoA2beA2moreA2likelyA2relatedA2toA2aA2lowA2whiteA2bloodA2cellA2count.
AA2clientA2isA2havingA2aA2boneA2marrowA2aspirationA2andA2biopsy.A2WhatA2actionA2byA2the
A2nurseA2takes
priority?
a.A2AdministerA2painA2medicationA2first.
b.A2EnsureA2thatA2validA2consentA2isA2inA2theA2medicalA2record.
c.A2HaveA2theA2clientA2showerA2inA2theA2morning.
d.A2PremedicateA2theA2clientA2withA2sedatives.A2-A2Ans--ANS:A2B
AA2boneA2marrowA2aspirationA2andA2biopsyA2isA2anA2invasiveA2procedureA2thatA2requiresA2
informedA2consent.
PainA2medicationA2andA2sedationA2areA2importantA2componentsA2ofA2careA2forA2thisA2clien
tA2butA2doA2notA2take
priority.A2TheA2clientA2mayA2orA2mayA2notA2needA2orA2beA2ableA2toA2shower.
WhatA2isA2theA2nurse'sA2priorityA2whenA2caringA2forA2aA2clientA2whoA2justA2completedA2aA2b
oneA2marrowA2aspirationA2andA2biopsy?
a.A2TeachA2theA2clientA2toA2avoidA2activityA2forA224A2toA248A2hoursA2toA2preventA2infection.
b.A2AdministerA2aA2nonsteroidalA2anti-
inflammatoryA2drugA2(NSAID)A2toA2promoteA2comfort.
c.A2CheckA2theA2pressureA2dressingA2frequentlyA2forA2signsA2ofA2excessiveA2orA2activeA2bl
eeding.
d.A2ReportA2theA2laboratoryA2resultsA2toA2theA2primaryA2healthA2careA2provider.A2-A2Ans--
ANS:A2C
TheA2clientA2havingA2aA2boneA2marrowA2aspirationA2andA2biopsyA2hasA2aA2punctureA2wou
ndA2fromA2theA2large
needleA2usedA2toA2extractA2theA2boneA2marrow.A2Therefore,A2theA2clientA2isA2atA2riskA2forA2
bleeding.A2AA2NSAID
shouldA2notA2beA2givenA2becauseA2itA2canA2causeA2bleeding.A2AvoidingA2activityA2helpsA2t
oA2prevent
bleeding,A2notA2infection,A2andA2reportingA2theA2resultsA2ofA2theA2biopsyA2isA2notA2theA2res
ponsibilityA2ofA2the
nurse.
AA2nurseA2isA2caringA2forA2fourA2clients.A2AfterA2reviewingA2today'sA2laboratoryA2results,A2
whichA2clientA2wouldA2theA2nurseA2assessA2first?
a.A2ClientA2withA2anA2internationalA2normalizedA2ratioA2ofA22.8
b.A2ClientA2withA2aA2plateletA2countA2ofA2128,000/mm3A2(128A2×A2109/L).
c.A2ClientA2withA2aA2prothrombinA2timeA2(PT)A2ofA228A2seconds
d.A2ClientA2withA2aA2redA2bloodA2cellA2countA2ofA25.1A2million/mcLA2(5.1A2×A21012/L)A2-
A2Ans--
AA2normalA2PTA2isA211A2toA212.5A2seconds.A2ThisA2clientA2isA2atA2highA2riskA2ofA2bleedingA2
withA2aA2PTA2ofA228A2seconds.A2TheA2otherA2valuesA2areA2withinA2normalA2limits.
,AA2clientA2isA2havingA2aA2boneA2marrowA2aspirationA2andA2biopsyA2andA2isA2extremelyA2an
xious.A2WhatA2action
byA2theA2nurseA2isA2theA2mostA2appropriate?
a.A2AssessA2theA2client'sA2fearsA2andA2copingA2mechanisms.
b.A2ReassureA2theA2clientA2thatA2thisA2isA2aA2commonA2test.
c.A2SedateA2theA2clientA2priorA2toA2theA2procedure.
d.A2TellA2theA2clientA2thatA2heA2orA2sheA2willA2beA2asleep.A2-A2Ans--ANS:A2A
AssessingA2theA2client'sA2specificA2fearsA2andA2copingA2mechanismsA2helpsA2guideA2theA2
nurseA2in
providingA2holisticA2careA2thatA2bestA2meetsA2theA2client'sA2needs.A2ReassuranceA2willA2be
A2helpfulA2butA2is
notA2theA2bestA2option.A2SedationA2isA2usuallyA2used.A2TheA2clientA2mayA2orA2mayA2notA2b
eA2totallyA2asleep
duringA2theA2procedure.
AA2clientA2isA2havingA2aA2radioisotopicA2imagingA2scan.A2WhatA2actionA2byA2theA2nurseA2is
A2mostA2important?
a.A2AssessA2theA2clientA2forA2shellfishA2allergies.
b.A2PlaceA2theA2clientA2onA2radiationA2precautions.
c.A2SedateA2theA2clientA2beforeA2theA2scan.
d.A2TeachA2theA2clientA2aboutA2theA2procedure.A2-A2Ans--ANS:A2D
TheA2nurseA2shouldA2ensureA2thatA2teachingA2isA2doneA2andA2theA2clientA2understandsA2th
eA2procedure.
ContrastA2dyeA2isA2notA2used,A2soA2shellfish/
iodineA2allergiesA2areA2notA2related.A2TheA2clientA2willA2notA2be
radioactiveA2andA2doesA2notA2needA2radiationA2precautions.A2SedationA2isA2notA2usedA2inA
2thisA2procedure.
WhileA2takingA2aA2clientA2history,A2whichA2factor(s)A2thatA2placeA2theA2clientA2atA2riskA2forA2
aA2hematologicA2healthA2problemA2willA2theA2nurseA2document?
A2(SelectA2allA2thatA2apply.)
a.A2FamilyA2historyA2ofA2bleedingA2problems
b.A2DietA2lowA2inA2ironA2andA2protein
c.A2ExcessiveA2alcoholA2consumption
d.A2FamilyA2historyA2ofA2allergies
e.A2DietA2highA2inA2saturatedA2fats
f.A2DietA2highA2inA2VitaminA2KA2-A2Ans--ANS:A2A,A2C,A2FA2
AA2familyA2historyA2ofA2bleedingA2problemsA2placesA2theA2clientA2atA2riskA2forA2havingA2aA2
similarA2problem.
ExcessiveA2alcoholA2canA2damageA2theA2liverA2whereA2prothrombinA2isA2produced.A2AA2di
etA2highA2in
VitaminA2KA2canA2causeA2excessiveA2clottingA2becauseA2itA2isA2aA2majorA2clottingA2factor.
AnA2olderA2clientA2asksA2theA2nurseA2whyA2"peopleA2myA2age"A2haveA2weakerA2immuneA2s
ystemsA2than
, youngerA2people.A2WhatA2responsesA2byA2theA2nurseA2areA2best?
A2(SelectA2allA2thatA2apply.)
a.A2"BoneA2marrowA2producesA2fewerA2bloodA2cellsA2asA2youA2age."
b.A2"YouA2mayA2haveA2decreasedA2levelsA2ofA2circulatingA2platelets."
c.A2"YouA2haveA2lowerA2levelsA2ofA2plasmaA2proteinsA2inA2theA2blood."
d.A2"LymphocytesA2becomeA2moreA2reactiveA2toA2antigens."
e.A2"SpleenA2functionA2declinesA2afterA2ageA260."A2-A2Ans--ANS:A2A,A2C
TheA2agingA2adultA2hasA2boneA2marrowA2thatA2producesA2fewerA2cellsA2andA2decreasedA2
bloodA2volumeA2with
fewerA2plasmaA2proteins.A2PlateletA2numbersA2remainA2unchanged,A2lymphocytesA2beco
meA2less
reactive,A2andA2spleenA2functionA2staysA2theA2same.
TheA2nurseA2isA2assessingA2aA2clientA2experiencingA2anemia.A2WhichA2laboratoryA2finding
sA2willA2theA2nurseA2expectA2forA2thisA2client?A2(SelectA2allA2thatA2apply.)
a.A2IncreasedA2hematocrit
b.A2DecreasedA2redA2bloodA2cellA2count
c.A2DecreasedA2serumA2iron
d.A2DecreasedA2hemoglobin
e.A2IncreasedA2plateletA2count
f.A2DecreasedA2whiteA2bloodA2cellA2countA2-A2Ans--ANS:A2B,A2C,A2D
ClientsA2experiencingA2anemiaA2haveA2aA2decreasedA2redA2bloodA2cellA2countA2whichA2lea
dsA2toA2aA2decreased
hemoglobinA2andA2hematocrit.A2ForA2someA2clients,A2serumA2ironA2levelsA2areA2alsoA2decr
eased.A2AnemiaA2is
notA2aA2problemA2involvingA2plateletsA2orA2whiteA2bloodA2cells.
AA2nurseA2worksA2inA2aA2gerontologyA2clinic.A2WhatA2age-
relatedA2change(s)A2relatedA2toA2theA2hematologic
systemA2willA2theA2nurseA2expectA2duringA2healthA2assessment?
A2(SelectA2allA2thatA2apply.)
a.A2DentitionA2deterioratesA2withA2moreA2cavities.
b.A2NailA2bedsA2mayA2beA2thickenedA2orA2discolored.
c.A2ProgressiveA2lossA2orA2thinningA2ofA2hairA2occurs.
d.A2ScleraeA2beginA2toA2turnA2yellowA2orA2pale.
e.A2SkinA2becomesA2moreA2oily.A2-A2Ans--ANS:A2B,A2C
CommonA2findingsA2inA2olderA2adultsA2includeA2thickenedA2orA2discoloredA2nailA2beds,A2dr
yA2(notA2oily)
skin,A2andA2thinningA2hair.A2TheA2nurseA2adaptsA2toA2theseA2changesA2byA2alteringA2asses
smentA2techniques.
HavingA2moreA2dentalA2cariesA2andA2changesA2inA2theA2scleraeA2areA2notA2normalA2age-
relatedA2changes.
AA2clientA2hasA2aA2plateletA2countA2ofA29000/mm3
(9A2×A2109/L).A2TheA2nurseA2findsA2theA2clientA2confusedA2and
mumbling.A2WhatA2nursingA2actionA2takesA2priorityA2atA2thisA2time?
CORRECT ANSWERS
TheA2nurseA2isA2assessingA2anA2olderA2clientA2forA2anyA2potentialA2hematologicA2healthA2p
roblem.A2WhichA2assessmentA2findingA2isA2theA2mostA2significantA2andA2wouldA2beA2report
edA2toA2theA2primaryA2healthA2careA2provider?
a.A2PoorA2skinA2turgorA2onA2bothA2forearms
b.A2MultipleA2petechiaeA2andA2largeA2bruises
c.A2Dry,A2flakyA2skinA2onA2armsA2andA2legs
d.A2DecreasedA2bodyA2hairA2distributionA2-A2Ans--ANS:A2B
TheA2presenceA2ofA2multipleA2petechiaeA2andA2largeA2bruisesA2indicateA2aA2possibleA2pro
blemA2withA2blood
clotting.A2OlderA2adultsA2typicallyA2haveA2poorA2skinA2turgorA2andA2dry,A2flakyA2skinA2dueA2
toA2decreased
bodyA2fluidA2asA2aA2resultA2ofA2aging.A2TheyA2alsoA2loseA2bodyA2hairA2orA2haveA2thinningA2
hairA2asA2aA2normal
changeA2ofA2aging.
AA2nurseA2isA2assessingA2aA2dark-
skinnedA2clientA2forA2pallor.A2WhatA2nursingA2assessmentA2isA2bestA2toA2assessA2forA2pall
orA2inA2thisA2client?
a.A2AssessA2theA2conjunctivaA2ofA2theA2eye.
b.A2HaveA2theA2patientA2openA2theA2handA2widely.
c.A2LookA2atA2theA2roofA2ofA2theA2patient'sA2mouth.
d.A2PalpateA2forA2areasA2ofA2mildA2swelling.A2-A2Ans--ANS:A2A
ToA2assessA2pallorA2inA2dark-
skinnedA2people,A2assessA2theA2conjunctivaA2ofA2theA2eyeA2orA2theA2mucous
membranes.A2LookingA2atA2theA2roofA2ofA2theA2mouthA2canA2revealA2jaundice.A2OpeningA2t
heA2handA2widelyA2is
notA2relatedA2toA2pallor,A2norA2isA2palpatingA2forA2mildA2swelling.
AA2hospitalizedA2clientA2hasA2aA2plateletA2countA2ofA258,000/mm3
(58A2×A2109/L).A2WhatA2actionA2byA2theA2nurseA2isA2mostA2appropriate?
a.A2EncourageA2high-proteinA2foods.
b.A2InstituteA2neutropenicA2precautions.
c.A2LimitA2visitorsA2toA2healthyA2adults.
d.A2PlaceA2theA2clientA2onA2safetyA2precautions.A2-A2Ans--ANS:A2D
WithA2aA2plateletA2countA2betweenA240,000A2andA280,000/mm3
(40A2andA280A2×A2109A2/
L),A2clientsA2areA2atA2riskA2ofA2prolongedA2bleedingA2evenA2afterA2minorA2trauma.A2TheA2n
urseA2wouldA2placeA2theA2clientA2onA2safetyA2orA2bleedingA2precautionsA2asA2theA2mostA2a
ppropriateA2action.A2High-
proteinA2foods,A2whileA2healthy,A2areA2notA2theA2priority.A2NeutropenicA2precautionsA2areA2
,notA2neededA2asA2theA2patient'sA2whiteA2bloodA2cellA2countA2isA2notA2low.A2LimitingA2visitor
sA2wouldA2alsoA2beA2moreA2likelyA2relatedA2toA2aA2lowA2whiteA2bloodA2cellA2count.
AA2clientA2isA2havingA2aA2boneA2marrowA2aspirationA2andA2biopsy.A2WhatA2actionA2byA2the
A2nurseA2takes
priority?
a.A2AdministerA2painA2medicationA2first.
b.A2EnsureA2thatA2validA2consentA2isA2inA2theA2medicalA2record.
c.A2HaveA2theA2clientA2showerA2inA2theA2morning.
d.A2PremedicateA2theA2clientA2withA2sedatives.A2-A2Ans--ANS:A2B
AA2boneA2marrowA2aspirationA2andA2biopsyA2isA2anA2invasiveA2procedureA2thatA2requiresA2
informedA2consent.
PainA2medicationA2andA2sedationA2areA2importantA2componentsA2ofA2careA2forA2thisA2clien
tA2butA2doA2notA2take
priority.A2TheA2clientA2mayA2orA2mayA2notA2needA2orA2beA2ableA2toA2shower.
WhatA2isA2theA2nurse'sA2priorityA2whenA2caringA2forA2aA2clientA2whoA2justA2completedA2aA2b
oneA2marrowA2aspirationA2andA2biopsy?
a.A2TeachA2theA2clientA2toA2avoidA2activityA2forA224A2toA248A2hoursA2toA2preventA2infection.
b.A2AdministerA2aA2nonsteroidalA2anti-
inflammatoryA2drugA2(NSAID)A2toA2promoteA2comfort.
c.A2CheckA2theA2pressureA2dressingA2frequentlyA2forA2signsA2ofA2excessiveA2orA2activeA2bl
eeding.
d.A2ReportA2theA2laboratoryA2resultsA2toA2theA2primaryA2healthA2careA2provider.A2-A2Ans--
ANS:A2C
TheA2clientA2havingA2aA2boneA2marrowA2aspirationA2andA2biopsyA2hasA2aA2punctureA2wou
ndA2fromA2theA2large
needleA2usedA2toA2extractA2theA2boneA2marrow.A2Therefore,A2theA2clientA2isA2atA2riskA2forA2
bleeding.A2AA2NSAID
shouldA2notA2beA2givenA2becauseA2itA2canA2causeA2bleeding.A2AvoidingA2activityA2helpsA2t
oA2prevent
bleeding,A2notA2infection,A2andA2reportingA2theA2resultsA2ofA2theA2biopsyA2isA2notA2theA2res
ponsibilityA2ofA2the
nurse.
AA2nurseA2isA2caringA2forA2fourA2clients.A2AfterA2reviewingA2today'sA2laboratoryA2results,A2
whichA2clientA2wouldA2theA2nurseA2assessA2first?
a.A2ClientA2withA2anA2internationalA2normalizedA2ratioA2ofA22.8
b.A2ClientA2withA2aA2plateletA2countA2ofA2128,000/mm3A2(128A2×A2109/L).
c.A2ClientA2withA2aA2prothrombinA2timeA2(PT)A2ofA228A2seconds
d.A2ClientA2withA2aA2redA2bloodA2cellA2countA2ofA25.1A2million/mcLA2(5.1A2×A21012/L)A2-
A2Ans--
AA2normalA2PTA2isA211A2toA212.5A2seconds.A2ThisA2clientA2isA2atA2highA2riskA2ofA2bleedingA2
withA2aA2PTA2ofA228A2seconds.A2TheA2otherA2valuesA2areA2withinA2normalA2limits.
,AA2clientA2isA2havingA2aA2boneA2marrowA2aspirationA2andA2biopsyA2andA2isA2extremelyA2an
xious.A2WhatA2action
byA2theA2nurseA2isA2theA2mostA2appropriate?
a.A2AssessA2theA2client'sA2fearsA2andA2copingA2mechanisms.
b.A2ReassureA2theA2clientA2thatA2thisA2isA2aA2commonA2test.
c.A2SedateA2theA2clientA2priorA2toA2theA2procedure.
d.A2TellA2theA2clientA2thatA2heA2orA2sheA2willA2beA2asleep.A2-A2Ans--ANS:A2A
AssessingA2theA2client'sA2specificA2fearsA2andA2copingA2mechanismsA2helpsA2guideA2theA2
nurseA2in
providingA2holisticA2careA2thatA2bestA2meetsA2theA2client'sA2needs.A2ReassuranceA2willA2be
A2helpfulA2butA2is
notA2theA2bestA2option.A2SedationA2isA2usuallyA2used.A2TheA2clientA2mayA2orA2mayA2notA2b
eA2totallyA2asleep
duringA2theA2procedure.
AA2clientA2isA2havingA2aA2radioisotopicA2imagingA2scan.A2WhatA2actionA2byA2theA2nurseA2is
A2mostA2important?
a.A2AssessA2theA2clientA2forA2shellfishA2allergies.
b.A2PlaceA2theA2clientA2onA2radiationA2precautions.
c.A2SedateA2theA2clientA2beforeA2theA2scan.
d.A2TeachA2theA2clientA2aboutA2theA2procedure.A2-A2Ans--ANS:A2D
TheA2nurseA2shouldA2ensureA2thatA2teachingA2isA2doneA2andA2theA2clientA2understandsA2th
eA2procedure.
ContrastA2dyeA2isA2notA2used,A2soA2shellfish/
iodineA2allergiesA2areA2notA2related.A2TheA2clientA2willA2notA2be
radioactiveA2andA2doesA2notA2needA2radiationA2precautions.A2SedationA2isA2notA2usedA2inA
2thisA2procedure.
WhileA2takingA2aA2clientA2history,A2whichA2factor(s)A2thatA2placeA2theA2clientA2atA2riskA2forA2
aA2hematologicA2healthA2problemA2willA2theA2nurseA2document?
A2(SelectA2allA2thatA2apply.)
a.A2FamilyA2historyA2ofA2bleedingA2problems
b.A2DietA2lowA2inA2ironA2andA2protein
c.A2ExcessiveA2alcoholA2consumption
d.A2FamilyA2historyA2ofA2allergies
e.A2DietA2highA2inA2saturatedA2fats
f.A2DietA2highA2inA2VitaminA2KA2-A2Ans--ANS:A2A,A2C,A2FA2
AA2familyA2historyA2ofA2bleedingA2problemsA2placesA2theA2clientA2atA2riskA2forA2havingA2aA2
similarA2problem.
ExcessiveA2alcoholA2canA2damageA2theA2liverA2whereA2prothrombinA2isA2produced.A2AA2di
etA2highA2in
VitaminA2KA2canA2causeA2excessiveA2clottingA2becauseA2itA2isA2aA2majorA2clottingA2factor.
AnA2olderA2clientA2asksA2theA2nurseA2whyA2"peopleA2myA2age"A2haveA2weakerA2immuneA2s
ystemsA2than
, youngerA2people.A2WhatA2responsesA2byA2theA2nurseA2areA2best?
A2(SelectA2allA2thatA2apply.)
a.A2"BoneA2marrowA2producesA2fewerA2bloodA2cellsA2asA2youA2age."
b.A2"YouA2mayA2haveA2decreasedA2levelsA2ofA2circulatingA2platelets."
c.A2"YouA2haveA2lowerA2levelsA2ofA2plasmaA2proteinsA2inA2theA2blood."
d.A2"LymphocytesA2becomeA2moreA2reactiveA2toA2antigens."
e.A2"SpleenA2functionA2declinesA2afterA2ageA260."A2-A2Ans--ANS:A2A,A2C
TheA2agingA2adultA2hasA2boneA2marrowA2thatA2producesA2fewerA2cellsA2andA2decreasedA2
bloodA2volumeA2with
fewerA2plasmaA2proteins.A2PlateletA2numbersA2remainA2unchanged,A2lymphocytesA2beco
meA2less
reactive,A2andA2spleenA2functionA2staysA2theA2same.
TheA2nurseA2isA2assessingA2aA2clientA2experiencingA2anemia.A2WhichA2laboratoryA2finding
sA2willA2theA2nurseA2expectA2forA2thisA2client?A2(SelectA2allA2thatA2apply.)
a.A2IncreasedA2hematocrit
b.A2DecreasedA2redA2bloodA2cellA2count
c.A2DecreasedA2serumA2iron
d.A2DecreasedA2hemoglobin
e.A2IncreasedA2plateletA2count
f.A2DecreasedA2whiteA2bloodA2cellA2countA2-A2Ans--ANS:A2B,A2C,A2D
ClientsA2experiencingA2anemiaA2haveA2aA2decreasedA2redA2bloodA2cellA2countA2whichA2lea
dsA2toA2aA2decreased
hemoglobinA2andA2hematocrit.A2ForA2someA2clients,A2serumA2ironA2levelsA2areA2alsoA2decr
eased.A2AnemiaA2is
notA2aA2problemA2involvingA2plateletsA2orA2whiteA2bloodA2cells.
AA2nurseA2worksA2inA2aA2gerontologyA2clinic.A2WhatA2age-
relatedA2change(s)A2relatedA2toA2theA2hematologic
systemA2willA2theA2nurseA2expectA2duringA2healthA2assessment?
A2(SelectA2allA2thatA2apply.)
a.A2DentitionA2deterioratesA2withA2moreA2cavities.
b.A2NailA2bedsA2mayA2beA2thickenedA2orA2discolored.
c.A2ProgressiveA2lossA2orA2thinningA2ofA2hairA2occurs.
d.A2ScleraeA2beginA2toA2turnA2yellowA2orA2pale.
e.A2SkinA2becomesA2moreA2oily.A2-A2Ans--ANS:A2B,A2C
CommonA2findingsA2inA2olderA2adultsA2includeA2thickenedA2orA2discoloredA2nailA2beds,A2dr
yA2(notA2oily)
skin,A2andA2thinningA2hair.A2TheA2nurseA2adaptsA2toA2theseA2changesA2byA2alteringA2asses
smentA2techniques.
HavingA2moreA2dentalA2cariesA2andA2changesA2inA2theA2scleraeA2areA2notA2normalA2age-
relatedA2changes.
AA2clientA2hasA2aA2plateletA2countA2ofA29000/mm3
(9A2×A2109/L).A2TheA2nurseA2findsA2theA2clientA2confusedA2and
mumbling.A2WhatA2nursingA2actionA2takesA2priorityA2atA2thisA2time?
