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
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.
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