NURS 6540 Exam Study Guide , Advanced Practice Care of Frail Elders, Elders
Final Review - TESTBANK LATEST UPDATED 2023/ 2024
TOP RANKED EXAM STUDY GUIDE FOR GUARANTEED A+
1. Mrs.a2Smith,a275a2yearsa2old,a2reportsa2thata2shea2isa2weak,a2hasa2difficultya2urinating,a2anda2i
sa2dehydrated.a2Althougha2shea2isa2afebrile,a2thea2nursea2conductsa2aa2thorougha2physicala2exami
nation,a2includinga2urinalysisa2andcompletea2blooda2counta2(CBC).a2Thea2totala2assessmenta2isa2n
ecessarya2because:
1. Alla2bodya2systemsa2interact,a2anda2symptomsa2coulda2indicatea2aa2varietya2ofa2diagnoses.
2. Thea2symptomsa2area2vaguea2anda2maya2bea2signsa2ofa2aging.
3. Therea2maya2bea2othera2signsa2ora2symptomsa2morea2indicativea2ofa2thea2condition.
4. Mrs.a2Smitha2maya2nota2bea2reportinga2alla2significanta2information.a2-
a21.a2Answer:a21a2Page:a22
Feedback
a21.
Thea2cliniciana2musta2bea2awarea2thata2alla2thea2systemsa2interacta2and,a2ina2doinga2so,a2cana2increasea2t
hea2oldera2person'sa2vulnerabilitya2toa2illness/disease.
2.
Thea2nursea2musta2nota2attributea2symptomsa2onlya2toa2thea2aginga
2process.a23.
Therea2maya2bea2comorbiditiesa2accompanyinga2thisa2condi
tion.a24.
Assumptionsa2ofa2nota2reportinga2properlya2maya2nota2bea2true.
2. Aa2patienta2witha2renala2diseasea2hasa2blooda2worka2drawn,a2anda2thea2resultsa2showa2
ana2increasea2ina2seruma2creatinine.a2Thea2nursea2practitionera2needsa2toa2knowa2whicha2
ofa2thea2followinga2laboratorya2valuesa2beforeorderinga2medications?
[Date] 1
,1. CBC
2. Culturea2anda2sensitivitya2ofa2thea2urine
[Date] 2
, 3. Creatininea2clearance
4. Urica2acida2levelsa2-a22.a2Answer:a23
Page:a23
Feedback
a21.
Aa2CBCa2willa2nota2evaluatea2kidneya2functiona2fora2aa2patienta2witha2ren
ala2disease.a22.
[Date] 3
, Aa2culturea2anda2sensitivitya2testa2reflectsa2thea2presencea2ofa2ana2infectiona2anda2thea2antibiotica2toa2wh
icha2thea2organisma2isa2sensitive.
3.
Thea2calculationa2ofa2creatininea2clearancea2providesa2ana2estimationa2ofa2renala2
function.a24.
Urica2acida2levela2isa2elevateda2ina2thea2presencea2ofa2gout.
3.a2Whicha2ofa2thea2followinga2statementsa2isa2truea2regardinga2diagnostica2testing?
1. Aa2testa2isa2ordereda2fora2aa2specifica2purpose.
2. Aa2testa2isa2thea2mosta2invasivea2available.
3. Therea2isa2noa2needa2toa2discussa2resultsa2witha2thea2patient.
4. Ifa2aa2testa2isa2needed,a2ita2shoulda2bea2ordereda2regardlessa2ofa2riska2toa2th
ea2patient.a2-a23.a2Answer:1a2Page:a23
Feedback
a21.
Thea2nursea2practitionera2shoulda2havea2aa2plana2fora2thea2usea2ofa2eacha2testa2resulta2val
uea2obtained.a22.
Whena2consideringa2whicha2laboratorya2testsa2toa2order,a2ita2isa2wortha2rememberinga2thea2doctrinea2pri
muma2noa2nnocere—first,a2doa2noa2harm.
3.
Oncea2laboratorya2testsa2area2availablea2fora2review,a2testsa2resultsa2shoulda2bea2discusseda2witha2thea2p
atient,a2witha2abnormala2testa2resultsa2interpreteda2fora2thea2aginga2individuala2anda2addresseda2witha2the
a2patienta2anda2caregivers.a24.
Anya2risksa2involveda2ina2laboratorya2testinga2musta2bea2considereda2concerninga2thea2patient'sa2clinical
a2conditiona2anda2weigheda2againsta2thea2test'sa2expecteda2benefits.
[Date] 4
Final Review - TESTBANK LATEST UPDATED 2023/ 2024
TOP RANKED EXAM STUDY GUIDE FOR GUARANTEED A+
1. Mrs.a2Smith,a275a2yearsa2old,a2reportsa2thata2shea2isa2weak,a2hasa2difficultya2urinating,a2anda2i
sa2dehydrated.a2Althougha2shea2isa2afebrile,a2thea2nursea2conductsa2aa2thorougha2physicala2exami
nation,a2includinga2urinalysisa2andcompletea2blooda2counta2(CBC).a2Thea2totala2assessmenta2isa2n
ecessarya2because:
1. Alla2bodya2systemsa2interact,a2anda2symptomsa2coulda2indicatea2aa2varietya2ofa2diagnoses.
2. Thea2symptomsa2area2vaguea2anda2maya2bea2signsa2ofa2aging.
3. Therea2maya2bea2othera2signsa2ora2symptomsa2morea2indicativea2ofa2thea2condition.
4. Mrs.a2Smitha2maya2nota2bea2reportinga2alla2significanta2information.a2-
a21.a2Answer:a21a2Page:a22
Feedback
a21.
Thea2cliniciana2musta2bea2awarea2thata2alla2thea2systemsa2interacta2and,a2ina2doinga2so,a2cana2increasea2t
hea2oldera2person'sa2vulnerabilitya2toa2illness/disease.
2.
Thea2nursea2musta2nota2attributea2symptomsa2onlya2toa2thea2aginga
2process.a23.
Therea2maya2bea2comorbiditiesa2accompanyinga2thisa2condi
tion.a24.
Assumptionsa2ofa2nota2reportinga2properlya2maya2nota2bea2true.
2. Aa2patienta2witha2renala2diseasea2hasa2blooda2worka2drawn,a2anda2thea2resultsa2showa2
ana2increasea2ina2seruma2creatinine.a2Thea2nursea2practitionera2needsa2toa2knowa2whicha2
ofa2thea2followinga2laboratorya2valuesa2beforeorderinga2medications?
[Date] 1
,1. CBC
2. Culturea2anda2sensitivitya2ofa2thea2urine
[Date] 2
, 3. Creatininea2clearance
4. Urica2acida2levelsa2-a22.a2Answer:a23
Page:a23
Feedback
a21.
Aa2CBCa2willa2nota2evaluatea2kidneya2functiona2fora2aa2patienta2witha2ren
ala2disease.a22.
[Date] 3
, Aa2culturea2anda2sensitivitya2testa2reflectsa2thea2presencea2ofa2ana2infectiona2anda2thea2antibiotica2toa2wh
icha2thea2organisma2isa2sensitive.
3.
Thea2calculationa2ofa2creatininea2clearancea2providesa2ana2estimationa2ofa2renala2
function.a24.
Urica2acida2levela2isa2elevateda2ina2thea2presencea2ofa2gout.
3.a2Whicha2ofa2thea2followinga2statementsa2isa2truea2regardinga2diagnostica2testing?
1. Aa2testa2isa2ordereda2fora2aa2specifica2purpose.
2. Aa2testa2isa2thea2mosta2invasivea2available.
3. Therea2isa2noa2needa2toa2discussa2resultsa2witha2thea2patient.
4. Ifa2aa2testa2isa2needed,a2ita2shoulda2bea2ordereda2regardlessa2ofa2riska2toa2th
ea2patient.a2-a23.a2Answer:1a2Page:a23
Feedback
a21.
Thea2nursea2practitionera2shoulda2havea2aa2plana2fora2thea2usea2ofa2eacha2testa2resulta2val
uea2obtained.a22.
Whena2consideringa2whicha2laboratorya2testsa2toa2order,a2ita2isa2wortha2rememberinga2thea2doctrinea2pri
muma2noa2nnocere—first,a2doa2noa2harm.
3.
Oncea2laboratorya2testsa2area2availablea2fora2review,a2testsa2resultsa2shoulda2bea2discusseda2witha2thea2p
atient,a2witha2abnormala2testa2resultsa2interpreteda2fora2thea2aginga2individuala2anda2addresseda2witha2the
a2patienta2anda2caregivers.a24.
Anya2risksa2involveda2ina2laboratorya2testinga2musta2bea2considereda2concerninga2thea2patient'sa2clinical
a2conditiona2anda2weigheda2againsta2thea2test'sa2expecteda2benefits.
[Date] 4
