Which of the following alterations in laboratory values would indicate the client is expe-riencing an exacerbation of Crohn's disease?
A. An elevated WBC
B. An elevated ESR
C. Decreased serum albumin level
D. Decreased hematocrit
B
With an exacerbation of Crohn's disease, the nurse can expect to find an elevated ESR (erythro-cyte sedimentation rate), indicating the presence of inflammation. Although the WBC may be elevated and albumin and hematocrit will be decreased in Crohn's disease, they are not markers of disease exacerbation.
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The nurse is reviewing the results of a Hemoccult test with the client. Which question, asked by the nurse, is important to screen for the potential of a false-positive result. Select all that apply
A) "Do you take an iron supplement on a daily basis?" B) "Does your diet include a moderate amount of vitamin C?" C) "Are you prescribed regular strength aspirin daily?" D) "Can you tell me the amount of alcohol that you drink on an average week?" E) "When was the last time that you included red meat in your diet?"
The nurse is administering adrenal drugs to a patient. Which action by the nurse is appropriate for this patient?
a. Administering oral drugs on an empty stomach to maximize absorption b. Rinsing the oral cavity after using corticosteroid inhalers c. Administering the corticosteroids before bedtime to minimize adrenal suppression d. Discontinuing the medication immediately if weight gain of 5 pounds or more in 1 week occurs
A nurse is reviewing the laboratory test results of a client. Which result would alert the nurse to potential malnutrition?
A) Hemoglobin of 13.1 g/dL B) Hematocrit of 40% C) Serum albumin of 2.6 g/dL D) Total protein of 7 g/dL
A nurse is caring for a client admitted to the emergency department (ED). When the nurse learns that the client is an Alaskan native, which diagnosis of acculturation does the nurse suspect?
A) Gastrointestinal bleeding B) COPD C) Diabetes D) Crohn disease