Test Bank for Advanced Practice Nursing
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w in the Care of Older Adults 3rd Edition
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by Evelyn G. Kennedy-Malone, Laurie;
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w Duffy
Expert Verified Q&As| A+ PASS
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1|P a g e
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,1. Mrs. Smith, 75 years old, reports that she is weak, has difficulty urinating, and is
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dehydrated. Although she is afebrile, the nurse conducts a thorough physical examination,
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w including urinalysis and complete blood count (CBC). The total assessment is necessary
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w because:
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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1 Page: 2 Feedback
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1. The clinician must be aware that all the systems interact and, in doing so, can
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increase the older person's vulnerability to illness/disease.
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2. The nurse must not attribute symptoms only to the aging process.
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3. There may be comorbidities accompanying this condition.
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4. Assumptions of not reporting properly may not be true. w w w w w w w w
2. Apatient 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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w values before ordering 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: 3
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Page: 3 w
w Feedback
1. A CBC will not evaluate kidney function for a patient with renal disease.
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2|P a g e
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,2. A culture and sensitivity test reflects the presence of an infection and the antibiotic
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to which the organism is sensitive.
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3. The calculation of creatinine clearance provides an estimation of renal function.
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4. Uric acid level is elevated in the presence of gout.
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3|P a g e
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, 3. Which of the following statements is true regarding diagnostic testing?
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1. A test is ordered for a specific purpose.
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2. A test is the most invasive available.
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3. There is no need to discuss results with the patient.
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4. If a test is needed, it should be ordered regardless of risk to the patient. - 3.
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w Answer: 1 Page: 3 Feedback w w w w
1. The nurse practitioner should have a plan for the use of each test result value obtained.
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2. When considering which laboratory tests to order, it is worth remembering the
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w doctrine primum no nnocere—first, do no harm.
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3. Once laboratory tests are available for review, tests results should be discussed with
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the patient, with abnormal test results interpreted for the aging individual and addressed
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w with the patient and caregivers.
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4. Any risks involved in laboratory testing must be considered concerning the patient's
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clinical condition and weighed against the test's expected benefits.
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4. Janey, 25 years old, may experience arthritis differently than 65-year-old Mrs. Johnson
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because:
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1. The body undergoes physiological changes with aging.
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2. A healthy body does not experience significant changes as one gets older.
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3. Older patients do not feel any systemic symptoms, such as malaise and weight loss.
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4. Even though the same joints are usually affected, age makes it feel different. - 4.
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Answer: 1 Page: 5 Feedback
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1. Knowledge of the bimodality of age onset of certain disease conditions will aid the
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advanced practice nurse in avoiding misdiagnosis or delay in diagnosis due to lack of
w w w w w w w w w w w w w w
w recognition.
2. Symptoms of rheumatoid arthritis may be different depending on the age of the patient.
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4|P a g e
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w w w w w
w in the Care of Older Adults 3rd Edition
w w w w w w w
by Evelyn G. Kennedy-Malone, Laurie;
w w w w
w Duffy
Expert Verified Q&As| A+ PASS
w w w w
1|P a g e
w w w w w
,1. Mrs. Smith, 75 years old, reports that she is weak, has difficulty urinating, and is
w w w w w w w w w w w w w w
dehydrated. Although she is afebrile, the nurse conducts a thorough physical examination,
w w w w w w w w w w w w
w including urinalysis and complete blood count (CBC). The total assessment is necessary
w w w w w w w w w w w
w because:
1. All body systems interact, and symptoms could indicate a variety of diagnoses.
w w w w w w w w w w w
2. The symptoms are vague and may be signs of aging.
w w w w w w w w w
3. There may be other signs or symptoms more indicative of the condition.
w w w w w w w w w w w
4. Mrs. Smith may not be reporting all significant information. - 1. Answer:
w w w w w w w w w w w
1 Page: 2 Feedback
w w w w
1. The clinician must be aware that all the systems interact and, in doing so, can
w w w w w w w w w w w w w w
increase the older person's vulnerability to illness/disease.
w w w w w w w
2. The nurse must not attribute symptoms only to the aging process.
w w w w w w w w w w
3. There may be comorbidities accompanying this condition.
w w w w w w
4. Assumptions of not reporting properly may not be true. w w w w w w w w
2. Apatient with renal disease has blood work drawn, and the results show an increase in
w w w w w w w w w w w w w w
serum creatinine. The nurse practitioner needs to know which of the following laboratory
w w w w w w w w w w w w w
w values before ordering medications?
w w w
1. CBC
2. Culture and sensitivity of the urine w w w w w
3. Creatinine clearance w
4. Uric acid levels - 2. Answer: 3
w w w w w w
Page: 3 w
w Feedback
1. A CBC will not evaluate kidney function for a patient with renal disease.
w w w w w w w w w w w w
2|P a g e
w w w w w
,2. A culture and sensitivity test reflects the presence of an infection and the antibiotic
w w w w w w w w w w w w w
to which the organism is sensitive.
w w w w w w
3. The calculation of creatinine clearance provides an estimation of renal function.
w w w w w w w w w w
4. Uric acid level is elevated in the presence of gout.
w w w w w w w w w
3|P a g e
w w w w w
, 3. Which of the following statements is true regarding diagnostic testing?
w w w w w w w w w
1. A test is ordered for a specific purpose.
w w w w w w w
2. A test is the most invasive available.
w w w w w w
3. There is no need to discuss results with the patient.
w w w w w w w w w
4. If a test is needed, it should be ordered regardless of risk to the patient. - 3.
w w w w w w w w w w w w w w w w
w Answer: 1 Page: 3 Feedback w w w w
1. The nurse practitioner should have a plan for the use of each test result value obtained.
w w w w w w w w w w w w w w w
2. When considering which laboratory tests to order, it is worth remembering the
w w w w w w w w w w w
w doctrine primum no nnocere—first, do no harm.
w w w w w w
3. Once laboratory tests are available for review, tests results should be discussed with
w w w w w w w w w w w w
the patient, with abnormal test results interpreted for the aging individual and addressed
w w w w w w w w w w w w w
w with the patient and caregivers.
w w w w
4. Any risks involved in laboratory testing must be considered concerning the patient's
w w w w w w w w w w w
clinical condition and weighed against the test's expected benefits.
w w w w w w w w w
4. Janey, 25 years old, may experience arthritis differently than 65-year-old Mrs. Johnson
w w w w w w w w w w w
because:
w
1. The body undergoes physiological changes with aging.
w w w w w w
2. A healthy body does not experience significant changes as one gets older.
w w w w w w w w w w w
3. Older patients do not feel any systemic symptoms, such as malaise and weight loss.
w w w w w w w w w w w w w
4. Even though the same joints are usually affected, age makes it feel different. - 4.
w w w w w w w w w w w w w w
Answer: 1 Page: 5 Feedback
w w w w w
1. Knowledge of the bimodality of age onset of certain disease conditions will aid the
w w w w w w w w w w w w w
advanced practice nurse in avoiding misdiagnosis or delay in diagnosis due to lack of
w w w w w w w w w w w w w w
w recognition.
2. Symptoms of rheumatoid arthritis may be different depending on the age of the patient.
w w w w w w w w w w w w w
4|P a g e
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