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DNP701 Advanced Practice Nursing in the Care of Older Adults Questions with Answers

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DNP701 Advanced Practice Nursing in the Care of Older Adults Questions with Answers . Mrs. Smith, 75 years old, reports that she is weak, has difficulty urinating, and is dehydrated. Although she is afebrile, the nurse conducts a thorough physical examination, including urinalysis and complete blood count (CBC). The total assessment is necessary because: 1. All body systems interact, and symptoms could indicate a variety of diagnoses. 2. The symptoms are vague and may be signs of aging. 3. There may be other signs or symptoms more indicative of the condition. 4. Mrs. Smith may not be reporting all significant information. - correct answersAnswer: 1 Page: 2 Feedback 1. The clinician must be aware that all the systems interact and, in doing so, can increase the older person's vulnerability to illness/disease. 2. The nurse must not attribute symptoms only to the aging process. 3. There may be comorbidities accompanying this condition. 4. Assumptions of not reporting properly may not be true. 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 ordering medications? 1. CBC 2. Culture and sensitivity of the urine 3. Creatinine clearance 4. Uric acid levels - correct answersAnswer: 3

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DNP701 Advanced Practice Nursing in the Care of Older
Adults Questions with Answers
. Mrs. Smith, 75 years old, reports that she is weak, has difficulty urinating, and is dehydrated. Although
she is afebrile, the nurse conducts a thorough physical examination, including urinalysis and complete
blood count (CBC). The total assessment is necessary because:



1. All body systems interact, and symptoms could indicate a variety of diagnoses.

2. The symptoms are vague and may be signs of aging.

3. There may be other signs or symptoms more indicative of the condition.

4. Mrs. Smith may not be reporting all significant information. - correct answersAnswer: 1

Page: 2




Feedback

1.

The clinician must be aware that all the systems interact and, in doing so, can increase the older person's
vulnerability to illness/disease.

2.

The nurse must not attribute symptoms only to the aging process.

3.

There may be comorbidities accompanying this condition.

4.

Assumptions of not reporting properly may not be true.



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

ordering medications?



1. CBC

2. Culture and sensitivity of the urine

, 3. Creatinine clearance

4. Uric acid levels - correct answersAnswer: 3

Page: 3




Feedback

1.

A CBC will not evaluate kidney function for a patient with renal disease.

2.

A culture and sensitivity test reflects the presence of an infection and the antibiotic to which the
organism is sensitive.

3.

The calculation of creatinine clearance provides an estimation of renal function.

4.

Uric acid level is elevated in the presence of gout.



Which of the following statements is true regarding diagnostic testing?



1. A test is ordered for a specific purpose.

2. A test is the most invasive available.

3. There is no need to discuss results with the patient.

4. If a test is needed, it should be ordered regardless of risk to the patient - correct answersAnswer: 1

Page: 3




Feedback

1.

The nurse practitioner should have a plan for the use of each test result value obtained.

2.
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