NURS 6540 Exam Study Guide , Advanced Practice Care of Frail Elders,
!| !| !| !| !| !| !| !| !| !| !|
Final Review - TESTBANK LATEST UPDATED
!| !| !| !| !| !|
TOP RANKED EXAM STUDY GUIDE FOR GUARANTEED A+
!| !| !| !| !| !| !|
NURS !|6540 !|Exam !|Study !|Guide !|, !|Advanced !|Practice !|Care !|of !|Frail !|Elders,
Final !|Review !|- !|TESTBANK !|LATEST !|UPDATED !|
1. Mrs. !|Smith, !|75 !|years !|old, !|reports !|that !|she !|is !|weak, !|has !|difficulty !|urinating, !|and !|is
!|dehydrated. !|Although !|she !|is !|afebrile, !|the !|nurse !|conducts !|a !|thorough !|physical !|examination,
!|including !|urinalysis !|andcomplete !|blood !|count !|(CBC). !|The !|total !|assessment !|is !|necessary
!|because:
1. All !|body !|systems !|interact, !|and !|symptoms !|could !|indicate !|a !|variety !|of !|diagnoses.
2. The !|symptoms !|are !|vague !|and !|may !|be !|signs !|of !|aging.
3. There !|may !|be !|other !|signs !|or !|symptoms !|more !|indicative !|of !|the !|condition.
4. Mrs. !|Smith !|may !|not !|be !|reporting !|all !|significant !|information. !|- !|1.
!|Answer: !|1 !|Page: !|2
Feedback
!|1.
The !|clinician !|must !|be !|aware !|that !|all !|the !|systems !|interact !|and, !|in !|doing !|so, !|can !|increase !|the !|older
!|person's !|vulnerability !|to !|illness/disease.
2.
The !|nurse !|must !|not !|attribute !|symptoms !|only !|to !|the !|aging
!|process. !|3.
There !|may !|be !|comorbidities !|accompanying !|this !|condition.
!|4.
Assumptions !|of !|not !|reporting !|properly !|may !|not !|be !|true.
2. A !|patient !|with !|renal !|disease !|has !|blood !|work !|drawn, !|and !|the !|results !|show !|an
!|increase !|in !|serum !|creatinine. !|The !|nurse !|practitioner !|needs !|to !|know !|which !|of !|the
!|following !|laboratory !|values !|beforeordering !|medications?
1. CBC
[Date] 1
,NURS 6540 Exam Study Guide , Advanced Practice Care of Frail Elders,
!| !| !| !| !| !| !| !| !| !| !|
Final Review - TESTBANK LATEST UPDATED
!| !| !| !| !| !|
TOP RANKED EXAM STUDY GUIDE FOR GUARANTEED A+
!| !| !| !| !| !| !|
2. Culture !|and !|sensitivity !|of !|the !|urine
[Date] 2
,NURS 6540 Exam Study Guide , Advanced Practice Care of Frail Elders,
!| !| !| !| !| !| !| !| !| !| !|
Final Review - TESTBANK LATEST UPDATED
!| !| !| !| !| !|
TOP RANKED EXAM STUDY GUIDE FOR GUARANTEED A+
!| !| !| !| !| !| !|
3. Creatinine !|clearance
4. Uric !|acid !|levels !|- !|2. !|Answer: !|3
Page: !|3
Feedback
!|1.
A !|CBC !|will !|not !|evaluate !|kidney !|function !|for !|a !|patient !|with !|renal
!|disease. !|2.
[Date] 3
, NURS 6540 Exam Study Guide , Advanced Practice Care of Frail Elders,
!| !| !| !| !| !| !| !| !| !| !|
Final Review - TESTBANK LATEST UPDATED
!| !| !| !| !| !|
TOP RANKED EXAM STUDY GUIDE FOR GUARANTEED A+
!| !| !| !| !| !| !|
A !|culture !|and !|sensitivity !|test !|reflects !|the !|presence !|of !|an !|infection !|and !|the !|antibiotic !|to !|which !|the
!|organism !|is !|sensitive.
3.
The !|calculation !|of !|creatinine !|clearance !|provides !|an !|estimation !|of !|renal
!|function. !|4.
Uric !|acid !|level !|is !|elevated !|in !|the !|presence !|of !|gout.
3. !|Which !|of !|the !|following !|statements !|is !|true !|regarding !|diagnostic !|testing?
1. A !|test !|is !|ordered !|for !|a !|specific !|purpose.
2. A !|test !|is !|the !|most !|invasive !|available.
3. There !|is !|no !|need !|to !|discuss !|results !|with !|the !|patient.
4. If !|a !|test !|is !|needed, !|it !|should !|be !|ordered !|regardless !|of !|risk !|to !|the
!|patient. !|- !|3. !|Answer:1 !|Page: !|3
Feedback
!|1.
The !|nurse !|practitioner !|should !|have !|a !|plan !|for !|the !|use !|of !|each !|test !|result !|value
!|obtained. !|2.
When !|considering !|which !|laboratory !|tests !|to !|order, !|it !|is !|worth !|remembering !|the !|doctrine !|primum !|no
!|nnocere—first, !|do !|no !|harm.
3.
Once !|laboratory !|tests !|are !|available !|for !|review, !|tests !|results !|should !|be !|discussed !|with !|the !|patient,
!|with !|abnormal !|test !|results !|interpreted !|for !|the !|aging !|individual !|and !|addressed !|with !|the !|patient !|and
!|caregivers. !|4.
Any !|risks !|involved !|in !|laboratory !|testing !|must !|be !|considered !|concerning !|the !|patient's !|clinical
!|condition !|and !|weighed !|against !|the !|test's !|expected !|benefits.
[Date] 4
!| !| !| !| !| !| !| !| !| !| !|
Final Review - TESTBANK LATEST UPDATED
!| !| !| !| !| !|
TOP RANKED EXAM STUDY GUIDE FOR GUARANTEED A+
!| !| !| !| !| !| !|
NURS !|6540 !|Exam !|Study !|Guide !|, !|Advanced !|Practice !|Care !|of !|Frail !|Elders,
Final !|Review !|- !|TESTBANK !|LATEST !|UPDATED !|
1. Mrs. !|Smith, !|75 !|years !|old, !|reports !|that !|she !|is !|weak, !|has !|difficulty !|urinating, !|and !|is
!|dehydrated. !|Although !|she !|is !|afebrile, !|the !|nurse !|conducts !|a !|thorough !|physical !|examination,
!|including !|urinalysis !|andcomplete !|blood !|count !|(CBC). !|The !|total !|assessment !|is !|necessary
!|because:
1. All !|body !|systems !|interact, !|and !|symptoms !|could !|indicate !|a !|variety !|of !|diagnoses.
2. The !|symptoms !|are !|vague !|and !|may !|be !|signs !|of !|aging.
3. There !|may !|be !|other !|signs !|or !|symptoms !|more !|indicative !|of !|the !|condition.
4. Mrs. !|Smith !|may !|not !|be !|reporting !|all !|significant !|information. !|- !|1.
!|Answer: !|1 !|Page: !|2
Feedback
!|1.
The !|clinician !|must !|be !|aware !|that !|all !|the !|systems !|interact !|and, !|in !|doing !|so, !|can !|increase !|the !|older
!|person's !|vulnerability !|to !|illness/disease.
2.
The !|nurse !|must !|not !|attribute !|symptoms !|only !|to !|the !|aging
!|process. !|3.
There !|may !|be !|comorbidities !|accompanying !|this !|condition.
!|4.
Assumptions !|of !|not !|reporting !|properly !|may !|not !|be !|true.
2. A !|patient !|with !|renal !|disease !|has !|blood !|work !|drawn, !|and !|the !|results !|show !|an
!|increase !|in !|serum !|creatinine. !|The !|nurse !|practitioner !|needs !|to !|know !|which !|of !|the
!|following !|laboratory !|values !|beforeordering !|medications?
1. CBC
[Date] 1
,NURS 6540 Exam Study Guide , Advanced Practice Care of Frail Elders,
!| !| !| !| !| !| !| !| !| !| !|
Final Review - TESTBANK LATEST UPDATED
!| !| !| !| !| !|
TOP RANKED EXAM STUDY GUIDE FOR GUARANTEED A+
!| !| !| !| !| !| !|
2. Culture !|and !|sensitivity !|of !|the !|urine
[Date] 2
,NURS 6540 Exam Study Guide , Advanced Practice Care of Frail Elders,
!| !| !| !| !| !| !| !| !| !| !|
Final Review - TESTBANK LATEST UPDATED
!| !| !| !| !| !|
TOP RANKED EXAM STUDY GUIDE FOR GUARANTEED A+
!| !| !| !| !| !| !|
3. Creatinine !|clearance
4. Uric !|acid !|levels !|- !|2. !|Answer: !|3
Page: !|3
Feedback
!|1.
A !|CBC !|will !|not !|evaluate !|kidney !|function !|for !|a !|patient !|with !|renal
!|disease. !|2.
[Date] 3
, NURS 6540 Exam Study Guide , Advanced Practice Care of Frail Elders,
!| !| !| !| !| !| !| !| !| !| !|
Final Review - TESTBANK LATEST UPDATED
!| !| !| !| !| !|
TOP RANKED EXAM STUDY GUIDE FOR GUARANTEED A+
!| !| !| !| !| !| !|
A !|culture !|and !|sensitivity !|test !|reflects !|the !|presence !|of !|an !|infection !|and !|the !|antibiotic !|to !|which !|the
!|organism !|is !|sensitive.
3.
The !|calculation !|of !|creatinine !|clearance !|provides !|an !|estimation !|of !|renal
!|function. !|4.
Uric !|acid !|level !|is !|elevated !|in !|the !|presence !|of !|gout.
3. !|Which !|of !|the !|following !|statements !|is !|true !|regarding !|diagnostic !|testing?
1. A !|test !|is !|ordered !|for !|a !|specific !|purpose.
2. A !|test !|is !|the !|most !|invasive !|available.
3. There !|is !|no !|need !|to !|discuss !|results !|with !|the !|patient.
4. If !|a !|test !|is !|needed, !|it !|should !|be !|ordered !|regardless !|of !|risk !|to !|the
!|patient. !|- !|3. !|Answer:1 !|Page: !|3
Feedback
!|1.
The !|nurse !|practitioner !|should !|have !|a !|plan !|for !|the !|use !|of !|each !|test !|result !|value
!|obtained. !|2.
When !|considering !|which !|laboratory !|tests !|to !|order, !|it !|is !|worth !|remembering !|the !|doctrine !|primum !|no
!|nnocere—first, !|do !|no !|harm.
3.
Once !|laboratory !|tests !|are !|available !|for !|review, !|tests !|results !|should !|be !|discussed !|with !|the !|patient,
!|with !|abnormal !|test !|results !|interpreted !|for !|the !|aging !|individual !|and !|addressed !|with !|the !|patient !|and
!|caregivers. !|4.
Any !|risks !|involved !|in !|laboratory !|testing !|must !|be !|considered !|concerning !|the !|patient's !|clinical
!|condition !|and !|weighed !|against !|the !|test's !|expected !|benefits.
[Date] 4
