Test Bank For Advanced Practice Nursing In The Care Of Older Adults, 3rd Edition Author:Malone Kennedy,Duffy,Groenke With Questions And Answers 100% Complete A+ Guide Latest Version

,1. Mrs.eSmith,e75eyearseold,ereportsethatesheeiseweak,ehasedifficultyeurinating,eandeisedehydrated.eAlthoug
hesheeiseafebrile,etheenurseeconductseaethoroughephysicaleexamination,eincludingeurinalysiseandecompletee
bloodecounte(CBC).eTheetotaleassessmenteisenecessaryebecause:
1. Allebodyesystemseinteract,eandesymptomsecouldeindicateeaevarietyeofediagnoses.
2. Theesymptomseareevagueeandemayebeesignseofeaging.
3. Thereemayebeeotheresignseoresymptomsemoreeindicativeeofetheecondition.
4. Mrs.eSmithemayenotebeereportingeallesignificanteinformation.e-
e1.eAnswer:e1ePage:e2




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e1.


Theeclinicianemustebeeawareethatealletheesystemseinteracteand,einedoingeso,ecaneincreaseetheeoldereperson'sev
ulnerabilityetoeillness/disease.
2.
Theenurseemustenoteattributeesymptomseonlyetoetheeagingeprocess.e3.
Thereemayebeecomorbiditieseaccompanyingethisecondition.e4
.
Assumptionseofenotereportingeproperlyemayenotebeetrue.

2.A patientewitherenalediseaseehasebloodeworkedrawn,eandetheeresultseshoweaneincreaseeineserumecr
eatinine.eTheenurseepractitionereneedsetoeknowewhicheofetheefollowingelaboratoryevaluesebeforeeord
eringemedications?

1. CBC
2. Cultureeandesensitivityeofetheeurine
3. Creatinineeclearance
4. Uriceacidelevelse-e2.eAnswer:e3
Page:e3


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e1.


AeCBCewillenoteevaluateekidneyefunctioneforeaepatientewitherenaledisease.e2.

,Aecultureeandesensitivityetestereflectsetheepresenceeofeaneinfectioneandetheeantibioticetoewhichetheeorganisme
isesensitive.
3.
Theecalculationeofecreatinineeclearanceeprovideseaneestimationeoferenalefunction.e4
.
Uriceacideleveleiseelevatedeinetheepresenceeofegout.

3.eWhicheofetheefollowingestatementseisetrueeregardingediagnosticetesting?

1. Aetesteiseorderedeforeaespecificepurpose.
2. Aetesteisetheemosteinvasiveeavailable.
3. Thereeisenoeneedetoediscusseresultsewithetheepatient.
4. Ifeaetesteiseneeded,eiteshouldebeeorderederegardlesseoferisketoetheepatient.e-
e3.eAnswer:e1ePage:e3




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e1.


Theenurseepractitionereshouldehaveeaeplaneforetheeuseeofeeachetesteresultevalueeobtained.e2.
Wheneconsideringewhichelaboratoryetestsetoeorder,eiteisewortherememberingetheedoctrineeprimumenoennoce
re—first,edoenoeharm.
3.
Onceelaboratoryetestseareeavailableeforereview,etestseresultseshouldebeediscussedewithetheepatient,ewitheabn
ormaletesteresultseinterpretedeforetheeagingeindividualeandeaddressedewithetheepatienteandecaregivers.e4.
Anyeriskseinvolvedeinelaboratoryetestingemustebeeconsideredeconcerningetheepatient'seclinicaleconditionean
deweighedeagainstetheetest'seexpectedebenefits.

4. Janey,e25eyearseold,emayeexperienceearthritisedifferentlyethane65-year-oldeMrs.eJohnsonebecause:

1. Theebodyeundergoesephysiologicalechangesewitheaging.
2. Aehealthyebodyedoesenoteexperienceesignificantechangeseaseoneegetseolder.
3. Olderepatientsedoenotefeeleanyesystemicesymptoms,esucheasemalaiseeandeweighteloss.
4. Evenethoughetheesameejointseareeusuallyeaffected,eageemakeseitefeeledifferent.e-
e4.eAnswer:e1ePage:e5




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e1.


Knowledgeeofetheebimodalityeofeageeonseteofecertainediseaseeconditionsewilleaidetheeadvancedepracticeenur
seeineavoidingemisdiagnosiseoredelayeinediagnosisedueetoelackeoferecognition.
2.
Symptomseoferheumatoidearthritisemayebeedifferentedependingeonetheeageeofetheepatient.

, 3.
Youngerepatientsemayenoteexperienceeconstitutionalesymptomsesucheasefever,emalaise,eweighteloss,eandedepressio
n.
4.
Inelate-onseterheumatoidearthritis,etheejointeinvolvementeisemoreeofteneinetheelargerejoints.

5. Theenurseepractitionereiseexaminingeane85-year-
oldemanewithereportseofeabdominalepain,eweakness,eandelosseofeappetite.eWhicheisetheemostelikelyecondit
ionetoebeetestedeforeanderuledeout?

1. Neoplasmseandecarcinomas
2. Partialeseizure
3. Sarcopenia
4. Hirschsprung'sediseasee-e5.eAnswer:e1
Page:e4


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e1.


Certainediseases,esucheaseneoplasmseandecarcinomas,eareemoreecommoneinetheeelderly,eandeaneunderstandi
ngeofetheeepidemiologyeisecriticaleinetheeinterpretation.
2.
Partialeseizureeisemoreecommoneineearlyeoldeage.e3.
Sarcopeniaeisemoreecommoneineearlyeoldeage.e4.
Hirschsprung'sediseaseeisemostecommoneineinfancy.

6. Foreindividualseovere65eyearseold,etheemostecommonemorbiditieseareerelatedeto:

1. Heartedisease,earthritis
2. Respiratoryeproblems,ecancer
3. Diabetes,estroke
4. Alleofetheseeareecommonemorbidities.e-
e6.eAnswer:e4ePage:e5




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e1.


Heartediseaseeiseoneeofetheecommonemorbidities.e2.
Cancereisecommoneinetheegeneralepopulation;ehowever,especificetypeseareemoreecommoneinetheeolderepatie
nt.
3.
Diabeteseisecommoneinepatientseovere40eyearseofeage.