Test Bank Advanced Practice Nursing in the Care of Older Adults 2nd Edition Ken
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nedy-Malone
,TestBankAdvancedP
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racticeNursinginthe
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CareofOlderAdults2
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Malone
,1. Mrs.jSmith,j75jyearsjold,jreportsjthatjshejisjweak,jhasjdifficultyjurinating,jandjisjdehydrated.jAlthoughjs
hejisjafebrile,jthejnursejconductsjajthoroughjphysicaljexamination,jincludingjurinalysisjandjcompletejblood
jcountj(CBC).jThejtotaljassessmentjisjnecessaryjbecause:
1. Alljbodyjsystemsjinteract,jandjsymptomsjcouldjindicatejajvarietyjofjdiagnoses.
2. Thejsymptomsjarejvaguejandjmayjbejsignsjofjaging.
3. Therejmayjbejotherjsignsjorjsymptomsjmorejindicativejofjthejcondition.
4. Mrs.jSmithjmayjnotjbejreportingjalljsignificantjinformation.j-
j1.jAnswer:j1jPage: j2
Feedback
j1.
Thejclinicianjmustjbejawarejthatjalljthejsystemsjinteractjand,jinjdoingjso,jcanjincreasejthejolderjperson'sjvuln
erabilityjtojillness/disease.
2.
Thejnursejmustjnotjattributejsymptomsjonlyjtojthejagingjprocess.j3.
Therejmayjbejcomorbiditiesjaccompanyingjthisjcondition.j4.
Assumptionsjofjnotjreportingjproperlyjmayjnotjbejtrue.
2.A patientjwithjrenaljdiseasejhasjbloodjworkjdrawn,jandjthejresultsjshowjanjincreasejinjserumjcreat
inine.jThejnursejpractitionerjneedsjtojknowjwhichjofjthejfollowingjlaboratoryjvaluesjbeforejorderingj
medications?
1. CBC
2. Culturejandjsensitivityjofjthejurine
3. Creatininejclearance
4. Uricjacidjlevelsj-j2.jAnswer:j3
Page:j3
Feedback
j1.
AjCBCjwilljnotjevaluatejkidneyjfunctionjforjajpatientjwithjrenaljdisease.j2.
, Ajculturejandjsensitivityjtestjreflectsjthejpresencejofjanjinfectionjandjthejantibioticjtojwhichjthejorganismjisjs
ensitive.
3.
Thejcalculationjofjcreatininejclearancejprovidesjanjestimationjofjrenaljfunction.j4.
Uricjacidjleveljisjelevatedjinjthejpresencejofjgout.
3.jWhichjofjthejfollowingjstatementsjisjtruejregardingjdiagnosticjtesting?
1. Ajtestjisjorderedjforjajspecificjpurpose.
2. Ajtestjisjthejmostjinvasivejavailable.
3. Therejisjnojneedjtojdiscussjresultsjwithjthejpatient.
4. Ifjajtestjisjneeded,jitjshouldjbejorderedjregardlessjofjriskjtojthejpatient.j-
j3.jAnswer:j1jPage:j3
Feedback
j1.
Thejnursejpractitionerjshouldjhavejajplanjforjthejusejofjeachjtestjresultjvaluejobtained.j2.
Whenjconsideringjwhichjlaboratoryjtestsjtojorder,jitjisjworthjrememberingjthejdoctrinejprimumjnojnnocere
—first,jdojnojharm.
3.
Oncejlaboratoryjtestsjarejavailablejforjreview,jtestsjresultsjshouldjbejdiscussedjwithjthejpatient,jwithjabnor
maljtestjresultsjinterpretedjforjthejagingjindividualjandjaddressedjwithjthejpatientjandjcaregivers.j4.
Anyjrisksjinvolvedjinjlaboratoryjtestingjmustjbejconsideredjconcerningjthejpatient'sjclinicaljconditionjandj
weighedjagainstjthejtest'sjexpectedjbenefits.
4. Janey,j25jyearsjold,jmayjexperiencejarthritisjdifferentlyjthanj65-year-oldjMrs.jJohnsonjbecause:
1. Thejbodyjundergoesjphysiologicaljchangesjwithjaging.
2. Ajhealthyjbodyjdoesjnotjexperiencejsignificantjchangesjasjonejgetsjolder.
3. Olderjpatientsjdojnotjfeeljanyjsystemicjsymptoms,jsuchjasjmalaisejandjweightjloss.
4. Evenjthoughjthejsamejjointsjarejusuallyjaffected,jagejmakesjitjfeeljdifferent.j-
j4.jAnswer:j1jPage:j5
Feedback
j1.
Knowledgejofjthejbimodalityjofjagejonsetjofjcertainjdiseasejconditionsjwilljaidjthejadvancedjpracticejnurseji
njavoidingjmisdiagnosisjorjdelayjinjdiagnosisjduejtojlackjofjrecognition.
2.
Symptomsjofjrheumatoidjarthritisjmayjbejdifferentjdependingjonjthejagejofjthejpatient.
j j j j j j j j j j j j jj
nedy-Malone
,TestBankAdvancedP
j j j
racticeNursinginthe
j j j j
n
CareofOlderAdults2
j j j j
d
j EditionKennedy- j
Malone
,1. Mrs.jSmith,j75jyearsjold,jreportsjthatjshejisjweak,jhasjdifficultyjurinating,jandjisjdehydrated.jAlthoughjs
hejisjafebrile,jthejnursejconductsjajthoroughjphysicaljexamination,jincludingjurinalysisjandjcompletejblood
jcountj(CBC).jThejtotaljassessmentjisjnecessaryjbecause:
1. Alljbodyjsystemsjinteract,jandjsymptomsjcouldjindicatejajvarietyjofjdiagnoses.
2. Thejsymptomsjarejvaguejandjmayjbejsignsjofjaging.
3. Therejmayjbejotherjsignsjorjsymptomsjmorejindicativejofjthejcondition.
4. Mrs.jSmithjmayjnotjbejreportingjalljsignificantjinformation.j-
j1.jAnswer:j1jPage: j2
Feedback
j1.
Thejclinicianjmustjbejawarejthatjalljthejsystemsjinteractjand,jinjdoingjso,jcanjincreasejthejolderjperson'sjvuln
erabilityjtojillness/disease.
2.
Thejnursejmustjnotjattributejsymptomsjonlyjtojthejagingjprocess.j3.
Therejmayjbejcomorbiditiesjaccompanyingjthisjcondition.j4.
Assumptionsjofjnotjreportingjproperlyjmayjnotjbejtrue.
2.A patientjwithjrenaljdiseasejhasjbloodjworkjdrawn,jandjthejresultsjshowjanjincreasejinjserumjcreat
inine.jThejnursejpractitionerjneedsjtojknowjwhichjofjthejfollowingjlaboratoryjvaluesjbeforejorderingj
medications?
1. CBC
2. Culturejandjsensitivityjofjthejurine
3. Creatininejclearance
4. Uricjacidjlevelsj-j2.jAnswer:j3
Page:j3
Feedback
j1.
AjCBCjwilljnotjevaluatejkidneyjfunctionjforjajpatientjwithjrenaljdisease.j2.
, Ajculturejandjsensitivityjtestjreflectsjthejpresencejofjanjinfectionjandjthejantibioticjtojwhichjthejorganismjisjs
ensitive.
3.
Thejcalculationjofjcreatininejclearancejprovidesjanjestimationjofjrenaljfunction.j4.
Uricjacidjleveljisjelevatedjinjthejpresencejofjgout.
3.jWhichjofjthejfollowingjstatementsjisjtruejregardingjdiagnosticjtesting?
1. Ajtestjisjorderedjforjajspecificjpurpose.
2. Ajtestjisjthejmostjinvasivejavailable.
3. Therejisjnojneedjtojdiscussjresultsjwithjthejpatient.
4. Ifjajtestjisjneeded,jitjshouldjbejorderedjregardlessjofjriskjtojthejpatient.j-
j3.jAnswer:j1jPage:j3
Feedback
j1.
Thejnursejpractitionerjshouldjhavejajplanjforjthejusejofjeachjtestjresultjvaluejobtained.j2.
Whenjconsideringjwhichjlaboratoryjtestsjtojorder,jitjisjworthjrememberingjthejdoctrinejprimumjnojnnocere
—first,jdojnojharm.
3.
Oncejlaboratoryjtestsjarejavailablejforjreview,jtestsjresultsjshouldjbejdiscussedjwithjthejpatient,jwithjabnor
maljtestjresultsjinterpretedjforjthejagingjindividualjandjaddressedjwithjthejpatientjandjcaregivers.j4.
Anyjrisksjinvolvedjinjlaboratoryjtestingjmustjbejconsideredjconcerningjthejpatient'sjclinicaljconditionjandj
weighedjagainstjthejtest'sjexpectedjbenefits.
4. Janey,j25jyearsjold,jmayjexperiencejarthritisjdifferentlyjthanj65-year-oldjMrs.jJohnsonjbecause:
1. Thejbodyjundergoesjphysiologicaljchangesjwithjaging.
2. Ajhealthyjbodyjdoesjnotjexperiencejsignificantjchangesjasjonejgetsjolder.
3. Olderjpatientsjdojnotjfeeljanyjsystemicjsymptoms,jsuchjasjmalaisejandjweightjloss.
4. Evenjthoughjthejsamejjointsjarejusuallyjaffected,jagejmakesjitjfeeljdifferent.j-
j4.jAnswer:j1jPage:j5
Feedback
j1.
Knowledgejofjthejbimodalityjofjagejonsetjofjcertainjdiseasejconditionsjwilljaidjthejadvancedjpracticejnurseji
njavoidingjmisdiagnosisjorjdelayjinjdiagnosisjduejtojlackjofjrecognition.
2.
Symptomsjofjrheumatoidjarthritisjmayjbejdifferentjdependingjonjthejagejofjthejpatient.
