The nurse is reviewing the post surgical laboratory values of an older adult client. The client's Erythrocyte sedimentation rate (ESR) is 20 mm/hr. The nurse initially responds to this data by:
a. asking the client if they have been diagnosed with any chronic inflammatory diseases
b. recognizing that the value is normal for older adults
c. notifying the client's health care provider immediately
d. requesting that the laboratory re-run the test
ANS: B
The ESR can be slightly elevated (10 to 20 mm/hr) in healthy older adults, especially those with a chronic disease that results in inflammation. Asking the client if they have such a di-agnosis is the initial response. This slight elevation does not warrant immediate notification or re-running of the test.
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