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w EditionKennedy-Malone
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TEST BANK w
ADVANCED w
PRACTICE NURSING w
IN THE CARE OF
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OLDER ADULTS 3RD
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EDITION KENNEDY-
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MALONE
,Table of Contents
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Unit I: The Healthy Older Adult
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CHAPTER 1 Changes with Aging
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CHAPTER 2 Health Promotion
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CHAPTER 3 Exercise in Older Adults
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CHAPTER 4 Nutritional Support in the Older
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Adult
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CHAPTER 5 Settings of Care
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Unit II: Assessment
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CHAPTER 6 Comprehensive Geriatric
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Assessment
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CHAPTER 7 Symptoms and Syndromes
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Unit III: Treating Disorders
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CHAPTER 8 Dermatologic Disorders
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CHAPTER 9 Head, Neck, and Face Disorders
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CHAPTER 10 Cardiovascular Disorders
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CHAPTER 11 Respiratory Disorders
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CHAPTER 12 Peripheral Vascular Disorders
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CHAPTER 13 Gastrointestinal Disorders
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CHAPTER 14 Urologic and Renal Disorders
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CHAPTER 15 Gynecologic Disorders
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,CHAPTER 16 Musculoskeletal Disorders
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CHAPTER 17 Central and Peripheral
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Nervous System Disorders
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CHAPTER 18 Endocrine and Metabolic
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Disorders
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CHAPTER 19 Hematologic Disorders
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CHAPTER 20 Psychosocial Disorders
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Unit IV: Complex Illness
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CHAPTER 21 Polypharmacy
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CHAPTER 22 Chronic Illness and the APRN
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CHAPTER 23 Palliative Care and End-of-Life
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, CHAPTER 1 Changes with Aging: w w w w
1. Mrs. Smith, 75 years old, reports that she is weak, has difficulty urinating, and is dehydrated.
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Although she is afebrile, the nurse conducts a thorough physical examination, including urinalysis
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andcomplete blood count (CBC). The total assessment is necessary because:
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1. All body systems interact, and symptoms could indicate a variety of diagnoses.
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2. The symptoms are vague and may be signs of aging.
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3. There may be other signs or symptoms more indicative of the condition.
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4. Mrs. Smith may not be reporting all significant information. - 1. Answer:
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The clinician must be aware that all the systems interact and, in doing so, can increase the older
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person's vulnerability to illness/disease.
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2.
The nurse must not attribute symptoms only to the aging
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process.3.
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There may be comorbidities accompanying this
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condition.4.
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Assumptions of not reporting properly may not be true. w w w w w w w w
2. A patient with renal disease has blood work drawn, and the results show an increase in
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serum creatinine. The nurse practitioner needs to know which of the following laboratory
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values beforeordering medications?
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1. CBC
2. Culture and sensitivity of the urine w w w w w
3. Creatinine clearance w
4. Uric acid levels - 2. Answer:
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A CBC will not evaluate kidney function for a patient with renal
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disease.2.
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