NURS 6540 Exam Study Guide | Advanced Practice Car
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e of Frail Elders, Elders Final Review -
m m m m m m m
Full ChapterQuestions & Answers
m m m m m
, NURS 6540 Exam Study Guide | Advanced Practice Care of Frail Elders
m m m m m m m m m m m
, Elders Final Review - Full Chapter Questions &Answers
m m m m m m m m
1. Mrs.mSmith,m75myearsmold,mreportsmthatmshemismweak,mhasmdifficulty murinating,ma
nd is dehydrated. Although she is afebrile, the nurse conducts a thorough physi
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cal examination, including urinalysis andcomplete blood count (CBC). The tota
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l assessment is necessary because:
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1. Allmbody msystemsminteract,mand msymptomsmcould mindicatema mvariety mof mdiagnoses.
2. Themsymptomsmaremvaguemand mmay mbemsignsmof maging.
3. Theremmay mbemothermsignsmormsymptomsmmoremindicativemof mthemcondition.
4. Mrs.mSmith mmay mnotmbemreporting mallmsignificantminformation.
- 1. Answer: 1Page: 2
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Feedba m
ck1.
The clinician must be aware that all the systems interact and, in doing so, cani
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ncrease the olderperson's vulnerability to illness/disease.
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2.
The nurse must not attribute symptoms only to th
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e aging process.3.
m m
There may be comorbidities accompanyin
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g this condition.4.
m m
Assumptions of not reporting properly may not be true.
m m m m m m m m
NURS 6540 Exam Study Guide | Advanced Practice Care of Frail Elders
m m m m m m m m m m m
, Elders Final Review - Full Chapter Questions &Answers
m m m m m m m m
, NURS 6540 Exam Study Guide | Advanced Practice Care of Frail Elders
m m m m m m m m m m m
, Elders Final Review - Full Chapter Questions &Answers
m m m m m m m m
2. Ampatientmwithmrenalmdiseasemhasmbloodmworkmdrawn,mandmthemresultsmshowma
n increase in serum creatinine. The nurse practitioner needs to know which
m m m m m m m m m m m m
of the following laboratory values beforeordering medications?
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1. CBC
2. Culturemand msensitivity mof mthemurine
3. Creatininemclearance
4. Uricmacidmlevelsm-
m 2. Answer: 3Page: 3
m m m
Feedba m
ck1.
A CBC will not evaluate kidney function for a patient wit
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h renal disease.2.
m m
NURS 6540 Exam Study Guide | Advanced Practice Care of Frail Elders
m m m m m m m m m m m
, Elders Final Review - Full Chapter Questions &Answers
m m m m m m m m
, NURS 6540 Exam Study Guide | Advanced Practice Care of Frail Elders
m m m m m m m m m m m
, Elders Final Review - Full Chapter Questions &Answers
m m m m m m m m
A culture and sensitivity test reflects the presence of an infection and t
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he antibiotic to which theorganism is sensitive.
m m m m m m
3.
The calculation of creatinine clearance provides an estimation of
m m m m m m m m m
renal function.4. m
Uric acid level is elevated in the presence of gout.
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3. Which of the following statements is true regarding diagnostic testing?
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1. Amtestmismordered mforma mspecificmpurpose.
2. Amtestmismthemmostminvasivemavailable.
3. Theremismno mneedmto mdiscussmresultsmwithmthempatient.
4. If ma mtestmismneeded,mitmshould mbemordered mregardlessmof mriskmto mt
he patient. - 3. Answer:1 Page: 3
m m m m m m
Feedba m
ck1.
The nurse practitioner should have a plan for the use of each test
m m m m m m m m m m m m
result value obtained.2.
m m m
When considering which laboratory tests to order, it is worth remembering th
m m m m m m m m m m m
e doctrine primum nonnocere—first, do no harm.
m m m m m m
3.
Once laboratory tests are available for review, tests results should be discussed
m m m m m m m m m m m
with the patient, with abnormal test results interpreted for the aging individu
m m m m m m m m m m m
al NURS 6540 Exam Study Guide | Advanced Practice Care of Frail Elde
m m m m m m m m m m m m
rs,
Elders Final Review - Full Chapter Questions &Answers
m m m m m m m
m m m m m m m m
e of Frail Elders, Elders Final Review -
m m m m m m m
Full ChapterQuestions & Answers
m m m m m
, NURS 6540 Exam Study Guide | Advanced Practice Care of Frail Elders
m m m m m m m m m m m
, Elders Final Review - Full Chapter Questions &Answers
m m m m m m m m
1. Mrs.mSmith,m75myearsmold,mreportsmthatmshemismweak,mhasmdifficulty murinating,ma
nd is dehydrated. Although she is afebrile, the nurse conducts a thorough physi
m m m m m m m m m m m m
cal examination, including urinalysis andcomplete blood count (CBC). The tota
m m m m m m m m m
l assessment is necessary because:
m m m m
1. Allmbody msystemsminteract,mand msymptomsmcould mindicatema mvariety mof mdiagnoses.
2. Themsymptomsmaremvaguemand mmay mbemsignsmof maging.
3. Theremmay mbemothermsignsmormsymptomsmmoremindicativemof mthemcondition.
4. Mrs.mSmith mmay mnotmbemreporting mallmsignificantminformation.
- 1. Answer: 1Page: 2
m m m m
Feedba m
ck1.
The clinician must be aware that all the systems interact and, in doing so, cani
m m m m m m m m m m m m m m m
ncrease the olderperson's vulnerability to illness/disease.
m m m m m
2.
The nurse must not attribute symptoms only to th
m m m m m m m m
e aging process.3.
m m
There may be comorbidities accompanyin
m m m m
g this condition.4.
m m
Assumptions of not reporting properly may not be true.
m m m m m m m m
NURS 6540 Exam Study Guide | Advanced Practice Care of Frail Elders
m m m m m m m m m m m
, Elders Final Review - Full Chapter Questions &Answers
m m m m m m m m
, NURS 6540 Exam Study Guide | Advanced Practice Care of Frail Elders
m m m m m m m m m m m
, Elders Final Review - Full Chapter Questions &Answers
m m m m m m m m
2. Ampatientmwithmrenalmdiseasemhasmbloodmworkmdrawn,mandmthemresultsmshowma
n increase in serum creatinine. The nurse practitioner needs to know which
m m m m m m m m m m m m
of the following laboratory values beforeordering medications?
m m m m m m
1. CBC
2. Culturemand msensitivity mof mthemurine
3. Creatininemclearance
4. Uricmacidmlevelsm-
m 2. Answer: 3Page: 3
m m m
Feedba m
ck1.
A CBC will not evaluate kidney function for a patient wit
m m m m m m m m m m
h renal disease.2.
m m
NURS 6540 Exam Study Guide | Advanced Practice Care of Frail Elders
m m m m m m m m m m m
, Elders Final Review - Full Chapter Questions &Answers
m m m m m m m m
, NURS 6540 Exam Study Guide | Advanced Practice Care of Frail Elders
m m m m m m m m m m m
, Elders Final Review - Full Chapter Questions &Answers
m m m m m m m m
A culture and sensitivity test reflects the presence of an infection and t
m m m m m m m m m m m m
he antibiotic to which theorganism is sensitive.
m m m m m m
3.
The calculation of creatinine clearance provides an estimation of
m m m m m m m m m
renal function.4. m
Uric acid level is elevated in the presence of gout.
m m m m m m m m m
3. Which of the following statements is true regarding diagnostic testing?
m m m m m m m m m m
1. Amtestmismordered mforma mspecificmpurpose.
2. Amtestmismthemmostminvasivemavailable.
3. Theremismno mneedmto mdiscussmresultsmwithmthempatient.
4. If ma mtestmismneeded,mitmshould mbemordered mregardlessmof mriskmto mt
he patient. - 3. Answer:1 Page: 3
m m m m m m
Feedba m
ck1.
The nurse practitioner should have a plan for the use of each test
m m m m m m m m m m m m
result value obtained.2.
m m m
When considering which laboratory tests to order, it is worth remembering th
m m m m m m m m m m m
e doctrine primum nonnocere—first, do no harm.
m m m m m m
3.
Once laboratory tests are available for review, tests results should be discussed
m m m m m m m m m m m
with the patient, with abnormal test results interpreted for the aging individu
m m m m m m m m m m m
al NURS 6540 Exam Study Guide | Advanced Practice Care of Frail Elde
m m m m m m m m m m m m
rs,
Elders Final Review - Full Chapter Questions &Answers
m m m m m m m
