TEST72BANK72FOR72ADVANCED72PRACTICE72NURSING72IN72THE72CARE72OF72
OLDER
ADULTS,722ND72EDITION72BR72(Kennedy-72Malone)
TEST72BANK72FOR72ADVANCED72PRACTICE72NURSING72IN72THE72CARE72OF72O
LDER
ADULTS,722ND72EDITION72BR72(Kennedy-72Malone)
,TEST72BANK72FOR72ADVANCED72PRACTICE72NURSING72IN72THE72CARE72OF72
OLDER
ADULTS,722ND72EDITION72BR72(Kennedy-72Malone)
1. Mrs.72Smith,727572years72old,72reports72that72she72is72weak,72has72difficulty72urinating,72and72is72d
ehydrated.72Although72she72is72afebrile,72the72nurse72conducts72a72thorough72physical72examination,72i
ncluding72urinalysis72and72complete72blood72count72(CBC).72The72total72assessment72is72necessary72b
ecause:
1. All72body72systems72interact,72and72symptoms72could72indicate72a72variety72of72diagnoses.
2. The72symptoms72are72vague72and72may72be72signs72of72aging.
3. There72may72be72other72signs72or72symptoms72more72indicative72of72the72condition.
4. Mrs.72Smith72may72not72be72reporting72all72significant72information.72-
721.72Answer:72172Page:722
Feedback7
21.
The72clinician72must72be72aware72that72all72the72systems72interact72and,72in72doing72so,72can72increase72t
he72older72person's72vulnerability72to72illness/disease.
2.
The72nurse72must72not72attribute72symptoms72only72to72the72aging7
2process.723.
There72may72be72comorbidities72accompanying72this72condi
tion.724.
Assumptions72of72not72reporting72properly72may72not72be72true.
2.A patient72with72renal72disease72has72blood72work72drawn,72and72the72results72show72an72incr
ease72in72serum72creatinine.72The72nurse72practitioner72needs72to72know72which72of72the72followi
ng72laboratory72values72before72ordering72medications?
1. CBC
2. Culture72and72sensitivity72of72the72urine
3. Creatinine72clearance
4. Uric72acid72levels72-722.72Answer:723
Page:723
Feedback7
21.
A72CBC72will72not72evaluate72kidney72function72for72a72patient72with72ren
al72disease.722.
,TEST72BANK72FOR72ADVANCED72PRACTICE72NURSING72IN72THE72CARE72OF72
OLDER
ADULTS,722ND72EDITION72BR72(Kennedy-72Malone)
A72culture72and72sensitivity72test72reflects72the72presence72of72an72infection72and72the72antibiotic72to72w
hich72the72organism72is72sensitive.
3.
The72calculation72of72creatinine72clearance72provides72an72estimation72of72renal72
function.724.
Uric72acid72level72is72elevated72in72the72presence72of72gout.
3.72Which72of72the72following72statements72is72true72regarding72diagnostic72testing?
1. A72test72is72ordered72for72a72specific72purpose.
2. A72test72is72the72most72invasive72available.
3. There72is72no72need72to72discuss72results72with72the72patient.
4. If72a72test72is72needed,72it72should72be72ordered72regardless72of72risk72to72the72patient
.72-723.72Answer:72172Page:723
Feedback7
21.
The72nurse72practitioner72should72have72a72plan72for72the72use72of72each72test72result72va
lue72obtained.722.
When72considering72which72laboratory72tests72to72order,72it72is72worth72remembering72the72doctrine72pri
mum72no72nnocere—first,72do72no72harm.
3.
Once72laboratory72tests72are72available72for72review,72tests72results72should72be72discussed72with72the7
2patient,72with72abnormal72test72results72interpreted72for72the72aging72individual72and72addressed72with72
the72patient72and72caregivers.724.
Any72risks72involved72in72laboratory72testing72must72be72considered72concerning72the72patient's72clinica
l72condition72and72weighed72against72the72test's72expected72benefits.
4. Janey,722572years72old,72may72experience72arthritis72differently72than7265-year-
old72Mrs.72Johnson72because:
1. The72body72undergoes72physiological72changes72with72aging.
2. A72healthy72body72does72not72experience72significant72changes72as72one72gets72older.
3. Older72patients72do72not72feel72any72systemic72symptoms,72such72as72malaise72and72weight72loss.
4. Even72though72the72same72joints72are72usually72affected,72age72makes72it72feel72different.72-
724.72Answer:72172Page:725
Feedback7
21.
, TEST72BANK72FOR72ADVANCED72PRACTICE72NURSING72IN72THE72CARE72OF72
OLDER
ADULTS,722ND72EDITION72BR72(Kennedy-72Malone)
Knowledge72of72the72bimodality72of72age72onset72of72certain72disease72conditions72will72aid72the72advan
ced72practice72nurse72in72avoiding72misdiagnosis72or72delay72in72diagnosis72due72to72lack72of72recogni
tion.
2.
Symptoms72of72rheumatoid72arthritis72may72be72different72depending72on72the72age72of72the72patient.
OLDER
ADULTS,722ND72EDITION72BR72(Kennedy-72Malone)
TEST72BANK72FOR72ADVANCED72PRACTICE72NURSING72IN72THE72CARE72OF72O
LDER
ADULTS,722ND72EDITION72BR72(Kennedy-72Malone)
,TEST72BANK72FOR72ADVANCED72PRACTICE72NURSING72IN72THE72CARE72OF72
OLDER
ADULTS,722ND72EDITION72BR72(Kennedy-72Malone)
1. Mrs.72Smith,727572years72old,72reports72that72she72is72weak,72has72difficulty72urinating,72and72is72d
ehydrated.72Although72she72is72afebrile,72the72nurse72conducts72a72thorough72physical72examination,72i
ncluding72urinalysis72and72complete72blood72count72(CBC).72The72total72assessment72is72necessary72b
ecause:
1. All72body72systems72interact,72and72symptoms72could72indicate72a72variety72of72diagnoses.
2. The72symptoms72are72vague72and72may72be72signs72of72aging.
3. There72may72be72other72signs72or72symptoms72more72indicative72of72the72condition.
4. Mrs.72Smith72may72not72be72reporting72all72significant72information.72-
721.72Answer:72172Page:722
Feedback7
21.
The72clinician72must72be72aware72that72all72the72systems72interact72and,72in72doing72so,72can72increase72t
he72older72person's72vulnerability72to72illness/disease.
2.
The72nurse72must72not72attribute72symptoms72only72to72the72aging7
2process.723.
There72may72be72comorbidities72accompanying72this72condi
tion.724.
Assumptions72of72not72reporting72properly72may72not72be72true.
2.A patient72with72renal72disease72has72blood72work72drawn,72and72the72results72show72an72incr
ease72in72serum72creatinine.72The72nurse72practitioner72needs72to72know72which72of72the72followi
ng72laboratory72values72before72ordering72medications?
1. CBC
2. Culture72and72sensitivity72of72the72urine
3. Creatinine72clearance
4. Uric72acid72levels72-722.72Answer:723
Page:723
Feedback7
21.
A72CBC72will72not72evaluate72kidney72function72for72a72patient72with72ren
al72disease.722.
,TEST72BANK72FOR72ADVANCED72PRACTICE72NURSING72IN72THE72CARE72OF72
OLDER
ADULTS,722ND72EDITION72BR72(Kennedy-72Malone)
A72culture72and72sensitivity72test72reflects72the72presence72of72an72infection72and72the72antibiotic72to72w
hich72the72organism72is72sensitive.
3.
The72calculation72of72creatinine72clearance72provides72an72estimation72of72renal72
function.724.
Uric72acid72level72is72elevated72in72the72presence72of72gout.
3.72Which72of72the72following72statements72is72true72regarding72diagnostic72testing?
1. A72test72is72ordered72for72a72specific72purpose.
2. A72test72is72the72most72invasive72available.
3. There72is72no72need72to72discuss72results72with72the72patient.
4. If72a72test72is72needed,72it72should72be72ordered72regardless72of72risk72to72the72patient
.72-723.72Answer:72172Page:723
Feedback7
21.
The72nurse72practitioner72should72have72a72plan72for72the72use72of72each72test72result72va
lue72obtained.722.
When72considering72which72laboratory72tests72to72order,72it72is72worth72remembering72the72doctrine72pri
mum72no72nnocere—first,72do72no72harm.
3.
Once72laboratory72tests72are72available72for72review,72tests72results72should72be72discussed72with72the7
2patient,72with72abnormal72test72results72interpreted72for72the72aging72individual72and72addressed72with72
the72patient72and72caregivers.724.
Any72risks72involved72in72laboratory72testing72must72be72considered72concerning72the72patient's72clinica
l72condition72and72weighed72against72the72test's72expected72benefits.
4. Janey,722572years72old,72may72experience72arthritis72differently72than7265-year-
old72Mrs.72Johnson72because:
1. The72body72undergoes72physiological72changes72with72aging.
2. A72healthy72body72does72not72experience72significant72changes72as72one72gets72older.
3. Older72patients72do72not72feel72any72systemic72symptoms,72such72as72malaise72and72weight72loss.
4. Even72though72the72same72joints72are72usually72affected,72age72makes72it72feel72different.72-
724.72Answer:72172Page:725
Feedback7
21.
, TEST72BANK72FOR72ADVANCED72PRACTICE72NURSING72IN72THE72CARE72OF72
OLDER
ADULTS,722ND72EDITION72BR72(Kennedy-72Malone)
Knowledge72of72the72bimodality72of72age72onset72of72certain72disease72conditions72will72aid72the72advan
ced72practice72nurse72in72avoiding72misdiagnosis72or72delay72in72diagnosis72due72to72lack72of72recogni
tion.
2.
Symptoms72of72rheumatoid72arthritis72may72be72different72depending72on72the72age72of72the72patient.