Author Question: The nurse is caring for a 65-year-old female patient with chronic renal failure. In reviewing the ... (Read 75 times)

oliviahorn72 · **on:** Jul 11, 2018

The nurse is caring for a 65-year-old female patient with chronic renal failure. In reviewing the patient's laboratory values, which result would the nurse expect to find?

1. Hemoglobin 9 g/dL
2. Hemoglobin 12 g/dL
3. Hemoglobin 15 g/dL
4. Hemoglobin 23 g/dL

Question 2

An older patient's serum ferritin level is elevated. For which health problems will this laboratory value be elevated? Standard Text: Select all that apply.

1. Alcoholism
2. Iron overload
3. Acute hepatitis
4. Metastatic cancer
5. Chronic inflammatory disorders

perkiness · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

1
Rationale: Chronic renal failure results in a two-fold increase in the chance of being diagnosed with anemia. A result of 9 g/dl is considered anemic for a female patient.
Rationale 2: Older women are considered anemic with a hemoglobin concentration below 12 g/dL.
Rationale 3: A hemoglobin level of 15 g/dL is considered normal.
Rationale 4: A hemoglobin level of 23 g/dL is considered elevated and would not be seen in the patient with chronic renal failure.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 4. Interpret the unique presentation of hematologic problems in the older person.

Answer to Question 2

2,3,4,5
Rationale: Alcoholism does not cause an increase in serum ferritin level. Alcoholism can affect mean corpuscular volume.