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 B

Explanation

Choice A rationale:

Bulging fontanels are a sign of increased intracranial pressure, which is an abnormal finding in newborns. The nurse should assess for other signs of neurological impairment, such as lethargy, irritability, or seizures.

Choice B rationale:

Blue hands and feet, also known as acrocyanosis, are a normal finding in newborns who are 4 hr old. This is due to immature peripheral circulation and should resolve within 24 to 48 hr.

Choice C rationale:

Generalized petechiae are a sign of bleeding disorders, infection, or trauma, which are abnormal findings in newborns. The nurse should assess for other signs of bleeding, such as bruising, hematuria, or melena.

Choice D rationale:

Flaring of the nares is a sign of respiratory distress, which is an abnormal finding in newborns. The nurse should assess for other signs of respiratory distress, such as grunting, retractions, or cyanosis.

A. Is limited to clients who are in an acute care setting B. Provides financial assistance for clients in need C. Is available for clients who have a serious illness D. Is not appropriate for clients still receiving curative treatments

Correct Answer is C

Explanation

Choice A rationale:

Palliative care is not limited to acute care settings and can be provided in various healthcare settings.

Choice B rationale:

While palliative care aims to improve overall well-being, it does not provide financial assistance.

Choice C rationale:

Palliative care focuses on providing relief from symptoms and improving the quality of life for individuals with serious illnesses, regardless of whether they are receiving curative treatments.

Choice D rationale:

Palliative care can be provided alongside curative treatments to address symptoms and enhance quality of life.

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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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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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