Test Bank Advanced Practice Nursing in the Care of Older Adults 2nd Edition Kennedy-Malone

TesttBanktAdvancedtPracticetNursingtintthetCaretoftOldertAdultst2ndt EditiontK
ennedy-Malone

,Test Bank Advanced
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Practice Nursing int t t t




he Care of Older Adu
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edy-Malone

,1. Mrs.tSmith,t75tyearstold,treportstthattshetistweak,thastdifficultyturinating,tandtistdehydrated.tAlthought
shetistafebrile,tthetnursetconductstatthoroughtphysicaltexamination,tincludingturinalysistandtcompletetblo
odtcountt(CBC).tThettotaltassessmenttistnecessarytbecause:
1. Alltbodytsystemstinteract,tandtsymptomstcouldtindicatetatvarietytoftdiagnoses.
2. Thetsymptomstaretvaguetandtmaytbetsignstoftaging.
3. Theretmaytbetothertsignstortsymptomstmoretindicativetoftthetcondition.
4. Mrs.tSmithtmaytnottbetreportingtalltsignificanttinformation.t-
t1.tAnswer:t1tPage:t2




Feedbackt
1.
Thetcliniciantmusttbetawaretthattalltthetsystemstinteracttand,tintdoingtso,tcantincreasetthetoldertperson'stvul
nerabilityttotillness/disease.
2.
Thetnursetmusttnottattributetsymptomstonlyttotthetagingtprocess.t3.
Theretmaytbetcomorbiditiestaccompanyingtthistcondition.t4.
Assumptionstoftnottreportingtproperlytmaytnottbettrue.

2. Atpatienttwithtrenaltdiseasethastbloodtworktdrawn,tandtthetresultstshowtantincreasetintserumtcrea
tinine.tThetnursetpractitionertneedsttotknowtwhichtoftthetfollowingtlaboratorytvaluestbeforetorderin
gtmedications?

1. CBC
2. Culturetandtsensitivitytofttheturine
3. Creatininetclearance
4. Urictacidtlevelst-
t2.tAnswer:t3tPage:t3




Feedbackt
1.
AtCBCtwilltnottevaluatetkidneytfunctiontfortatpatienttwithtrenaltdisease.t2.

, Atculturetandtsensitivityttesttreflectstthetpresencetoftantinfectiontandtthetantibioticttotwhichtthetorganismtist
sensitive.
3.
Thetcalculationtoftcreatininetclearancetprovidestantestimationtoftrenaltfunction.t4.
Urictacidtleveltistelevatedtintthetpresencetoftgout.

3.tWhichtoftthetfollowingtstatementstisttruetregardingtdiagnosticttesting?

1. Attesttistorderedtfortatspecifictpurpose.
2. Attesttistthetmosttinvasivetavailable.
3. Theretistnotneedttotdiscusstresultstwithtthetpatient.
4. Iftattesttistneeded,tittshouldtbetorderedtregardlesstoftriskttotthetpatient.t-
t3.tAnswer:t1tPage:t3




Feedbackt
1.
Thetnursetpractitionertshouldthavetatplantfortthetusetofteachttesttresulttvaluetobtained.t2.
Whentconsideringtwhichtlaboratorytteststtotorder,tittistworthtrememberingtthetdoctrinetprimumtnotnnocere—
first,tdotnotharm.
3.
Oncetlaboratorytteststaretavailabletfortreview,tteststresultstshouldtbetdiscussedtwithtthetpatient,twithtabno
rmalttesttresultstinterpretedtfortthetagingtindividualtandtaddressedtwithtthetpatienttandtcaregivers.t4.
Anytriskstinvolvedtintlaboratoryttestingtmusttbetconsideredtconcerningtthetpatient'stclinicaltconditiontandt
weighedtagainsttthettest'stexpectedtbenefits.

4.tJaney,t25tyearstold,tmaytexperiencetarthritistdifferentlytthant65-year-oldtMrs.tJohnsontbecause:

1. Thetbodytundergoestphysiologicaltchangestwithtaging.
2. Athealthytbodytdoestnottexperiencetsignificanttchangestastonetgetstolder.
3. Oldertpatientstdotnottfeeltanytsystemictsymptoms,tsuchtastmalaisetandtweighttloss.
4. Eventthoughtthetsametjointstaretusuallytaffected,tagetmakestittfeeltdifferent.t-
t4.tAnswer:t1tPage:t5




Feedbackt
1.
Knowledgetoftthetbimodalitytoftagetonsettoftcertaintdiseasetconditionstwilltaidtthetadvancedtpracticetnurset
intavoidingtmisdiagnosistortdelaytintdiagnosistduettotlacktoftrecognition.
2.
Symptomstoftrheumatoidtarthritistmaytbetdifferenttdependingtontthetagetoftthetpatient.