Test Bank - Advanced Practice Nursing in the Care of Older Adults, 2nd Edition By (Kennedy-Malone, 2019), Chapter 1-19 | All Chapters with questions and correct answers 100% guaranteed pass.

Test Bank Advanced Practice Nursing in the Care of Older Adults 2nd Edition
g g g g g g g g g g g g g




Kennedy-Malone
g

, TestBank g




AdvancedPracticeNu
g g g




rsingintheCareof
g g g g




nd
Older Adults2
g gg g




g Edition Kennedy- gg




Malone

,1. Mrs. Smith, 75 years old, reports that she is weak, has difficulty urinating, and is dehydrated.
g g g g g g g g g g g g g g g



Although she is afebrile, the nurse conducts a thorough physical examination, including urinalysis and
g g g g g g g g g g g g g g



complete blood count (CBC). The total assessment is necessary because:
g g g g g g g g g g



1. All body systems interact, and symptoms could indicate a variety of diagnoses.
g g g g g g g g g g g


2. The symptoms are vague and may be signs of aging.
g g g g g g g g g



3. There may be other signs or symptoms more indicative of the condition.
g g g g g g g g g g g



4. Mrs. Smith may not be reporting all significant information. - 1. Answer: 1
g g g g g g g g g g g g


Page: 2
g g




Feedback
1.
g



The clinician must be aware that all the systems interact and, in doing so, can increase the older person's
g g g g g g g g g g g g g g g g g g


vulnerability to illness/disease.
g g g


2.
The nurse must not attribute symptoms only to the aging process.
g g g g g g g g g g


3.
g



There may be comorbidities accompanying this condition.
g g g g g g



4.
g


Assumptions of not reporting properly may not be true. g g g g g g g g




2.A patient with renal disease has blood work drawn, and the results show an increase in serum
g g g g g g g g g g g g g g g



creatinine. The nurse practitioner needs to know which of the following laboratory values before
g g g g g g g g g g g g g g



ordering medications?
g g




1. CBC
2. Culture and sensitivity of the urine g g g g g


3. Creatinine clearance g



4. Uric acid levels - 2. Answer: 3
g g g g g g



Page: 3 g




Feedback
1.
g



A CBC will not evaluate kidney function for a patient with renal disease.
g g g g g g g g g g g g


2.
g

, A culture and sensitivity test reflects the presence of an infection and the antibiotic to which the
g g g g g g g g g g g g g g g g


organism is sensitive.
g g g



3.
The calculation of creatinine clearance provides an estimation of renal function.
g g g g g g g g g g


4.
g



Uric acid level is elevated in the presence of gout.
g g g g g g g g g




3. Which of the following statements is true regarding diagnostic testing?
g g g g g g g g g g




1. A test is ordered for a specific purpose.
g g g g g g g



2. A test is the most invasive available.
g g g g g g



3. There is no need to discuss results with the patient.
g g g g g g g g g



4. If a test is needed, it should be ordered regardless of risk to the patient. - 3. Answer:
g g g g g g g g g g g g g g g g g



1 Page: 3
g g g




Feedback
1.
g


The nurse practitioner should have a plan for the use of each test result value obtained.
g g g g g g g g g g g g g g g



2.
g



When considering which laboratory tests to order, it is worth remembering the doctrine primum no
g g g g g g g g g g g g g g


nnocere—first, do no harm.
g g g g


3.
Once laboratory tests are available for review, tests results should be discussed with the patient, with
g g g g g g g g g g g g g g g



abnormal test results interpreted for the aging individual and addressed with the patient and caregivers.
g g g g g g g g g g g g g g g



4.
g


Any risks involved in laboratory testing must be considered concerning the patient's clinical condition
g g g g g g g g g g g g g


and weighed against the test's expected benefits.
g g g g g g g




4. Janey, 25 years old, may experience arthritis differently than 65-year-old Mrs. Johnson because:
g g g g g g g g g g g g




1. The body undergoes physiological changes with aging.
g g g g g g



2. A healthy body does not experience significant changes as one gets older.
g g g g g g g g g g g



3. Older patients do not feel any systemic symptoms, such as malaise and weight loss.
g g g g g g g g g g g g g



4. Even though the same joints are usually affected, age makes it feel different. - 4. Answer: 1
g g g g g g g g g g g g g g g g



Page: 5
g g




Feedback
1.
g



Knowledge of the bimodality of age onset of certain disease conditions will aid the advanced practice
g g g g g g g g g g g g g g g



nurse in avoiding misdiagnosis or delay in diagnosis due to lack of recognition.
g g g g g g g g g g g g g


2.
Symptoms of rheumatoid arthritis may be different depending on the age of the patient.
g g g g g g g g g g g g g