Final Review - TESTBANK LATEST UPDATED 2023/ 2024
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1. Mrs.L Smith,L 75L yearschold,L reportsL thatL sheL isL weak,L hasL difficultyL urinating,L andL isL
dehydrated.L AlthoughL sheL isL afebrile,L theL nurseL conductsL aL thoroughL physicalL examination,L
includingL urinalysisL andcompleteL bloodL countL (CBC).L TheL totalL assessment L isL necessaryL
because:
1. AllL bodyL systems L interact,L andL symptoms L couldL indicateL aL varietyL ofL diagnoses.
2. TheL symptomsL areL vagueL andL mayL beL signsL ofL aging.
3. ThereL mayL beL otherL signsL orL symptoms L moreL indicativeL ofL theL condition.
4. Mrs.L SmithL mayL notL beL reportingL allL significantL information. L -L 1.L
Answer:L 1L Page:L 2
Feedback
L 1.
TheL clinicianL mustL beL awareL thatL allL theL systemsL interactL and,L inL doingL so,L canL increaseL theL
older L person'sL vulnerabilityL toL illness/disease.
2.
TheL nurseL mustL notL attributeL symptomsL onlyL toL theL agingL
process.L 3.
ThereL mayL beL comorbiditiesL accompanyingL thisL
condition.L 4.
AssumptionsL ofL notL reportingL properlyL mayL notL beL true.
2. AL patientL withL renalL diseaseL hasL bloodL workL drawn,L andL theL resultsL showL anL increaseL
inL serumL creatinine.L TheL nurseL practitionerL needsL toL knowL whichL ofL theL followingL
laboratoryL valuesL beforeorderingL medications?
1. CBC
2. CultureL andL sensitivityL ofL theL urine
[Date] 1
,NURS 6540 Exam Study Guide , Advanced Practice Care of Frail Elders, Elders
Final Review - TESTBANK LATEST UPDATED 2023/ 2024
TOP RANKED EXAM STUDY GUIDE FOR GUARANTEED A+
3. CreatinineL clearance
4. UricL acidL levelsL -L 2.L Answer:L 3
Page:L 3
Feedback
L 1.
AL CBC L willL notL evaluateL kidneyL functionL forL aL patientL withL renalL
disease.L 2.
AL cultureL andL sensitivityL testL reflectsL theL presenceL ofL anL infectionL andL theL antibioticL toL whichL
theL organismL isL sensitive.
3.
TheL calculationL ofL creatinineL clearanceL providesL anL estimationL ofL renalL
function.L 4.
UricL acidL levelL isL elevatedL inL theL presenceL ofL gout.
3.L WhichL ofL theL followingL statementsL isL trueL regardingL diagnosticL testing?
1. AL testL isL orderedL forL aL specificL purpose.
2. AL testL isL theL mostL invasiveL available.
3. ThereL isL noL needL toL discussL resultsL withL theL patient.
4. IfL aL testL isL needed,L itL shouldL beL orderedL regardlessL ofL riskL toL theL patient.L
-L 3.L Answer:1L Page:L 3
Feedback
L 1.
TheL nurseL practitionerL shouldL haveL a L planL forL theL useL ofL eachL testL resultL valueL
obtained.L 2.
[Date] 2
,NURS 6540 Exam Study Guide , Advanced Practice Care of Frail Elders, Elders
Final Review - TESTBANK LATEST UPDATED 2023/ 2024
TOP RANKED EXAM STUDY GUIDE FOR GUARANTEED A+
WhenL consideringL whichL laboratoryL testsL toL order,L itL isL worthL rememberingL theL doctrineL primumL
noL nnocere—first,L doL noL harm.
3.
OnceL laboratoryL testsL areL availableL forL review,L testsL resultsL shouldL beL discussedL withL theL patient,L
withL abnormalL testL resultsL interpretedL forL theL agingL individualL andL addressedL withL theL patientL andL
caregivers.L 4.
AnyL risksL involvedL inL laboratoryL testingL mustL beL consideredL concerningL theL patient'sL clinicalL
conditionL andL weighedL againstL theL test'sL expectedL benefits.
4. Janey,L 25L yearsL old,L mayL experienceL arthritisL differentlyL thanL 65-year-oldL Mrs.L JohnsonL because:
1. TheL bodyL undergoesL physiologicalL changesL withL aging.
2. AL healthyL bodyL doesL notL experienceL significantL changesL asL oneL gets L older.
3. OlderL patients L doL notL feel L any L systemicL symptoms,L suchL asL malaiseL andL weightL loss.
4. EvenL thoughL theL sameL jointsL areL usuallyL affected,L ageL makes L itL feelL different.L -L 4.L
Answer:L 1Page:L 5
Feedback
L 1.
KnowledgeL ofL theL bimodalityL ofL ageL onsetL ofL certainL diseaseL conditionsL willL aidL theL advancedL
practiceL nurseL inL avoidingL misdiagnosisL orL delayL inL diagnosisL dueL toL lackL ofL recognition.
2.
SymptomsL ofL rheumatoidL arthritisL mayL beL differentL dependingL onL theL ageL ofL theL patient.
3.
YoungerL patientsL mayLnotL experienceL constitutionalL symptomsL suchL asL fever,L malaise,L weightL
loss,L andL depression.
4.
InL late-onsetL rheumatoidL arthritis,L theL jointL involvementL isL moreL oftenL inL theL larger L joints.
5. TheL nurseL practitionerL isL examiningL anL 85-year-oldL manL withL reportsL ofL abdominalL pain,L
[Date] 3
, NURS 6540 Exam Study Guide , Advanced Practice Care of Frail Elders, Elders
Final Review - TESTBANK LATEST UPDATED 2023/ 2024
TOP RANKED EXAM STUDY GUIDE FOR GUARANTEED A+
weakness,andL lossL ofL appetite.L WhichL isL theL mostL likelyL conditionL toL beL testedL forL andL ruledL
out?
1. Neoplasms L andL carcinomas
2. PartialL seizure
3. Sarcopenia
4. Hirschsprung'sL diseaseL -L 5.L Answer:L 1
Page:L 4
Feedback
L 1.
CertainL diseases,L suchL asL neoplasmsL andL carcinomas, L areL moreL commonL inL theL elderly,L andL anL
understandingL ofL theL epidemiologyL isL criticalL inL theL interpretation.
2.
PartialL seizureL isL moreL commonL inL earlyL oldL
age.L 3.
SarcopeniaL isL moreL commonL inL earlyLoldL
age.L 4.
Hirschsprung'sL diseaseL isL mostL commonL inL infancy.
6. ForL individualsL overL 65L yearsL old,L theL mostL commonL morbiditiesL areL relatedL to:
1. HeartL disease,L arthritis
2. RespiratoryL problems,L cancer
3. Diabetes,L stroke
4. AllL ofL theseL areL commonL morbidities.L -L 6.LAnswer:L
4L Page:L 5
[Date] 4