Test Bank Advanced Practice Nursing in the Care of Older Adults 2nd Edition Ken
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nedy-Malone
,TestBankAdvancedP
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racticeNursinginthe
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CareofOlderAdults2
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d
l EditionKennedy- l
Malone
,1. Mrs.lSmith,l75lyearslold,lreportslthatlshelislweak,lhasldifficultylurinating,landlisldehydrated.lAlthoughls
helislafebrile,lthelnurselconductslalthoroughlphysicallexamination,lincludinglurinalysislandlcompletelblood
lcountl(CBC).lTheltotallassessmentlislnecessarylbecause:
1. Alllbodylsystemslinteract,landlsymptomslcouldlindicatelalvarietylofldiagnoses.
2. Thelsymptomslarelvaguelandlmaylbelsignsloflaging.
3. Therelmaylbelotherlsignslorlsymptomslmorelindicativeloflthelcondition.
4. Mrs.lSmithlmaylnotlbelreportinglalllsignificantlinformation.l-
l1.lAnswer:l1lPage:l2
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l1.
Thelclinicianlmustlbelawarelthatlalllthelsystemslinteractland,linldoinglso,lcanlincreaselthelolderlperson'slvuln
erabilityltolillness/disease.
2.
Thelnurselmustlnotlattributelsymptomslonlyltolthelaginglprocess.l3.
Therelmaylbelcomorbiditieslaccompanyinglthislcondition.l4.
Assumptionsloflnotlreportinglproperlylmaylnotlbeltrue.
2.A patientlwithlrenalldiseaselhaslbloodlworkldrawn,landlthelresultslshowlanlincreaselinlserumlcreat
inine.lThelnurselpractitionerlneedsltolknowlwhichloflthelfollowingllaboratorylvalueslbeforelorderingl
medications?
1. CBC
2. Culturelandlsensitivityloflthelurine
3. Creatininelclearance
4. Uriclacidllevelsl-l2.lAnswer:l3
Page:l3
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l1.
AlCBClwilllnotlevaluatelkidneylfunctionlforlalpatientlwithlrenalldisease.l2.
, Alculturelandlsensitivityltestlreflectslthelpresenceloflanlinfectionlandlthelantibioticltolwhichlthelorganismlisls
ensitive.
3.
Thelcalculationloflcreatininelclearancelprovideslanlestimationloflrenallfunction.l4.
Uriclacidllevellislelevatedlinlthelpresenceloflgout.
3.lWhichloflthelfollowinglstatementslisltruelregardingldiagnosticltesting?
1. Altestlislorderedlforlalspecificlpurpose.
2. Altestlislthelmostlinvasivelavailable.
3. Therelislnolneedltoldiscusslresultslwithlthelpatient.
4. Iflaltestlislneeded,litlshouldlbelorderedlregardlessloflriskltolthelpatient.l-
l3.lAnswer:l1lPage:l3
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l1.
Thelnurselpractitionerlshouldlhavelalplanlforltheluselofleachltestlresultlvaluelobtained.l2.
Whenlconsideringlwhichllaboratoryltestsltolorder,litlislworthlrememberingltheldoctrinelprimumlnolnnocere
—first,ldolnolharm.
3.
Oncellaboratoryltestslarelavailablelforlreview,ltestslresultslshouldlbeldiscussedlwithlthelpatient,lwithlabnor
malltestlresultslinterpretedlforlthelaginglindividuallandladdressedlwithlthelpatientlandlcaregivers.l4.
Anylriskslinvolvedlinllaboratoryltestinglmustlbelconsideredlconcerninglthelpatient'slclinicallconditionlandl
weighedlagainstltheltest'slexpectedlbenefits.
4. Janey,l25lyearslold,lmaylexperiencelarthritisldifferentlylthanl65-year-oldlMrs.lJohnsonlbecause:
1. Thelbodylundergoeslphysiologicallchangeslwithlaging.
2. Alhealthylbodyldoeslnotlexperiencelsignificantlchangeslaslonelgetslolder.
3. Olderlpatientsldolnotlfeellanylsystemiclsymptoms,lsuchlaslmalaiselandlweightlloss.
4. Evenlthoughlthelsameljointslarelusuallylaffected,lagelmakeslitlfeelldifferent.l-
l4.lAnswer:l1lPage:l5
Feedback
l1.
Knowledgeloflthelbimodalityloflagelonsetloflcertainldiseaselconditionslwilllaidltheladvancedlpracticelnurseli
nlavoidinglmisdiagnosislorldelaylinldiagnosisldueltollackloflrecognition.
2.
Symptomsloflrheumatoidlarthritislmaylbeldifferentldependinglonlthelageloflthelpatient.
l l l l l l l l l l l l ll
nedy-Malone
,TestBankAdvancedP
l l l
racticeNursinginthe
l l l l
n
CareofOlderAdults2
l l l l
d
l EditionKennedy- l
Malone
,1. Mrs.lSmith,l75lyearslold,lreportslthatlshelislweak,lhasldifficultylurinating,landlisldehydrated.lAlthoughls
helislafebrile,lthelnurselconductslalthoroughlphysicallexamination,lincludinglurinalysislandlcompletelblood
lcountl(CBC).lTheltotallassessmentlislnecessarylbecause:
1. Alllbodylsystemslinteract,landlsymptomslcouldlindicatelalvarietylofldiagnoses.
2. Thelsymptomslarelvaguelandlmaylbelsignsloflaging.
3. Therelmaylbelotherlsignslorlsymptomslmorelindicativeloflthelcondition.
4. Mrs.lSmithlmaylnotlbelreportinglalllsignificantlinformation.l-
l1.lAnswer:l1lPage:l2
Feedback
l1.
Thelclinicianlmustlbelawarelthatlalllthelsystemslinteractland,linldoinglso,lcanlincreaselthelolderlperson'slvuln
erabilityltolillness/disease.
2.
Thelnurselmustlnotlattributelsymptomslonlyltolthelaginglprocess.l3.
Therelmaylbelcomorbiditieslaccompanyinglthislcondition.l4.
Assumptionsloflnotlreportinglproperlylmaylnotlbeltrue.
2.A patientlwithlrenalldiseaselhaslbloodlworkldrawn,landlthelresultslshowlanlincreaselinlserumlcreat
inine.lThelnurselpractitionerlneedsltolknowlwhichloflthelfollowingllaboratorylvalueslbeforelorderingl
medications?
1. CBC
2. Culturelandlsensitivityloflthelurine
3. Creatininelclearance
4. Uriclacidllevelsl-l2.lAnswer:l3
Page:l3
Feedback
l1.
AlCBClwilllnotlevaluatelkidneylfunctionlforlalpatientlwithlrenalldisease.l2.
, Alculturelandlsensitivityltestlreflectslthelpresenceloflanlinfectionlandlthelantibioticltolwhichlthelorganismlisls
ensitive.
3.
Thelcalculationloflcreatininelclearancelprovideslanlestimationloflrenallfunction.l4.
Uriclacidllevellislelevatedlinlthelpresenceloflgout.
3.lWhichloflthelfollowinglstatementslisltruelregardingldiagnosticltesting?
1. Altestlislorderedlforlalspecificlpurpose.
2. Altestlislthelmostlinvasivelavailable.
3. Therelislnolneedltoldiscusslresultslwithlthelpatient.
4. Iflaltestlislneeded,litlshouldlbelorderedlregardlessloflriskltolthelpatient.l-
l3.lAnswer:l1lPage:l3
Feedback
l1.
Thelnurselpractitionerlshouldlhavelalplanlforltheluselofleachltestlresultlvaluelobtained.l2.
Whenlconsideringlwhichllaboratoryltestsltolorder,litlislworthlrememberingltheldoctrinelprimumlnolnnocere
—first,ldolnolharm.
3.
Oncellaboratoryltestslarelavailablelforlreview,ltestslresultslshouldlbeldiscussedlwithlthelpatient,lwithlabnor
malltestlresultslinterpretedlforlthelaginglindividuallandladdressedlwithlthelpatientlandlcaregivers.l4.
Anylriskslinvolvedlinllaboratoryltestinglmustlbelconsideredlconcerninglthelpatient'slclinicallconditionlandl
weighedlagainstltheltest'slexpectedlbenefits.
4. Janey,l25lyearslold,lmaylexperiencelarthritisldifferentlylthanl65-year-oldlMrs.lJohnsonlbecause:
1. Thelbodylundergoeslphysiologicallchangeslwithlaging.
2. Alhealthylbodyldoeslnotlexperiencelsignificantlchangeslaslonelgetslolder.
3. Olderlpatientsldolnotlfeellanylsystemiclsymptoms,lsuchlaslmalaiselandlweightlloss.
4. Evenlthoughlthelsameljointslarelusuallylaffected,lagelmakeslitlfeelldifferent.l-
l4.lAnswer:l1lPage:l5
Feedback
l1.
Knowledgeloflthelbimodalityloflagelonsetloflcertainldiseaselconditionslwilllaidltheladvancedlpracticelnurseli
nlavoidinglmisdiagnosislorldelaylinldiagnosisldueltollackloflrecognition.
2.
Symptomsloflrheumatoidlarthritislmaylbeldifferentldependinglonlthelageloflthelpatient.
