Test Bank Advanced Practice Nursing in the Care of Older Adults 2nd Edition K
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ennedy-Malone
,TestBankAdvancedP
b b b
b
racticeNursingin the
b b bb b
Care ofOlder Adults 2
b b bb b
nd
b Edition Kennedy- bb
Malone
,1. Mrs.bSmith,b75byearsbold,breportsbthatbshebisbweak,bhasbdifficultyburinating,bandbisbdehydrated.bAlthou
ghbshebisbafebrile,bthebnursebconductsbabthoroughbphysicalbexamination,bincludingburinalysisbandbcomplet
ebbloodbcountb(CBC).bThebtotalbassessmentbisbnecessarybbecause:
1. Allbbodybsystemsbinteract,bandbsymptomsbcouldbindicatebabvarietybofbdiagnoses.
2. Thebsymptomsbarebvaguebandbmaybbebsignsbofbaging.
3. Therebmaybbebotherbsignsborbsymptomsbmorebindicativebofbthebcondition.
4. Mrs.bSmithbmaybnotbbebreportingballbsignificantbinformation.b-
b1.bAnswer:b1bPage:b2
Feedback
b1.
Thebclinicianbmustbbebawarebthatballbthebsystemsbinteractband,binbdoingbso,bcanbincreasebthebolderbperson'sb
vulnerabilitybtobillness/disease.
2.
Thebnursebmustbnotbattributebsymptomsbonlybtobthebagingbprocess.b3
.
Therebmaybbebcomorbiditiesbaccompanyingbthisbcondition.b
4.
Assumptionsbofbnotbreportingbproperlybmaybnotbbebtrue.
2.A patientbwithbrenalbdiseasebhasbbloodbworkbdrawn,bandbthebresultsbshowbanbincreasebinbserumbc
reatinine.bThebnursebpractitionerbneedsbtobknowbwhichbofbthebfollowingblaboratorybvaluesbbeforebor
deringbmedications?
1. CBC
2. Culturebandbsensitivitybofbtheburine
3. Creatininebclearance
4. Uricbacidblevelsb-b2.bAnswer:b3
Page:b3
Feedback
b1.
AbCBCbwillbnotbevaluatebkidneybfunctionbforbabpatientbwithbrenalbdisease.b
2.
, Abculturebandbsensitivitybtestbreflectsbthebpresencebofbanbinfectionbandbthebantibioticbtobwhichbtheborganis
mbisbsensitive.
3.
Thebcalculationbofbcreatininebclearancebprovidesbanbestimationbofbrenalbfunction.b
4.
Uricbacidblevelbisbelevatedbinbthebpresencebofbgout.
3.bWhichbofbthebfollowingbstatementsbisbtruebregardingbdiagnosticbtesting?
1. Abtestbisborderedbforbabspecificbpurpose.
2. Abtestbisbthebmostbinvasivebavailable.
3. Therebisbnobneedbtobdiscussbresultsbwithbthebpatient.
4. Ifbabtestbisbneeded,bitbshouldbbeborderedbregardlessbofbriskbtobthebpatient.b-
b3.bAnswer:b1bPage: b3
Feedback
b1.
Thebnursebpractitionerbshouldbhavebabplanbforbthebusebofbeachbtestbresultbvaluebobtained.b2
.
Whenbconsideringbwhichblaboratorybtestsbtoborder,bitbisbworthbrememberingbthebdoctrinebprimumbnobnnoc
ere—first,bdobnobharm.
3.
Onceblaboratorybtestsbarebavailablebforbreview,btestsbresultsbshouldbbebdiscussedbwithbthebpatient,bwithbab
normalbtestbresultsbinterpretedbforbthebagingbindividualbandbaddressedbwithbthebpatientbandbcaregivers.b4.
Anybrisksbinvolvedbinblaboratorybtestingbmustbbebconsideredbconcerningbthebpatient'sbclinicalbconditionba
ndbweighedbagainstbthebtest'sbexpectedbbenefits.
4. Janey,b25byearsbold,bmaybexperiencebarthritisbdifferentlybthanb65-year-oldbMrs.bJohnsonbbecause:
1. Thebbodybundergoesbphysiologicalbchangesbwithbaging.
2. Abhealthybbodybdoesbnotbexperiencebsignificantbchangesbasbonebgetsbolder.
3. Olderbpatientsbdobnotbfeelbanybsystemicbsymptoms,bsuchbasbmalaisebandbweightbloss.
4. Evenbthoughbthebsamebjointsbarebusuallybaffected,bagebmakesbitbfeelbdifferent.b-
b4.bAnswer:b1bPage: b5
Feedback
b1.
Knowledgebofbthebbimodalitybofbagebonsetbofbcertainbdiseasebconditionsbwillbaidbthebadvancedbpracticebnu
rsebinbavoidingbmisdiagnosisborbdelaybinbdiagnosisbduebtoblackbofbrecognition.
2.
Symptomsbofbrheumatoidbarthritisbmaybbebdifferentbdependingbonbthebagebofbthebpatient.
b b b b b b b b b b b b bb
ennedy-Malone
,TestBankAdvancedP
b b b
b
racticeNursingin the
b b bb b
Care ofOlder Adults 2
b b bb b
nd
b Edition Kennedy- bb
Malone
,1. Mrs.bSmith,b75byearsbold,breportsbthatbshebisbweak,bhasbdifficultyburinating,bandbisbdehydrated.bAlthou
ghbshebisbafebrile,bthebnursebconductsbabthoroughbphysicalbexamination,bincludingburinalysisbandbcomplet
ebbloodbcountb(CBC).bThebtotalbassessmentbisbnecessarybbecause:
1. Allbbodybsystemsbinteract,bandbsymptomsbcouldbindicatebabvarietybofbdiagnoses.
2. Thebsymptomsbarebvaguebandbmaybbebsignsbofbaging.
3. Therebmaybbebotherbsignsborbsymptomsbmorebindicativebofbthebcondition.
4. Mrs.bSmithbmaybnotbbebreportingballbsignificantbinformation.b-
b1.bAnswer:b1bPage:b2
Feedback
b1.
Thebclinicianbmustbbebawarebthatballbthebsystemsbinteractband,binbdoingbso,bcanbincreasebthebolderbperson'sb
vulnerabilitybtobillness/disease.
2.
Thebnursebmustbnotbattributebsymptomsbonlybtobthebagingbprocess.b3
.
Therebmaybbebcomorbiditiesbaccompanyingbthisbcondition.b
4.
Assumptionsbofbnotbreportingbproperlybmaybnotbbebtrue.
2.A patientbwithbrenalbdiseasebhasbbloodbworkbdrawn,bandbthebresultsbshowbanbincreasebinbserumbc
reatinine.bThebnursebpractitionerbneedsbtobknowbwhichbofbthebfollowingblaboratorybvaluesbbeforebor
deringbmedications?
1. CBC
2. Culturebandbsensitivitybofbtheburine
3. Creatininebclearance
4. Uricbacidblevelsb-b2.bAnswer:b3
Page:b3
Feedback
b1.
AbCBCbwillbnotbevaluatebkidneybfunctionbforbabpatientbwithbrenalbdisease.b
2.
, Abculturebandbsensitivitybtestbreflectsbthebpresencebofbanbinfectionbandbthebantibioticbtobwhichbtheborganis
mbisbsensitive.
3.
Thebcalculationbofbcreatininebclearancebprovidesbanbestimationbofbrenalbfunction.b
4.
Uricbacidblevelbisbelevatedbinbthebpresencebofbgout.
3.bWhichbofbthebfollowingbstatementsbisbtruebregardingbdiagnosticbtesting?
1. Abtestbisborderedbforbabspecificbpurpose.
2. Abtestbisbthebmostbinvasivebavailable.
3. Therebisbnobneedbtobdiscussbresultsbwithbthebpatient.
4. Ifbabtestbisbneeded,bitbshouldbbeborderedbregardlessbofbriskbtobthebpatient.b-
b3.bAnswer:b1bPage: b3
Feedback
b1.
Thebnursebpractitionerbshouldbhavebabplanbforbthebusebofbeachbtestbresultbvaluebobtained.b2
.
Whenbconsideringbwhichblaboratorybtestsbtoborder,bitbisbworthbrememberingbthebdoctrinebprimumbnobnnoc
ere—first,bdobnobharm.
3.
Onceblaboratorybtestsbarebavailablebforbreview,btestsbresultsbshouldbbebdiscussedbwithbthebpatient,bwithbab
normalbtestbresultsbinterpretedbforbthebagingbindividualbandbaddressedbwithbthebpatientbandbcaregivers.b4.
Anybrisksbinvolvedbinblaboratorybtestingbmustbbebconsideredbconcerningbthebpatient'sbclinicalbconditionba
ndbweighedbagainstbthebtest'sbexpectedbbenefits.
4. Janey,b25byearsbold,bmaybexperiencebarthritisbdifferentlybthanb65-year-oldbMrs.bJohnsonbbecause:
1. Thebbodybundergoesbphysiologicalbchangesbwithbaging.
2. Abhealthybbodybdoesbnotbexperiencebsignificantbchangesbasbonebgetsbolder.
3. Olderbpatientsbdobnotbfeelbanybsystemicbsymptoms,bsuchbasbmalaisebandbweightbloss.
4. Evenbthoughbthebsamebjointsbarebusuallybaffected,bagebmakesbitbfeelbdifferent.b-
b4.bAnswer:b1bPage: b5
Feedback
b1.
Knowledgebofbthebbimodalitybofbagebonsetbofbcertainbdiseasebconditionsbwillbaidbthebadvancedbpracticebnu
rsebinbavoidingbmisdiagnosisborbdelaybinbdiagnosisbduebtoblackbofbrecognition.
2.
Symptomsbofbrheumatoidbarthritisbmaybbebdifferentbdependingbonbthebagebofbthebpatient.
