h Care of Older Adults3rdEdition
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by Evelyn G. Kennedy-
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Malone,Laurie; Duffy h/
Expert Verified Q&As| A+ PASS
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,1. Mrs.h/Smith,h/75h/yearsh/old,h/reportsh/thath/sheh/ish/weak,h/hash/difficultyh/urinating,h/andh/ish/dehydrated.h/
Althoughh/sheh/ish/afebrile,h/theh/nurseh/conductsh/ah/thoroughh/physicalh/examination,h/includingh/urinalysis
h/andh/completeh/bloodh/counth/(CBC).h/Theh/totalh/assessmenth/ish/necessaryh/because:
1. Allh/bodyh/systemsh/interact,h/andh/symptomsh/couldh/indicateh/ah/varietyh/ofh/diagnoses.
2. Theh/symptomsh/areh/vagueh/andh/mayh/beh/signsh/ofh/aging.
3. Thereh/mayh/beh/otherh/signsh/orh/symptomsh/moreh/indicativeh/ofh/theh/condition.
4. Mrs.h/Smithh/mayh/noth/beh/reportingh/allh/significanth/information.h/-
h/1.h/Answer:h/1h/Page:h/2h/Feedback
1. Theh/clinicianh/musth/beh/awareh/thath/allh/theh/systemsh/interacth/and,h/inh/doingh/so,h/canh/increaseh/
theh/olderh/person'sh/vulnerabilityh/toh/illness/disease.
2. Theh/nurseh/musth/noth/attributeh/symptomsh/onlyh/toh/theh/agingh/process.
3. Thereh/mayh/beh/comorbiditiesh/accompanyingh/thish/condition.
4. Assumptionsh/ofh/noth/reportingh/properlyh/mayh/noth/beh/true.
2. Apatienth/withh/renalh/diseaseh/hash/bloodh/workh/drawn,h/andh/theh/resultsh/showh/anh/increaseh/inh/serumh/c
reatinine.h/Theh/nurseh/practitionerh/needsh/toh/knowh/whichh/ofh/theh/followingh/laboratoryh/valuesh/beforeh/
orderingh/medications?
1. CBC
2. Cultureh/andh/sensitivityh/ofh/theh/urine
3. Creatinineh/clearance
4. Urich/acidh/levelsh/-h/2.h/Answer:h/3
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1. Ah/CBCh/willh/noth/evaluateh/kidneyh/functionh/forh/ah/patienth/withh/renalh/disease.
2. Ah/cultureh/andh/sensitivityh/testh/reflectsh/theh/presenceh/ofh/anh/infectionh/andh/theh/antibiotich/toh/
whichh/theh/organismh/ish/sensitive.
3. Theh/calculationh/ofh/creatinineh/clearanceh/providesh/anh/estimationh/ofh/renalh/function.
4. Urich/acidh/levelh/ish/elevatedh/inh/theh/presenceh/ofh/gout.
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,3. Whichh/ofh/theh/followingh/statementsh/ish/trueh/regardingh/diagnostich/testing?
1. Ah/testh/ish/orderedh/forh/ah/specifich/purpose.
2. Ah/testh/ish/theh/mosth/invasiveh/available.
3. Thereh/ish/noh/needh/toh/discussh/resultsh/withh/theh/patient.
4. Ifh/ah/testh/ish/needed,h/ith/shouldh/beh/orderedh/regardlessh/ofh/riskh/toh/theh/patient.h/-
h/3.h/Answer:h/1h/Page:h/3h/Feedback
1. Theh/nurseh/practitionerh/shouldh/haveh/ah/planh/forh/theh/useh/ofh/eachh/testh/resulth/valueh/obtained.
2. Whenh/consideringh/whichh/laboratoryh/testsh/toh/order,h/ith/ish/worthh/rememberingh/theh/doctrineh/pri
mumh/noh/nnocere—first,h/doh/noh/harm.
3. Onceh/laboratoryh/testsh/areh/availableh/forh/review,h/testsh/resultsh/shouldh/beh/discussedh/withh/theh/patie
nt,h/withh/abnormalh/testh/resultsh/interpretedh/forh/theh/agingh/individualh/andh/addressedh/withh/theh/patien
th/andh/caregivers.
4. Anyh/risksh/involvedh/inh/laboratoryh/testingh/musth/beh/consideredh/concerningh/theh/patient'sh/clinicalh/co
nditionh/andh/weighedh/againsth/theh/test'sh/expectedh/benefits.
4. Janey,h/25h/yearsh/old,h/mayh/experienceh/arthritish/differentlyh/thanh/65-year-oldh/Mrs.h/Johnsonh/because:
1. Theh/bodyh/undergoesh/physiologicalh/changesh/withh/aging.
2. Ah/healthyh/bodyh/doesh/noth/experienceh/significanth/changesh/ash/oneh/getsh/older.
3. Olderh/patientsh/doh/noth/feelh/anyh/systemich/symptoms,h/suchh/ash/malaiseh/andh/weighth/loss.
4. Evenh/thoughh/theh/sameh/jointsh/areh/usuallyh/affected,h/ageh/makesh/ith/feelh/different.h/-
h/4.h/Answer:h/1h/Page:h/5h/Feedback
1. Knowledgeh/ofh/theh/bimodalityh/ofh/ageh/onseth/ofh/certainh/diseaseh/conditionsh/willh/aidh/theh/advancedh
/practiceh/nurseh/inh/avoidingh/misdiagnosish/orh/delayh/inh/diagnosish/dueh/toh/lackh/ofh/recognition.
2. Symptomsh/ofh/rheumatoidh/arthritish/mayh/beh/differenth/dependingh/onh/theh/ageh/ofh/theh/patient.
3. Youngerh/patientsh/mayh/noth/experienceh/constitutionalh/symptomsh/suchh/ash/fever,h/malaise,h/weighth/lo
ss,h/andh/depression.
4. Inh/late-onseth/rheumatoidh/arthritis,h/theh/jointh/involvementh/ish/moreh/oftenh/inh/theh/largerh/joints.
5. Theh/nurseh/practitionerh/ish/examiningh/anh/85-year-
oldh/manh/withh/reportsh/ofh/abdominalh/pain,h/weakness,h/andh/lossh/ofh/appetite.h/Whichh/ish/theh/mosth/likel
yh/conditionh/toh/beh/testedh/forh/andh/ruledh/out?
1. Neoplasmsh/andh/carcinomas
2. Partialh/seizure
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, 3. Sarcopenia
4. Hirschsprung'sh/diseaseh/-h/5.h/Answer:h/1
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1. Certainh/diseases,h/suchh/ash/neoplasmsh/andh/carcinomas,h/areh/moreh/commonh/inh/theh/elderly,
h/andh/anh/understandingh/ofh/theh/epidemiologyh/ish/criticalh/inh/theh/interpretation.
2. Partialh/seizureh/ish/moreh/commonh/inh/earlyh/oldh/age.
3. Sarcopeniah/ish/moreh/commonh/inh/earlyh/oldh/age.
4. Hirschsprung'sh/diseaseh/ish/mosth/commonh/inh/infancy.
6. Forh/individualsh/overh/65h/yearsh/old,h/theh/mosth/commonh/morbiditiesh/areh/relatedh/to:
1. Hearth/disease,h/arthritis
2. Respiratoryh/problems,h/cancer
3. Diabetes,h/stroke
4. Allh/ofh/theseh/areh/commonh/morbidities.h/-
h/6.h/Answer:h/4h/Page:h/5h/Feedback
1. Hearth/diseaseh/ish/oneh/ofh/theh/commonh/morbidities.
2. Cancerh/ish/commonh/inh/theh/generalh/population;h/however,h/specifich/typesh/areh/moreh/commonh/inh/t
heh/olderh/patient.
3. Diabetesh/ish/commonh/inh/patientsh/overh/40h/yearsh/ofh/age.
4. Hearth/disease,h/cancer,h/andh/diabetesh/combinedh/areh/theh/mosth/commonh/morbiditiesh/inh/olderh/patients.
7. Ah/gerontologicalh/patienth/ish/beingh/examinedh/forh/ah/reporth/ofh/painh/inh/theh/shoulder.h/Theh/nurseh/pr
actitionerh/completesh/ah/thoroughh/systemich/examinationh/because:
1. Olderh/patientsh/withh/oneh/morbidityh/oftenh/expressh/difficultiesh/inh/general.
2. Arthritish/ofh/theh/shoulderh/ish/accompaniedh/byh/otherh/neurologicalh/symptoms.
3. Olderh/patientsh/withh/arthritish/oftenh/experienceh/painh/inh/lowerh/extremities.
4. Theh/patienth/mayh/noth/reporth/significanth/signsh/andh/symptoms.h/-
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