,
,1. Mrs Smith, 75 years old, reports that she is weak, has difficulty urinating, and is dehydrated
x1 x1
Although she is afebrile, the nurse conducts a thorough physical examination, including urinalysis and
complete blood count (CBC) The total assessment is necessary because:
x1
1. All body systems interact, and symptoms could indicate a variety of diagnoses x1
2. The symptoms are vague and may be signs of aging x1
3. There may be other signs or symptoms more indicative of the condition x1
4. Mrs Smith may not be reporting all significant information - 1 Answer:
x1 x1 x1
1Page: 2
Feedback
1x1
The clinician must be aware that all the systems interact and, in doing so, can increase the older
person's vulnerability to illness/disease x1
2 x1
The nurse must not attribute symptoms only to the aging process x1
3x1
There may be comorbidities accompanying this condition x1
4x1
Assumptions of not reporting properly may not be true x1
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 before
x1
ordering medications?
1. CBC
2. Culture and sensitivity of the urine
3. Creatinine clearance
4. Uric acid levels - 2 Answer:
x1
3Page: 3
Feedback
1x1
A CBC will not evaluate kidney function for a patient with renal disease x1
2x1
, A culture and sensitivity test reflects the presence of an infection and the antibiotic to which the
organism is sensitive x1
3 x1
The calculation of creatinine clearance provides an estimation of renal function x1
4x1
Uric acid level is elevated in the presence of gout x1
3 Which of the following statements is true regarding diagnostic testing?
x1
1. A test is ordered for a specific purpose x1
2. A test is the most invasive available x1
3. There is no need to discuss results with the patient x1
4. If a test is needed, it should be ordered regardless of risk to the patient - 3
x1 x1
Answer:1 Page: 3
Feedback
1x1
The nurse practitioner should have a plan for the use of each test result value obtained x1
2x1
When considering which laboratory tests to order, it is worth remembering the doctrine primum nonnocere—
first, do no harmx1
3 x1
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 x1
4x1
Any risks involved in laboratory testing must be considered concerning the patient's clinical condition
and weighed against the test's expected benefits x1
4 Janey, 25 years old, may experience arthritis differently than 65-year-old Mrs Johnson because:
x1 x1
1. The body undergoes physiological changes with aging x1
2. A healthy body does not experience significant changes as one gets older x1
3. Older patients do not feel any systemic symptoms, such as malaise and weight loss x1
4. Even though the same joints are usually affected, age makes it feel different - 4 Answer:x1 x1
1Page: 5
Feedback
1x1
Knowledge of the bimodality of age onset of certain disease conditions will aid the advanced practice
nurse in avoiding misdiagnosis or delay in diagnosis due to lack of recognition x1
2 x1
Symptoms of rheumatoid arthritis may be different depending on the age of the patient x1
,1. Mrs Smith, 75 years old, reports that she is weak, has difficulty urinating, and is dehydrated
x1 x1
Although she is afebrile, the nurse conducts a thorough physical examination, including urinalysis and
complete blood count (CBC) The total assessment is necessary because:
x1
1. All body systems interact, and symptoms could indicate a variety of diagnoses x1
2. The symptoms are vague and may be signs of aging x1
3. There may be other signs or symptoms more indicative of the condition x1
4. Mrs Smith may not be reporting all significant information - 1 Answer:
x1 x1 x1
1Page: 2
Feedback
1x1
The clinician must be aware that all the systems interact and, in doing so, can increase the older
person's vulnerability to illness/disease x1
2 x1
The nurse must not attribute symptoms only to the aging process x1
3x1
There may be comorbidities accompanying this condition x1
4x1
Assumptions of not reporting properly may not be true x1
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 before
x1
ordering medications?
1. CBC
2. Culture and sensitivity of the urine
3. Creatinine clearance
4. Uric acid levels - 2 Answer:
x1
3Page: 3
Feedback
1x1
A CBC will not evaluate kidney function for a patient with renal disease x1
2x1
, A culture and sensitivity test reflects the presence of an infection and the antibiotic to which the
organism is sensitive x1
3 x1
The calculation of creatinine clearance provides an estimation of renal function x1
4x1
Uric acid level is elevated in the presence of gout x1
3 Which of the following statements is true regarding diagnostic testing?
x1
1. A test is ordered for a specific purpose x1
2. A test is the most invasive available x1
3. There is no need to discuss results with the patient x1
4. If a test is needed, it should be ordered regardless of risk to the patient - 3
x1 x1
Answer:1 Page: 3
Feedback
1x1
The nurse practitioner should have a plan for the use of each test result value obtained x1
2x1
When considering which laboratory tests to order, it is worth remembering the doctrine primum nonnocere—
first, do no harmx1
3 x1
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 x1
4x1
Any risks involved in laboratory testing must be considered concerning the patient's clinical condition
and weighed against the test's expected benefits x1
4 Janey, 25 years old, may experience arthritis differently than 65-year-old Mrs Johnson because:
x1 x1
1. The body undergoes physiological changes with aging x1
2. A healthy body does not experience significant changes as one gets older x1
3. Older patients do not feel any systemic symptoms, such as malaise and weight loss x1
4. Even though the same joints are usually affected, age makes it feel different - 4 Answer:x1 x1
1Page: 5
Feedback
1x1
Knowledge of the bimodality of age onset of certain disease conditions will aid the advanced practice
nurse in avoiding misdiagnosis or delay in diagnosis due to lack of recognition x1
2 x1
Symptoms of rheumatoid arthritis may be different depending on the age of the patient x1
