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.jSmith,j75jyearsjold,jreportsjthatjshejisjweak,jhasjdifficultyjurinating,jandjisjdehydrated.jAlthoughjs
hejisjafebrile,jthejnursejconductsjajthoroughjphysicaljexamination,jincludingjurinalysisjandjcompletejblood
jcountj(CBC).jThejtotaljassessmentjisjnecessaryjbecause:


1. Alljbodyjsystemsjinteract,jandjsymptomsjcouldjindicatejajvarietyjofjdiagnoses.
2. Thejsymptomsjarejvaguejandjmayjbejsignsjofjaging.
3. Therejmayjbejotherjsignsjorjsymptomsjmorejindicativejofjthejcondition.
4. Mrs.jSmithjmayjnotjbejreportingjalljsignificantjinformation.j-
j1.jAnswer:j1jPage: j2




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j1.


Thejclinicianjmustjbejawarejthatjalljthejsystemsjinteractjand,jinjdoingjso,jcanjincreasejthejolderjperson'sjvuln
erabilityjtojillness/disease.
2.
Thejnursejmustjnotjattributejsymptomsjonlyjtojthejagingjprocess.j3.
Therejmayjbejcomorbiditiesjaccompanyingjthisjcondition.j4.
Assumptionsjofjnotjreportingjproperlyjmayjnotjbejtrue.

2.A patientjwithjrenaljdiseasejhasjbloodjworkjdrawn,jandjthejresultsjshowjanjincreasejinjserumjcreat
inine.jThejnursejpractitionerjneedsjtojknowjwhichjofjthejfollowingjlaboratoryjvaluesjbeforejorderingj
medications?

1. CBC
2. Culturejandjsensitivityjofjthejurine
3. Creatininejclearance
4. Uricjacidjlevelsj-j2.jAnswer:j3
Page:j3


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j1.


AjCBCjwilljnotjevaluatejkidneyjfunctionjforjajpatientjwithjrenaljdisease.j2.

,Ajculturejandjsensitivityjtestjreflectsjthejpresencejofjanjinfectionjandjthejantibioticjtojwhichjthejorganismjisjs
ensitive.
3.
Thejcalculationjofjcreatininejclearancejprovidesjanjestimationjofjrenaljfunction.j4.
Uricjacidjleveljisjelevatedjinjthejpresencejofjgout.

3.jWhichjofjthejfollowingjstatementsjisjtruejregardingjdiagnosticjtesting?

1. Ajtestjisjorderedjforjajspecificjpurpose.
2. Ajtestjisjthejmostjinvasivejavailable.
3. Therejisjnojneedjtojdiscussjresultsjwithjthejpatient.
4. Ifjajtestjisjneeded,jitjshouldjbejorderedjregardlessjofjriskjtojthejpatient.j-
j3.jAnswer:j1jPage:j3




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j1.


Thejnursejpractitionerjshouldjhavejajplanjforjthejusejofjeachjtestjresultjvaluejobtained.j2.
Whenjconsideringjwhichjlaboratoryjtestsjtojorder,jitjisjworthjrememberingjthejdoctrinejprimumjnojnnocere
—first,jdojnojharm.
3.
Oncejlaboratoryjtestsjarejavailablejforjreview,jtestsjresultsjshouldjbejdiscussedjwithjthejpatient,jwithjabnor
maljtestjresultsjinterpretedjforjthejagingjindividualjandjaddressedjwithjthejpatientjandjcaregivers.j4.
Anyjrisksjinvolvedjinjlaboratoryjtestingjmustjbejconsideredjconcerningjthejpatient'sjclinicaljconditionjandj
weighedjagainstjthejtest'sjexpectedjbenefits.

4. Janey,j25jyearsjold,jmayjexperiencejarthritisjdifferentlyjthanj65-year-oldjMrs.jJohnsonjbecause:

1. Thejbodyjundergoesjphysiologicaljchangesjwithjaging.
2. Ajhealthyjbodyjdoesjnotjexperiencejsignificantjchangesjasjonejgetsjolder.
3. Olderjpatientsjdojnotjfeeljanyjsystemicjsymptoms,jsuchjasjmalaisejandjweightjloss.
4. Evenjthoughjthejsamejjointsjarejusuallyjaffected,jagejmakesjitjfeeljdifferent.j-
j4.jAnswer:j1jPage:j5




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j1.


Knowledgejofjthejbimodalityjofjagejonsetjofjcertainjdiseasejconditionsjwilljaidjthejadvancedjpracticejnurseji
njavoidingjmisdiagnosisjorjdelayjinjdiagnosisjduejtojlackjofjrecognition.
2.
Symptomsjofjrheumatoidjarthritisjmayjbejdifferentjdependingjonjthejagejofjthejpatient.

, 3.
Youngerjpatientsjmayjnotjexperiencejconstitutionaljsymptomsjsuchjasjfever,jmalaise,jweightjloss,jandjdepression.
4.
Injlate-onsetjrheumatoidjarthritis,jthejjointjinvolvementjisjmorejoftenjinjthejlargerjjoints.

5. Thejnursejpractitionerjisjexaminingjanj85-year-
oldjmanjwithjreportsjofjabdominaljpain,jweakness,jandjlossjofjappetite.jWhichjisjthejmostjlikelyjcondition
jtojbejtestedjforjandjruledjout?




1. Neoplasmsjandjcarcinomas
2. Partialjseizure
3. Sarcopenia
4. Hirschsprung'sjdiseasej-j5.jAnswer:j1
Page:j4


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j1.


Certainjdiseases,jsuchjasjneoplasmsjandjcarcinomas,jarejmorejcommonjinjthejelderly,jandjanjunderstandingj
ofjthejepidemiologyjisjcriticaljinjthejinterpretation.
2.
Partialjseizurejisjmorejcommonjinjearlyjoldjage.j3.
Sarcopeniajisjmorejcommonjinjearlyjoldjage.j4.
Hirschsprung'sjdiseasejisjmostjcommonjinjinfancy.

6. Forjindividualsjoverj65jyearsjold,jthejmostjcommonjmorbiditiesjarejrelatedjto:

1. Heartjdisease,jarthritis
2. Respiratoryjproblems,jcancer
3. Diabetes,jstroke
4. Alljofjthesejarejcommonjmorbidities.j-
j6.jAnswer:j4jPage: j5




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j1.


Heartjdiseasejisjonejofjthejcommonjmorbidities.j2.
Cancerjisjcommonjinjthejgeneraljpopulation;jhowever,jspecificjtypesjarejmorejcommonjinjthejolderjpatient.
3.
Diabetesjisjcommonjinjpatientsjoverj40jyearsjofjage.