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Test Bank Advanced Practice Nursing the Care of Older Adults 2ndEdition Kennedy-Malone,
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Test Bank Advanced Practice Nursing the Care of Older Adults 2ndEdition Kennedy-Malone
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Advanced Practice Nursing in the Care of Older Adults / Edition 2 TESTBANK
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Test Bank Advanced Practice Nursing in the Care of Older Adults 2nd Edition Kennedy-Malone
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Test Bank Advanced Practice Nursing in the Care of Older Adults 2nd Edition Kv v v v v v v v v v v v v
ennedy-Malone
,Test Bank Advanced
v v v
Practice Nursing in t v v v
he Care of Older Adul
v v v v
nd
ts 2
v v Edition Kenne v
dy-Malone
,1. Mrs.vSmith,v75vyearsvold,vreportsvthatvshevisvweak,vhasvdifficultyvurinating,vandvisvdehydrated.vAlthou
ghvshevisvafebrile,vthevnursevconductsvavthoroughvphysicalvexamination,vincludingvurinalysisvandvcomplet
evbloodvcountv(CBC).vThevtotalvassessmentvisvnecessaryvbecause:
1. Allvbodyvsystemsvinteract,vandvsymptomsvcouldvindicatevavvarietyvofvdiagnoses.
2. Thevsymptomsvarevvaguevandvmayvbevsignsvofvaging.
3. Therevmayvbevothervsignsvorvsymptomsvmorevindicativevofvthevcondition.
4. Mrs.vSmithvmayvnotvbevreportingvallvsignificantvinformation.v-
v1.vAnswer:v1vPage:v2
Feedback
v1.
Thevclinicianvmustvbevawarevthatvallvthevsystemsvinteractvand,vinvdoingvso,vcanvincreasevthevoldervperson'sv
vulnerabilityvtovillness/disease.
2.
Thevnursevmustvnotvattributevsymptomsvonlyvtovthevagingvprocess.v3
.
Therevmayvbevcomorbiditiesvaccompanyingvthisvcondition.v
4.
Assumptionsvofvnotvreportingvproperlyvmayvnotvbevtrue.
2.A patientvwithvrenalvdiseasevhasvbloodvworkvdrawn,vandvthevresultsvshowvanvincreasevinvserumvc
reatinine.vThevnursevpractitionervneedsvtovknowvwhichvofvthevfollowingvlaboratoryvvaluesvbeforevor
deringvmedications?
1. CBC
2. Culturevandvsensitivityvofvthevurine
3. Creatininevclearance
4. Uricvacidvlevelsv-v2.vAnswer:v3
Page:v3
Feedback
v1.
AvCBCvwillvnotvevaluatevkidneyvfunctionvforvavpatientvwithvrenalvdisease.v
2.
, Avculturevandvsensitivityvtestvreflectsvthevpresencevofvanvinfectionvandvthevantibioticvtovwhichvthevorganis
mvisvsensitive.
3.
Thevcalculationvofvcreatininevclearancevprovidesvanvestimationvofvrenalvfunction.v
4.
Uricvacidvlevelvisvelevatedvinvthevpresencevofvgout.
3.vWhichvofvthevfollowingvstatementsvisvtruevregardingvdiagnosticvtesting?
1. Avtestvisvorderedvforvavspecificvpurpose.
2. Avtestvisvthevmostvinvasivevavailable.
3. Therevisvnovneedvtovdiscussvresultsvwithvthevpatient.
4. Ifvavtestvisvneeded,vitvshouldvbevorderedvregardlessvofvriskvtovthevpatient.v-
v3.vAnswer:v1vPage: v3
Feedback
v1.
Thevnursevpractitionervshouldvhavevavplanvforvthevusevofveachvtestvresultvvaluevobtained.v2
.
Whenvconsideringvwhichvlaboratoryvtestsvtovorder,vitvisvworthvrememberingvthevdoctrinevprimumvnovnnocere—
first,vdovnovharm.
3.
Oncevlaboratoryvtestsvarevavailablevforvreview,vtestsvresultsvshouldvbevdiscussedvwithvthevpatient,vwithvab
normalvtestvresultsvinterpretedvforvthevagingvindividualvandvaddressedvwithvthevpatientvandvcaregivers.v4.
Anyvrisksvinvolvedvinvlaboratoryvtestingvmustvbevconsideredvconcerningvthevpatient'svclinicalvconditionva
ndvweighedvagainstvthevtest'svexpectedvbenefits.
4. Janey,v25vyearsvold,vmayvexperiencevarthritisvdifferentlyvthanv65-year-oldvMrs.vJohnsonvbecause:
1. Thevbodyvundergoesvphysiologicalvchangesvwithvaging.
2. Avhealthyvbodyvdoesvnotvexperiencevsignificantvchangesvasvonevgetsvolder.
3. Oldervpatientsvdovnotvfeelvanyvsystemicvsymptoms,vsuchvasvmalaisevandvweightvloss.
4. Evenvthoughvthevsamevjointsvarevusuallyvaffected,vagevmakesvitvfeelvdifferent.v-
v4.vAnswer:v1vPage: v5
Feedback
v1.
Knowledgevofvthevbimodalityvofvagevonsetvofvcertainvdiseasevconditionsvwillvaidvthevadvancedvpracticevnu
rsevinvavoidingvmisdiagnosisvorvdelayvinvdiagnosisvduevtovlackvofvrecognition.
2.
Symptomsvofvrheumatoidvarthritisvmayvbevdifferentvdependingvonvthevagevofvthevpatient.
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