G8
- 1.The nurse is reviewing the post surgical laboratory values of an older adult client. The client’s Erythrocyte sedimentation rate (ESR) is 20 mm/hr. The nurse initially responds to this data by:
- A.
A. asking the client if they have been diagnosed with any chronic inflammatory diseases
- B.
B. recognizing that the value is normal for older adults
- C.
C. notifying the client’s health care provider immediately
- D.
D. requesting that the laboratory re-run the test
- 2.An older client in a long-term care facility is receiving an annual physical 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 and supposed to be sleepy,” the nurse’s response is based on an understanding that:
- A.
A. the healthcare provider ordering the tests needs to explain the rationale to the son
- B.
B. when conducted annually, all of the tests are helpful in promoting maximum health for older adults in the long-term care setting
- C.
C. the tests are useful, but only if clinically indicated
- D.
D. the complete blood count and serum electrolytes are useful screening tests, but the usefulness of the thyroid test should be questioned
- 3.When asked by an older adult client, “What is the difference between my normal laboratory values and the ones for a 55 year old?” The nurse responds based on the understanding that there are:
- A.
A. age-adjusted ranges for older adults for all of the common laboratory findings, similar to those for infants and children
- B.
B. no age-adjusted ranges for older adults due to the large variations within the age group and the increasing number of factors that influence the results
- C.
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.
D. age-adjusted ranges only for the hematological tests, which are due mostly to changes in the bone marrow
- 4.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 healthcare provider orders a complete blood count and serum electrolytes. When the lab tests are all within normal limits the nurse initially:
- A.
A. attributes the changes in the resident’s functioning to advancing dementia
- B.
B. suggests that the resident be placed on broad-spectrum antibiotics to prevent infections
- C.
C. speaks with the healthcare provider regarding the changes in the client’s function and the possibility of obtaining a urine culture
- D.
D. changes the plan of care to include bladder training and implement a 24-hour calorie count.
- 5.An older woman with breast cancer has completed a course of external radiation and is receiving chemotherapy. After her recent chemotherapy treatment, she complains of severe weakness, dizziness, and lethargy, and is admitted to the hospital. Her platelet count is 45,000. Based on this scenario, what nursing intervention is of the highest priority?
- A.
A. Preventing falls
- B.
B. Maintaining skin integrity
- C.
C. Preventing infection
- D.
D. Replacing fluids
- 6.A nurse is working in a community health center that is sponsoring a program that offers both digital rectal exams (DRE) and free prostate-specific antigen (PSA) blood tests to all men older than age 60. A man approaches and asks, “What is this all about?” The nurse responds that:
- A.
A. “A PSA test is one of the primary screening tests for prostate cancer.”
- B.
B. “The PSA test is a definitive way to diagnose prostate cancer.”
- C.
C. “A PSA test is indicated when a man has other symptoms of prostate cancer.”
- D.
D. “The PSA test is unreliable unless a digital rectal exam immediately precedes it.”
- 7.A 69-year-old patient in the geriatric clinic has an annual physical examination and a complete blood count and serum electrolytes are drawn. While the physical examination was uneventful the laboratory results show an elevated blood urea nitrogen (BUN). The nurse will then:
- A.
A. Ask that the test be rerun since the client showed no physical signs of renal failure.
- B.
B. Review the client’s medication list since BUN can be affected by many specific medications.
- C.
C. Instruct the client on collecting a 24-hour urine specimen for a more detailed analysis
- D.
D. Assure the client that an elevated BUN is normal in older adults.
- 8.When a client’s thyroid panel shows an elevated TSH, the nurse reviews the client’s medication history for a current prescription for
- A.
A. Lithium
- B.
B. Heparin
- C.
C. Aspirin
- D.
D. Phenytoin (Dilantin)
- 9.The client is diagnosed with dyslipidemia. This diagnosis is supported when the client’s lipid panel indicates a: Select all that apply
- A.
A. triglyceride level of triglyceride levels (>2000 mg/dL).
- B.
B. Low Density Lipids (LDL) level of 120 mg/dL.
- C.
C. Total Cholesterol level of 260 mg/dL.
- D.
D. High Density Lipids (HDL) level of 70 mg/dL.
- E.
E. Glucose level of 230 mg/dL
- 10.When a client asks “What could be causing my triglycerides to be so low; I’m really careful about my diet?” the nurse responds by asking the client: Select all that apply
- A.
A. “Is your type 2 diabetes well managed?”
- B.
B. “Have you ever been diagnosed with renal failure?”
- C.
C. “Do you have a history of pancreatitis?”
- D.
D. “Are you on medication for hyperthyroidism?”
- E.
E. “Have you ever been diagnosed with malnutrition?”
Back to top