The nurse is caring for a 65-year-old female patient with chronic ...

[oliviahorn72]

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]

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.

[oliviahorn72]

Excellent

[ttt030911]

TYSM