A nurse is reviewing the laboratory results of an older adult client who has inflammatory bowel disease and Crohn's disease. Which of the following laboratory results should the nurse expect?

Decreased albumin

Decreased erythrocyte sedimentation rate

Increased hematocrit

Increased protein

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Inflammatory bowel disease, including Crohn's disease, can lead to decreased albumin levels due to malabsorption and inflammation.

Choice B rationale:

Increased erythrocyte sedimentation rate (ESR) is more likely in inflammatory conditions.

Choice C rationale:

Decreased hematocrit is more common due to potential blood loss.

Choice D rationale:

Decreased protein levels are expected due to inflammation and malabsorption.

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Correct Answer is C

Explanation

Choice A rationale:

Placing the client on a low-protein diet is not appropriate based solely on the provided information.

Choice B rationale:

Restricting dietary sodium might be considered for specific conditions but is not directly related to the client's confusion.

Choice C rationale:

A high magnesium level can contribute to confusion in older adults. Requesting a reduction in the magnesium hydroxide dosage can help address this issue.

Choice D rationale:

Discontinuing diphenhydramine might be considered if it is contributing to the client's confusion, but there is no specific information provided to support this action.

A. Determine if the client is experiencing command hallucinations. B. Arrange for the client to have consistent staff assignments. C. Administer lorazepam to the client. D. Use the client's name when talking to him.

Correct Answer is A

Explanation

Choice A rationale:

Assessing for the presence of command hallucinations is a priority, as they can pose a risk to the client's safety and the safety of others.

Choice B rationale:

Consistent staff assignments can be important for clients with schizophrenia, but immediate safety concerns should take precedence.

Choice C rationale:

Administering medication is not the priority action unless there is a specific reason to do so based on the assessment.

Choice D rationale:

Using the client's name is respectful and helpful, but it is not the priority action in this scenario.

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A nurse is reviewing the laboratory results of an older adult client who has inflammatory bowel disease and Crohn's disease. Which of the following laboratory results should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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