A. asking the client if they have been diagnosed with any chronic inflammatory diseases
B. recognizing that the value is normal for older adults
C. notifying the client’s health care provider immediately
D. requesting that the laboratory re-run the test
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
A. age-adjusted ranges for older adults for all of the common laboratory findings, similar to those for infants and children
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. 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
A. attributes the changes in the resident’s functioning to advancing dementia
B. suggests that the resident be placed on broad-spectrum antibiotics to prevent infections
C. speaks with the healthcare provider regarding the changes in the client’s function and the possibility of obtaining a urine culture
D. changes the plan of care to include bladder training and implement a 24-hour calorie count.
A. Preventing falls
B. Maintaining skin integrity
C. Preventing infection
D. Replacing fluids
A. “A PSA test is one of the primary screening tests for prostate cancer.”
B. “The PSA test is a definitive way to diagnose prostate cancer.”
C. “A PSA test is indicated when a man has other symptoms of prostate cancer.”
D. “The PSA test is unreliable unless a digital rectal exam immediately precedes it.”
A. Ask that the test be rerun since the client showed no physical signs of renal failure.
B. Review the client’s medication list since BUN can be affected by many specific medications.
C. Instruct the client on collecting a 24-hour urine specimen for a more detailed analysis
D. Assure the client that an elevated BUN is normal in older adults.
D. Phenytoin (Dilantin)
A. triglyceride level of triglyceride levels (>2000 mg/dL).
B. Low Density Lipids (LDL) level of 120 mg/dL.
C. Total Cholesterol level of 260 mg/dL.
D. High Density Lipids (HDL) level of 70 mg/dL.
E. Glucose level of 230 mg/dL
A. “Is your type 2 diabetes well managed?”
B. “Have you ever been diagnosed with renal failure?”
C. “Do you have a history of pancreatitis?”
D. “Are you on medication for hyperthyroidism?”
E. “Have you ever been diagnosed with malnutrition?”